Re: Vestibulitis

From: Bernard Cristalli (bcrist@club-internet.fr)
Sat Mar 17 11:22:52 2007


It deserves surgery... After having tried everything else (anti-infectious treatments, local steroids... psychothings), and several months of evolution. Bernard

ENDODOK@aol.com a écrit : > A 61 year old patient presented with a 3 week hx. of introital
> pain. The NP saw her initially and could find no evidence of infected
> Bartholin gland, or herpes. Tenderness primarily left side. Pt. on
> herpetic suppression because of outbreaks on buttocks ( always the
> same identical location.) Pt started on sitz baths and topical
> steroids, with 40% reduction in sx.
>
> On my exam, has clinical vestibulitis. Marked local tenderness
> with a Q-tip, and erythema directly on region left Skene's duct. No
> palpable mass but some perceptible swelling / tenderness region of
> Skene's gland. No regional inguinal adenopathy.
> Have not seen vestibulitis in years! Appreciate suggestions for Rx.
>
> J. Glenn Bradley MD
>
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