Method of treating female sexual dysfunction
First Claim
1. A method of stimulating peripheral nerves to treat female sexual dysfunction comprising the steps of:
- (a) placing a lead having at least one electrode in subcutaneous tissue superior to and near a peripheral nerve that innervates at least a portion of a vulva so that at least one electrode is in the subcutaneous tissue; and
(b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous tissue to cause paresthesia of at least a portion of the vulva.
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Abstract
A method for treating female sexual dysfunction by subcutaneous electrical stimulation of a peripheral nerve innervating at least a portion of the vulva is disclosed. A lead is placed subcutaneously over a peripheral nerve that innervates at least a portion of the vulva and clitoris. The peripheral nerve is electrically stimulated to cause paresthesia. The method encompasses subcutaneous placement of an electrical lead near any peripheral nerve innervating at least a portion of the vulva and subsequent electrical stimulation of the nerve to cause paresthesia. Further, a method for treating intractable pain of the vulva using percutaneous and subcutaneous peripheral nerve electrostimulation techniques is disclosed.
57 Citations
66 Claims
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1. A method of stimulating peripheral nerves to treat female sexual dysfunction comprising the steps of:
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(a) placing a lead having at least one electrode in subcutaneous tissue superior to and near a peripheral nerve that innervates at least a portion of a vulva so that at least one electrode is in the subcutaneous tissue; and (b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous tissue to cause paresthesia of at least a portion of the vulva. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57)
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58. A method of stimulating peripheral nerves to treat female sexual dysfunction comprising the steps of:
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(a) placing a lead having at least one electrode in subcutaneous tissue superior to and near a peripheral nerve that innervates at least a portion of a vulva so that at least one electrode is in the subcutaneous tissue wherein the step of placing a lead includes the steps of; (i) providing an introducer needle; (ii) placing the introducer needle in the subcutaneous tissue superior to the peripheral nerve that is innervating at least a portion of the vulva; and (iii) passing, when the introducer needle is in position superior to and near the peripheral nerve, the lead through the introducer needle until the lead is also in position superior to and near the peripheral nerve that is innervating at least a portion of the vulva; (iv) placing a lead through the introducer needle across a peripheral nerve that innervates the vulva and that is contributing to female sexual dysfunction, the lead having at least one electrode placed in subcutaneous tissue superior to and near a nerve chosen from the group consisting of a pudental nerve, a deep peroneal nerve that innervate the skin;
clitoris or medial and inferior aspects of the vulva, an anterior branch of the ilioninguinal nerve innervating the mons pubis or upper part of the labia majora, a genital femoral nerve innervating the labia majora and a posterior femoral cutaneous nerve innervating the more inferoposterior aspects of the vulva; and(b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous tissue to cause paresthesia of at least a portion of the vulva. - View Dependent Claims (59)
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60. A method of stimulating a peripheral nerve to treat female sexual dysfunction emanating from the peripheral nerve, the peripheral nerve chosen from a group consisting of a pudental nerve, a deep peroneal nerve, a clitoral nerve, the anterior branch of the ilioninguinal nerve innervating the mons pubis and upper part of the labia majora, the genital femoral nerve innervating the labia majora and the posterior femoral cutaneous nerve supplying the more inferoposterior aspects of the vulva, the method comprising the steps of:
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(a) placing a lead having at least one electrode in subcutaneous tissue superior to and near a peripheral nerve that innervates at least a portion of a vulva so that at least one electrode is in the subcutaneous tissue; and (b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous tissue to cause paresthesia of at least a portion of the vulva.
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61. A method of stimulating peripheral nerves to treat female sexual dysfunction comprising the steps of:
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(a) providing an introducer needle; (b) providing a lead having at least one electrode; (c) placing the introducer needle in the subcutaneous tissue superior to and near a peripheral nerve that is innervating at least a portion of the vulva and that is contributing to female sexual dysfunction; (d) passing, when the introducer needle is in position superior to and near the peripheral nerve that is innervating at least a portion of the vulva, the lead through the introducer needle so that at least one electrode of the lead is also in subcutaneous tissue in position superior to and near the peripheral nerve that is innervating at least a portion of the vulva; (e) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous tissue to cause paresthesia of at least a portion of the vulva. - View Dependent Claims (62, 63)
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64. A method of treating neuralgias of or associated with a vulva comprising the steps of:
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(a) placing a lead having at least one electrode in subcutaneous tissue superior to and near the peripheral nerve innervating at least a portion of the vulva and that is causing the neuralgia emanating from the peripheral nerve so that at least one electrode is in the subcutaneous tissue; and (b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous to cause paresthesia of the area producing the neuralgia.
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65. A method of stimulating peripheral nerves to treat neuralgias emanating from a peripheral nerve, the neuralgias chosen from a group consisting of post herpetic neuralgia, chronic deafferentation female sexual dysfunction, chronic peripheral nerve female sexual dysfunction, post craniotomy female sexual dysfunction, incisional female sexual dysfunction, clunial nerve female sexual dysfunction, post hemiorrhapy female sexual dysfunction, localized low back or other spine female sexual dysfunction, incisional neuroma female sexual dysfunction, stump neuroma female sexual dysfunction, incisional scar female sexual dysfunction, deafferention female sexual dysfunction, chronic peripheral nerve female sexual dysfunction, sciatic neuralgia, medial neuralgia and ulnar neuralgia comprising the steps of:
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(a) placing a lead having at least one electrode in subcutaneous tissue superior to and near a peripheral nerve that innervates at least a portion of a vulva so that at least one electrode is in the subcutaneous tissue; and (b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous tissue to cause paresthesia of at least a portion of the vulva.
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66. A method of treating neuralgias of or associated with a vulva comprising the steps of:
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(a) placing a lead having at least one electrode in subcutaneous tissue superior to and near the peripheral nerve innervating at least a portion of the vulva and that is causing the neuralgia emanating from the peripheral nerve so that at least one electrode is in the subcutaneous tissue, the peripheral nerve chosen from the group consisting of branches of the pudental and deep peroneal nerves that innervate the skin, clitoris and medial and inferior aspects of the vulva, the anterior branch of the ilioninguinal nerve innervating the mons pubis and upper part of the labia majora, the genital femoral nerve innervating the labia majora and the posterior femoral cutaneous nerve supplying the more inferoposterior aspects of the vulva; and (b) electrically stimulating the peripheral nerve with the at least one electrode in the subcutaneous to cause paresthesia of the area producing the neuralgia.
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Specification