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Radiofrequency Therapy for Severe Idiopathic Vulvodynia

Kestřánek, Jan MD1; Špaček, Jiri1; Ryška, Pavel MD, PhD2; Adamkov, Jaroslav MD3; Matula, Vojtech MD1; Buchta, Vladimir RNDr, CSc4

Journal of Lower Genital Tract Disease: October 2013 - Volume 17 - Issue 4 - p e1–e4
doi: 10.1097/LGT.0b013e3182796c3e
Case Reports

Objective The study aimed to provide a description of a new and a hopeful possibility in the treatment of severe vulvodynia, which does not respond to treatments used so far.

Materials and Methods The use of radiofrequency therapy in vulvodynia treatment is described for the first time. This method was suggested by a neurosurgeon after applying all available possibilities.

Result In this article, we are reporting on the successful use of the pulsed radiofrequency treatment in a patient with intractable chronic vulvodynia.

Conclusions To our knowledge, this is the first report of a successful use of pulsed radiofrequency in the treatment of chronic vulvodynia. If efficacy of pulsed radiofrequency is confirmed by more studies, it would be a welcome addition to the treatment modalities used to treat this sometimes truly intractable condition.

This is the first report of a successful use of pulsed radiofrequency in the treatment of chronic severe vulvodynia.

Departments of 1Obstetrics and Gynecology, 2Radiology, 3Neurosurgery, and4Clinical Microbiology, University Hospital and Medical Faculty Hradec Králové, Charles University, Prague, Czech Republic

Reprint requests to: Jan Kestřánek, MD, Department of Obstetrics and Gynecology, University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech Republic. E-mail:

The authors have no conflicts of interest to declare.

This study was supported (in part) by university research no. 262902.

All authors have contributed to the preparation and/or editing of the article.

Details of ethics approval: The woman has consented to publication.

Copyright © 2013 by the American Society for Colposcopy and Cervical Pathology