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Exclusive manual perineal rehabilitation with lidocaine 2% gel in the treatment of provoked vestibulodynia: results from a single-arm interventional study
As of now, there is no adequate therapeutic strategy for provoked vestibulodynia (PVD). Pelvic Floor Muscle Therapy (PFMT) is a widely used technique in general pelvic floor rehabilitation. The objective of this study is to examine the effects of exclusive manual perineal rehabilitation with lidocai...
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Published in: | International journal of impotence research 2023-03, Vol.35 (2), p.157-163 |
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description | As of now, there is no adequate therapeutic strategy for provoked vestibulodynia (PVD). Pelvic Floor Muscle Therapy (PFMT) is a widely used technique in general pelvic floor rehabilitation. The objective of this study is to examine the effects of exclusive manual perineal rehabilitation with lidocaine 2% gel on PVD. During the first session, recruited patients (
n
= 68; mean age 31 ± 8.6; range: 18–52) received a questionnaire (Q1) on general well-being and health, pain of the genital area, sexual function, and symptoms during vaginal penetration. This questionnaire was based on a generalised questionnaire on the quality of life, the Medical Outcomes Study 36-item (SF-36), the Female Sexual Function Index (FSFI), and the Visual Analogue Scale (VAS). A second identical questionnaire with an additional set of open-ended questions concerning the assessment of the treatment was collected after treatment (Q2). A total of 45 questionnaires were completed. Statistical results showed a significant improvement of all items before and after treatment (
p
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doi_str_mv | 10.1038/s41443-022-00537-9 |
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n
= 68; mean age 31 ± 8.6; range: 18–52) received a questionnaire (Q1) on general well-being and health, pain of the genital area, sexual function, and symptoms during vaginal penetration. This questionnaire was based on a generalised questionnaire on the quality of life, the Medical Outcomes Study 36-item (SF-36), the Female Sexual Function Index (FSFI), and the Visual Analogue Scale (VAS). A second identical questionnaire with an additional set of open-ended questions concerning the assessment of the treatment was collected after treatment (Q2). A total of 45 questionnaires were completed. Statistical results showed a significant improvement of all items before and after treatment (
p
< 0.001): perceived general well-being and health, perceived vulvar pain, perceived sexual function, and perceived vaginal penetration. In conclusion, exclusive manual perineal rehabilitation using lidocaine 2% gel seems to be a safe and effective treatment option for vulvodynia in women.</description><identifier>ISSN: 0955-9930</identifier><identifier>EISSN: 1476-5489</identifier><identifier>DOI: 10.1038/s41443-022-00537-9</identifier><identifier>PMID: 35228685</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>59/57 ; 692/308/2779/109 ; 692/699/2768/515 ; Adult ; Clinical outcomes ; Female ; Humans ; Lidocaine - therapeutic use ; Medicine ; Medicine & Public Health ; Pain ; Pelvis ; Physical therapy ; Quality of Life ; Rehabilitation ; Reproductive Medicine ; rology ; Surveys and Questionnaires ; Topical medication ; Treatment Outcome ; Urology ; Vagina ; Vulvodynia - diagnosis ; Vulvodynia - drug therapy ; Well being ; Young Adult</subject><ispartof>International journal of impotence research, 2023-03, Vol.35 (2), p.157-163</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature Limited.</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-a2b21a90969883c817ed6f42f77c668a9cfe0547165e1dc6b3c604661a80e7ae3</citedby><cites>FETCH-LOGICAL-c474t-a2b21a90969883c817ed6f42f77c668a9cfe0547165e1dc6b3c604661a80e7ae3</cites><orcidid>0000-0003-4059-2293 ; 0000-0002-5800-5715</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35228685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Close, A.</creatorcontrib><creatorcontrib>Culha, M. G.</creatorcontrib><creatorcontrib>Albert, V.</creatorcontrib><creatorcontrib>Valancogne, G.</creatorcontrib><title>Exclusive manual perineal rehabilitation with lidocaine 2% gel in the treatment of provoked vestibulodynia: results from a single-arm interventional study</title><title>International journal of impotence research</title><addtitle>Int J Impot Res</addtitle><addtitle>Int J Impot Res</addtitle><description>As of now, there is no adequate therapeutic strategy for provoked vestibulodynia (PVD). Pelvic Floor Muscle Therapy (PFMT) is a widely used technique in general pelvic floor rehabilitation. The objective of this study is to examine the effects of exclusive manual perineal rehabilitation with lidocaine 2% gel on PVD. During the first session, recruited patients (
n
= 68; mean age 31 ± 8.6; range: 18–52) received a questionnaire (Q1) on general well-being and health, pain of the genital area, sexual function, and symptoms during vaginal penetration. This questionnaire was based on a generalised questionnaire on the quality of life, the Medical Outcomes Study 36-item (SF-36), the Female Sexual Function Index (FSFI), and the Visual Analogue Scale (VAS). A second identical questionnaire with an additional set of open-ended questions concerning the assessment of the treatment was collected after treatment (Q2). A total of 45 questionnaires were completed. Statistical results showed a significant improvement of all items before and after treatment (
p
< 0.001): perceived general well-being and health, perceived vulvar pain, perceived sexual function, and perceived vaginal penetration. In conclusion, exclusive manual perineal rehabilitation using lidocaine 2% gel seems to be a safe and effective treatment option for vulvodynia in women.</description><subject>59/57</subject><subject>692/308/2779/109</subject><subject>692/699/2768/515</subject><subject>Adult</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Humans</subject><subject>Lidocaine - therapeutic use</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain</subject><subject>Pelvis</subject><subject>Physical therapy</subject><subject>Quality of Life</subject><subject>Rehabilitation</subject><subject>Reproductive Medicine</subject><subject>rology</subject><subject>Surveys and Questionnaires</subject><subject>Topical medication</subject><subject>Treatment Outcome</subject><subject>Urology</subject><subject>Vagina</subject><subject>Vulvodynia - diagnosis</subject><subject>Vulvodynia - drug therapy</subject><subject>Well being</subject><subject>Young Adult</subject><issn>0955-9930</issn><issn>1476-5489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kUuLFDEUhYMoTs_oH3AhARFmU5pXpRIXggzjAwbc6DqkUre6M6YqbZIq7b_irzXa4_hYuErgfPecezkIPaLkGSVcPc-CCsEbwlhDSMu7Rt9BGyo62bRC6btoQ3TbNlpzcoJOc74mhGhC5X10wlvGlFTtBn27_OrCkv0KeLLzYgPeQ_Iz1E-Cne198MUWH2f8xZcdDn6IzlYds6d4CwH7GZcd4JLAlgnmguOI9ymu8RMMeIVcfL-EOBxmb19Ux7yEkvGY4oQtzn7eBmhsmqpNgbTW-ZpUo3NZhsMDdG-0IcPDm_cMfXx9-eHibXP1_s27i1dXjROdKI1lPaNWEy21Utwp2sEgR8HGrnNSKqvdCKQVHZUt0MHJnjtJhJTUKgKdBX6GXh5990s_weDqFskGs09-sulgovXmb2X2O7ONq1FKCUpoNTi_MUjx81JvNpPPDkKwM8QlGya5ULUWwSv65B_0Oi6pnlypTlNFmNakUuxIuRRzTjDeLkOJ-VG9OVZvavXmZ_VG16HHf55xO_Kr6wrwI5CrNG8h_c7-j-13rrC97A</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Close, A.</creator><creator>Culha, M. 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G.</au><au>Albert, V.</au><au>Valancogne, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exclusive manual perineal rehabilitation with lidocaine 2% gel in the treatment of provoked vestibulodynia: results from a single-arm interventional study</atitle><jtitle>International journal of impotence research</jtitle><stitle>Int J Impot Res</stitle><addtitle>Int J Impot Res</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>35</volume><issue>2</issue><spage>157</spage><epage>163</epage><pages>157-163</pages><issn>0955-9930</issn><eissn>1476-5489</eissn><abstract>As of now, there is no adequate therapeutic strategy for provoked vestibulodynia (PVD). Pelvic Floor Muscle Therapy (PFMT) is a widely used technique in general pelvic floor rehabilitation. The objective of this study is to examine the effects of exclusive manual perineal rehabilitation with lidocaine 2% gel on PVD. During the first session, recruited patients (
n
= 68; mean age 31 ± 8.6; range: 18–52) received a questionnaire (Q1) on general well-being and health, pain of the genital area, sexual function, and symptoms during vaginal penetration. This questionnaire was based on a generalised questionnaire on the quality of life, the Medical Outcomes Study 36-item (SF-36), the Female Sexual Function Index (FSFI), and the Visual Analogue Scale (VAS). A second identical questionnaire with an additional set of open-ended questions concerning the assessment of the treatment was collected after treatment (Q2). A total of 45 questionnaires were completed. Statistical results showed a significant improvement of all items before and after treatment (
p
< 0.001): perceived general well-being and health, perceived vulvar pain, perceived sexual function, and perceived vaginal penetration. In conclusion, exclusive manual perineal rehabilitation using lidocaine 2% gel seems to be a safe and effective treatment option for vulvodynia in women.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>35228685</pmid><doi>10.1038/s41443-022-00537-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4059-2293</orcidid><orcidid>https://orcid.org/0000-0002-5800-5715</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | 59/57 692/308/2779/109 692/699/2768/515 Adult Clinical outcomes Female Humans Lidocaine - therapeutic use Medicine Medicine & Public Health Pain Pelvis Physical therapy Quality of Life Rehabilitation Reproductive Medicine rology Surveys and Questionnaires Topical medication Treatment Outcome Urology Vagina Vulvodynia - diagnosis Vulvodynia - drug therapy Well being Young Adult |
title | Exclusive manual perineal rehabilitation with lidocaine 2% gel in the treatment of provoked vestibulodynia: results from a single-arm interventional study |
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