20. Chronic Idiopathic Mucocutaneous Pain Syndromes: Vulvodynia, Penodynia, and Scrotodynia

  1. Anthony Bewley BA (Hons), MBChB, FRCP3,
  2. Ruth E. Taylor BSc (Hons Psychology), MBChB, MRCPsych, MSc (Psych), MSc (Epid), PhD4,
  3. Jason S. Reichenberg MD, FAAD5 and
  4. Michelle Magid MD6
  1. Peter J. Lynch1 and
  2. Libby Edwards2

Published Online: 1 MAR 2014

DOI: 10.1002/9781118560648.ch20

Practical Psychodermatology

Practical Psychodermatology

How to Cite

Lynch, P. J. and Edwards, L. (2014) Chronic Idiopathic Mucocutaneous Pain Syndromes: Vulvodynia, Penodynia, and Scrotodynia, in Practical Psychodermatology (eds A. Bewley, R. E. Taylor, J. S. Reichenberg and M. Magid), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118560648.ch20

Editor Information

  1. 3

    Consultant Dermatologist, The Royal London Hospital & Whipps Cross University Hospital, Barts Health NHS Trust, London, UK

  2. 4

    Senior Lecturer and Honorary Consultant in Liaison Psychiatry, Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK

  3. 5

    Associate Professor, Department of Dermatology, University of Texas Southwestern, Clinical Assistant Professor, University of Texas Medical Branch, Clinical Director for Dermatology, University Medical Center Brackenridge, Austin, TX, USA

  4. 6

    Clinical Associate Professor, Department of Psychiatry, University of Texas Southwestern, Clinical Assistant Professor, University of Texas Medical Branch, Clinical Assistant Professor, Texas A&M Health Science Center, Austin, TX, USA

Author Information

  1. 1

    UC Davis Medical Center, Sacramento, CA, USA

  2. 2

    Carolinas Medical Center, Charlotte, NC, USA

Publication History

  1. Published Online: 1 MAR 2014
  2. Published Print: 20 APR 2014

ISBN Information

Print ISBN: 9781118560686

Online ISBN: 9781118560648

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Keywords:

  • vulvodynia;
  • penodynia;
  • scrotodynia;
  • genital pain;
  • psychological dysfunction;
  • sexual dysfunction;
  • social dysfunction

Summary

Chronic idiopathic vulvar pain (vulvodynia) occurs in up to 25% of women over the course of a lifetime. This pain may be associated with psychological, sexual, and social dysfunction. While the cause of vulvodynia is not known, moderation or clearing of the pain is possible with counseling, pelvic floor muscle rehabilitation through physical therapy, and medications used for other forms of neuropathic pain. Similar chronic idiopathic penile and/or scrotal pain (penodynia, scrotodynia) occurs in a much smaller proportion of men. Here too, there is often associated psychological, sexual, and social dysfunction. Counseling is usually unacceptable to these men, leaving only medication for neuropathic pain as potentially helpful therapy. It is the authors' perception that therapy for the clearance of pain is less successful in men than it is in women.