The thicker labia of the two is the only one causing me grief 3 years post op. I've been to pelvic floor therapy, and multiple surgeons and obgyns and no one has any answers - as they said a revision could just disrupt other nerve endings and create painful scar tissue all over again. I feel so defeated and hate living my life as if someone is holding a lighter up to my left labia. It feels swollen as well. Any insight or help would be so much appreciated. :(
Answer: Constant burning/nerve pain 3 years post-op labiaplasty You had labiaplasty surgery 3 years ago and one side was long?
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Answer: Constant burning/nerve pain 3 years post-op labiaplasty You had labiaplasty surgery 3 years ago and one side was long?
Helpful
February 5, 2022
Answer: Burning and nerve pain after labiaplasty I am so sorry that this happened to you. From your description, it sounds like you have experienced nerve damage or nerve entrapment of the dorsal nerve of the clitoris after labiaplasty. This can happen if dissection occurs too close to the base of the clitoris where the nerve courses. This is a known potential complication of labiaplasty. The key nerves in the pelvis are the pudendal, genitofemoral, ilioinguinal, and the dorsal clitoral nerve. There are surgical options to go back to surgery and attempt to free the scar tissue around the nerve, but this is very invasive. Some patients have found oral Topamax to be helpful with the discomfort, but this is not always the case. There is more success reported with selective nerve blocks. During the nerve block, 1% lidocaine is inserted into the pudendal nerve where it divides into the dorsal nerve of the clitoris. Another option for a nerve block is to injection 1% lidocaine just above and to the left of the clitoris and clitoral hood. This sometimes results in immediate relief. This may need to be repeated more than once with varying frequency. If you are able to proceed with nerve block, then it is also a good idea to start on a medication like Duloxetine daily as well to help your serotonin and noradrenaline to circulate longer in the brain and make the effects of the nerve block last longer and you can feel better longer. These nerve blocks can actually be done in the office. I hope this helps.
Helpful
February 5, 2022
Answer: Burning and nerve pain after labiaplasty I am so sorry that this happened to you. From your description, it sounds like you have experienced nerve damage or nerve entrapment of the dorsal nerve of the clitoris after labiaplasty. This can happen if dissection occurs too close to the base of the clitoris where the nerve courses. This is a known potential complication of labiaplasty. The key nerves in the pelvis are the pudendal, genitofemoral, ilioinguinal, and the dorsal clitoral nerve. There are surgical options to go back to surgery and attempt to free the scar tissue around the nerve, but this is very invasive. Some patients have found oral Topamax to be helpful with the discomfort, but this is not always the case. There is more success reported with selective nerve blocks. During the nerve block, 1% lidocaine is inserted into the pudendal nerve where it divides into the dorsal nerve of the clitoris. Another option for a nerve block is to injection 1% lidocaine just above and to the left of the clitoris and clitoral hood. This sometimes results in immediate relief. This may need to be repeated more than once with varying frequency. If you are able to proceed with nerve block, then it is also a good idea to start on a medication like Duloxetine daily as well to help your serotonin and noradrenaline to circulate longer in the brain and make the effects of the nerve block last longer and you can feel better longer. These nerve blocks can actually be done in the office. I hope this helps.
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