Browse > Article
http://dx.doi.org/10.3344/kjp.2007.20.2.251

Perineal Pain due to Bladder Stones after Total Abdominal Hysterectomy - A case report -  

Park, Sang Hyun (Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine)
Park, Jong Cook (Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine)
Lee, Pyung Bok (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Publication Information
The Korean Journal of Pain / v.20, no.2, 2007 , pp. 251-254 More about this Journal
Abstract
Perineal pain is a significant diagnostic challenge to the pain practitioner, and accurate diagnosis and treatment is essential. We report a case of 42-years old female patient suffering from excruciating vulvodynia for 5 years. Her pain on the visual analogue scale was 10 out of 10 and her pain was associated with sleep disturbance, dyspareunia, and chronic fatigue. She was diagnosed with a bladder stone by imaging, and The pain was relieved by cystolitholapaxy.
Keywords
bladder stone; vulvodynia;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Fischer G: Management of vulvar pain. Dermatol Ther 2004; 17: 134-49   DOI   ScienceOn
2 Gunter J: Chronic pelvic pain: an integrated approach to diagnisis and treatment. Obstet Gyoecol Surv 2003; 58: 615-23   DOI   ScienceOn
3 Lee SK, Cha YD, Suk MH: The effect of ganglion impar block for neoplastic perineal pain with eoceygeal fracture. Korean J Pain 1997; 10: 250-3
4 Ramsden CE, McDaniel MC, Harmon RL, Renney KM, Faure A: Pudendal nerve entrapment as source of intractable perineal pain. Am J Phys Med Rehabil 2003; 82: 479-84   DOI
5 The Korean Anesthesiology and Pain Medicine Society: Anesthesiology and pain medicine. Seoul, Yemungak Inc. 2003, pp 217-26
6 John SM, Kenneth MA: Pelvic and perineal pain of urologic origin. In: Bonica's management of pain. 3rd ed. Edited by Loerser JD: Philadelphia, Lippincott Williams & Wilkins. 2001, pp 1448-52
7 Mashcb RM, Nash JM, BrondoloE, Kerns RD: Vulvodynia: an inlroduclion and critical review of a chronic pain condition. Pain 2000; 86: 3-10   DOI   ScienceOn
8 Yoon MH: Pain in pelvis and urogenital system. In: Pain medicine. 3rd ed. Edited by The Korean pain society: Seoul, Koonja Publishing Inc. 2007, pp 335-55
9 John SM, Andrea JR: General considerations. In: Bonica's management of pain. 3rd ed. Edited by Locrser JD: Philadelphia, Lippincott Williams & Wilkins. 2001, pp 1351-87
10 Phelps SR, Malone PS: Severe perineal pain after enterocystoplasty in bladder exstrophy. BJU Int 2004; 93: 835-7   DOI   ScienceOn
11 Shin KM, Kim JS, Cho YR, Lim SY, Hong SY, Choi YR: Sterotaxic neurotomy of ganglion impar in the management of perineal pain. Korean J Pain 1996; 9: 415-8
12 Y Chen, B Song, X Jin, E Xong, J Chang: Possible mechanism of referred pain in perineum and pelvis associated with the prostate in rats. J Urol 2005; 174: 2405-8   DOI   ScienceOn