Vulvodinia: clasificación, etiología, diagnóstico y manejo. Revisión sistemática de la literatura

  • Pio Iván Gómez-Sánchez
  • Juan Guillermo Chalela
  • Hernando Gaitán-Duarte

Resumen

Objetivo: revisar la literatura del dolor vulvar en aspectos relativos a la clasificación, etiología, diagnóstico y abordaje terapéutico, como una guía que ayude al personal de salud a enfrentar este problema.

Metodología: búsqueda en las librerías electrónicas: Hinari, Pubmed/Medline, Cochrane, SciELO, Lilacs, Core Collections y E-Clinics. Además, se buscó información en textos clásicos de dermatología, ginecología y textos de patología vulvar, así como resúmenes de congresos.

Resultados: el dolor vulvar es un problema frecuente, se considera que tiene etiología multifactorial, sin embargo, la evidencia que soporta las hipótesis causales es débil. No hay un patrón de oro diagnóstico por lo que los estudios evalúan la capacidad para discriminar los criterios clínicos y su repetibilidad. En cuanto al tratamiento es inicialmente médico y como último recurso quirúrgico. La evidencia está constituida por pocos ensayos clínicos aleatorizados con tamaño muestral pequeño, series de casos y revisiones narrativas.

Conclusiones: La evidencia sobre etiología, diagnóstico y tratamiento de dolor vulvar es débil.

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Biografía del autor/a

Pio Iván Gómez-Sánchez
Ginecólogo y Epidemiólogo. Profesor Titular Departamento de Obstetricia y Ginecología. Universidad Nacional de Colombia. Miembro de International Association for Study of Pain. Bogotá, Colombia.
Juan Guillermo Chalela
Medico Internista y Dermatólogo. Profesor Emérito Universidad Militar Nueva Granada, Médico adscrito Fundación Santa Fe de Bogotá. Bogotá, Colombia.
Hernando Gaitán-Duarte
Ginecólogo y Máster en Epidemiología Clínica. Profesor Titular Departamento de Obstetricia y Ginecología, Universidad Nacional de Colombia. Bogotá, Colombia.

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Publicado
2016-07-26
Cómo citar
1.
Gómez-Sánchez PI, Chalela JG, Gaitán-Duarte H. Vulvodinia: clasificación, etiología, diagnóstico y manejo. Revisión sistemática de la literatura. Rev. Colomb. Obstet. Ginecol. [Internet]. 26 de julio de 2016 [citado 15 de diciembre de 2019];58(3):222-31. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/454
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