Abstract
Vestibulodynia has beens shown to occur in up to 16% of women over the age of 18 and commonly presents in conjunction with interstitial cystitis (IC). The embryologic origin of the vestibule is the urogenital sinus which explains why these two pathologies are so closely linked. Interestingly, vestibulodynia has been shown to appear concurrently in up to 88% of cases of IC. However, AUA guidelines do not specifically recommend a vulvar exam when evaluating IC. We present the case of a 30 year old woman with severe urinary urgency for years, treated by multiple providers who had significant findings on vulvar exam. She had been diagnosed with IC in the past and had been taking multiple medications and undergone numerous procedures (including urodynamics and bladder botox injection). A thorough vaginal and vestibular exam was conducted in clinic and demonstrated re-creation of her urgency symptoms during palpation of the vestibule.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
