Vulvodynia after CO2 laser treatment of the female genital mucosa

We have observed 3 cases of vulvodynia after CO2 laser (pulse or scan) trea tment of condylomata acuminata (n = 1) or bowenoid papulosis (n = 2) of the female genital mucosa. Laser treatment was associated with a considerable delay in healing (3-4 months) and chronic pain. The histology of the treate d areas showed a scar tissue and severe mucosal atrophy. The occurrence of painful scars following CO2 laser treatment could be related to an inadequa te laser technique considering the morphology of the vagina. Copyright (C) 2001 S. Karger AG, Basel.