Treatment of Vulvar Varicosities by Injection-Compression Sclerotherapy

BACKGROUND: Techniques of injection-compression sclerotherapy of lower extremity varicosities can be applied to treat patients with symptomatic vulvar varicosities. OBJECTIVE: To effectively use injection-compression sclerotherapy to treat patients with symptomatic vulvar varicosities. METHODS: Injection of vulvar varicosities with a 1% solution of sodium tetradecyl sulfate and subsequent compression therapy with the V2-Supporter was used to treat seven patients with symptoms of vaginal pressure, swelling, and pain. RESULTS: Three of the seven patients were premenstrual and four others were approximately 8 weeks post-vaginal delivery. Physical examination was performed in the upright as well as the dorsal lithotomy positions and injection was administered in the supine position. All patients noticed marked improvement in symptoms after treatment. CONCLUSION: We conclude that this technique has potential as a simple, effective way to treat symptomatic vulvar varicosities.