Objectives: Our goal is to show that microfat, stromal vascular tissue grafting can be effective in vulvodynia. This case report aims to present our technique, analyzing effectiveness, patient satisfaction, and complications.
Introduction: Vulvodynia is a chronic pain condition of the vulva. It usually lasts more than 3 months and there is no known cause. Even though it is the leading cause of painful sex among women who haven’t gone through menopause, it is hard to know how widespread vulvodynia is.
Materials / method: 3 patients with generalized vulvodynia, constant vulvar pain or pain occurring from time to time, most often burning, to touch or pressure, were included.
After abdominal fat harvesting (or inner face of the knees, or thighs) and fat graft preparation, a microfat and stromal vascular tissue grafting was performed in the genital area.
12 ml of microfat was injected in the labia majora and 6 ml of SVT in the vestibul and the first 3 centimeters of the vagina wall (posterior and lateral)
Fridmann score and Female Sexual Distress Scale (FSD), were used to evaluate results, effectiveness and toler
Results: 3 patients benefited from this technique. A significant improvement of the Fridmann score, pH, and FSD scale was found for all patients, with particular benefit on dryness and dyspareunia.
No complication was found in our study.
Conclusion: This case report shows that functional disorders of the intimate sphere can be treated with microfat and stromal vascular tissue.
This autologous procedure can provide significant help for this terrible disease that affects an average of 16% of women.
This method was beneficial to all patients and required only one session.
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