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RESECTION OF SENSORY NERVES OF PERINEUM IN CERTAIN IRRITATIVE CONDITIONS OF THE EXTERNAL GENITALIA

RESECTION OF SENSORY NERVES OF PERINEUM IN CERTAIN IRRITATIVE CONDITIONS OF THE EXTERNAL GENITALIA Abstract The purpose of this paper is to form some estimate of the efficacy of neurectomy of sensory nerves in the treatment of certain irritative lesions of the female external genitalia. The intolerable itching which may be associated with such conditions as kraurosis, leukoplakic vulvitis and pruritus of the vulva with or without lichenification is often particularly resistant to local medication, whether this consists in the application of drugs or in exposure of the region to roentgen or actinic rays. This distressing symptom not only leads to excoriation of the parts, but also reduces the physical and moral stamina of the patient by depriving her of sleep. Two surgical procedures are available for the treatment of these conditions: vulvectomy and section of the sensory nerves to the parts. The choice of operation may be simplified by the occasional appearance of malignant lesions in the course of one of these diseases, a References 1. Counseller, V. S.: Leukoplakic Vulvitis or Kraurosis Vulvae; Its Relation to Carcinoma and Its Surgical Treatment , Minnesota Med. 14:312 ( (April) ) 1931. 2. Including that part of this muscle sometimes separately described as the transversus perinei profundus. 3. Tavel, E.: La résection du nerf honteux interne dans le vaginisme et le prurit de la vulve , Rev. de chir. 25:145, 1902. 4. Simpson, J. Y.: Clinical Lectures on the Diseases of Women: Lecture 10. On Caruncles of the Urethra—Neuromata of the Vulva—Hyperaesthesia and Neuralgia of the Vulva , M. Times & Gaz. 39:333 ( (April 2) ) 1859. 5. Rochet, V.: Traitement chirurgical des prurits périnéaux, anaux et vulvaires , Lyon méd. 100:570, 1903. 6. Wertheimer, P., and Michon, L.: La névrotomie du nerf honteux interne: indications, technique, résultats , J. de chir. 31:497 ( (April) ) 1928. 7. Murard, Jean: Troubles vaso-moteurs et hyperesthésiques consécutifs à une rachianesthésie. Traitement par névrotomie des honteux internes , Bull. et mém. Soc. nat. d. chir. 55:1153 ( (Nov. 6) ) 1929. 8. Mauclaire, P.: A propos du prurit vulvaire traité par le névrotomie bilatérale des nerfs honteux internes , Bull. et mém. Soc. nat. d. chir. 55:1210 ( (Nov. 30) ) 1929. 9. Albertin: Résection des nerfs honteux internes , Lyon méd. 100:572, 1903. 10. Bérard, L., and Wertheimer, P.: Kraurosis vulvae. Névrotomie des nerfs honteux internes , Guérison, Lyon chir. 23:524, 1926. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

RESECTION OF SENSORY NERVES OF PERINEUM IN CERTAIN IRRITATIVE CONDITIONS OF THE EXTERNAL GENITALIA

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1933 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1933.01170010053005
Publisher site
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Abstract

Abstract The purpose of this paper is to form some estimate of the efficacy of neurectomy of sensory nerves in the treatment of certain irritative lesions of the female external genitalia. The intolerable itching which may be associated with such conditions as kraurosis, leukoplakic vulvitis and pruritus of the vulva with or without lichenification is often particularly resistant to local medication, whether this consists in the application of drugs or in exposure of the region to roentgen or actinic rays. This distressing symptom not only leads to excoriation of the parts, but also reduces the physical and moral stamina of the patient by depriving her of sleep. Two surgical procedures are available for the treatment of these conditions: vulvectomy and section of the sensory nerves to the parts. The choice of operation may be simplified by the occasional appearance of malignant lesions in the course of one of these diseases, a References 1. Counseller, V. S.: Leukoplakic Vulvitis or Kraurosis Vulvae; Its Relation to Carcinoma and Its Surgical Treatment , Minnesota Med. 14:312 ( (April) ) 1931. 2. Including that part of this muscle sometimes separately described as the transversus perinei profundus. 3. Tavel, E.: La résection du nerf honteux interne dans le vaginisme et le prurit de la vulve , Rev. de chir. 25:145, 1902. 4. Simpson, J. Y.: Clinical Lectures on the Diseases of Women: Lecture 10. On Caruncles of the Urethra—Neuromata of the Vulva—Hyperaesthesia and Neuralgia of the Vulva , M. Times & Gaz. 39:333 ( (April 2) ) 1859. 5. Rochet, V.: Traitement chirurgical des prurits périnéaux, anaux et vulvaires , Lyon méd. 100:570, 1903. 6. Wertheimer, P., and Michon, L.: La névrotomie du nerf honteux interne: indications, technique, résultats , J. de chir. 31:497 ( (April) ) 1928. 7. Murard, Jean: Troubles vaso-moteurs et hyperesthésiques consécutifs à une rachianesthésie. Traitement par névrotomie des honteux internes , Bull. et mém. Soc. nat. d. chir. 55:1153 ( (Nov. 6) ) 1929. 8. Mauclaire, P.: A propos du prurit vulvaire traité par le névrotomie bilatérale des nerfs honteux internes , Bull. et mém. Soc. nat. d. chir. 55:1210 ( (Nov. 30) ) 1929. 9. Albertin: Résection des nerfs honteux internes , Lyon méd. 100:572, 1903. 10. Bérard, L., and Wertheimer, P.: Kraurosis vulvae. Névrotomie des nerfs honteux internes , Guérison, Lyon chir. 23:524, 1926.

Journal

Archives of Surgery – American Medical Association

Published: Jan 1, 1933

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