The purpose of this paper is twofold: (1) to substantiate a preliminary report1 concerning the treatment of pruritus vulvae by alcohol injection and (2) to report the results of four years' experience with the method, in forty-nine cases.
Candidates for alcohol injection were selected only after every effort to determine the cause of the pruritus had failed. The majority of the patients had run the gamut of conservative therapy, including the use of antipruritic ointments, powders and lotions. Several had received ultraviolet irradiation and roentgen treatments, and one had undergone complete vulvectomy. None of these procedures had elicited more than temporary relief from the itching, which in many cases was becoming intolerable.
The duration of pruritus varied from two months to thirty-five years, the average for the series being eight and seven-tenths years. The majority of the women at the time of injection were over 45, while the average