VulvodyniaVulvodynia is a form of persistent vulvar pain of at least 3 months’ duration, without clear identifiable cause, with other associated factors. Women with vulvodynia often speak of vulval burning, soreness, stinging, itching and stabbing pains in the genital area. Simple activities such as wearing jeans, inserting tampons, having a pap smear, or attempting intercourse can be painful and distressing. Most times there are no identifiable medical causes to explain the severity of pain and associated symptoms. This condition can affect women of all ages, be they single, partnered, with or without children.
Bladder Pain / ICWomen suffering with vulvodynia frequently report a range of other symptoms, many of which relate to the bladder and urinary system. It is estimated that in over 80% of vulvodynia cases urinary symptoms also exist, and warrant further attention. Woman with bladder pain syndrome/Interstitial Cystitis (IC) most commonly report experiencing discomfort, pressure or intense pain in the bladder and pelvic area with symptoms of urge, frequent daytime voiding (of more than 10 voids per day) and night-time urination (of more than two voids per night), known as nocturia. This condition can be very debilitating and significantly impact on daily activities of living. IC is a subgroup of symptoms of BPS where there is evident bladder pathology in the form of lesions which can be seen during a cystoscopy.
Case StudiesYou are not alone. Be mindful that up to 15% of women in the general population will suffer from these conditions at some point in time in their life. It may seem to be an embarrassing topic to discuss. However many women have chosen to share their case studies for the benefit of women who are still seeking to understand these conditions and find options for therapy.
CliniciansMarek and Sherie are devoted to sharing their clinical and research knowledge, collaborating with doctors and medical specialists. To date they have provided therapy to thousands of women. They continue to be at the forefront of developments by being involved at international meetings and continuing educational activities.
Presentations in Israel
Marek and Sherie were invited to provide several workshops to Israeli and overseas specialist on the management of vulvodynia and bladder pain syndrome. The workshops were well attended and well received. A follow up visit is planned in early 2017. Israel was a fascinating and memorable place to visit.
New Revised Edition of Textbook on Pelvic Disorders
The editors and publishers of the Textbook on Pelvic Floor Disorders have invited Marek Jantos to contribute a revised chapter on Surface Electromyography and Myofascial Therapy in the Management of Pelvic Pain Disorders. The newly edited text will be in print later in 2017.
National BFE Conference in Xian
Marek Jantos was the keynote speaker at the National BFE Conference in Xian speaking on the management of chronic urogenital pain. This was Marek’s 7th visit to China. A highlight of the visit included meetings and discussions with several senior leaders of the Chinese Medical Association. Several visits are being planned for 2017.
Annual National Conference of Gynaecologists in China
Marek Jantos has been asked to address the Annual National Conference of Gynaecologists in China, in March 2015 outlining developments in the management of chronic urogenital pain. The conference has an expected attendance of approximately 7-8000 delegates.
China Workshops and Lectures
China Workshops and Lectures 2013, 2014, 2015. Marek Jantos twice a year meets with specialists in China, providing workshops on Chronic Urogenital Pain. Each of the workshops has been attended by several hundred participants, with several thousand benefitting from the training to date.
Honorary Appointment and Inaugural Lecture
Marek Jantos was recently awarded an Honorary appointment in the Department of Anatomy, Medical University of Lublin, Poland, a position that he gratefully and humbly accepted and treasures. Marek looks forward to collaborating with the faculty and university in various research projects.Medical University of Lublin – Inaugural Lecture.
Watch on YouTube.
See Marek’s personal website.
Marek Jantos – Chief Consultant of Multi-Centre Study
Marek Jantos has been retained as chief consultant to oversee a major, multi centre randomised control study in 10 overseas hospitals, comparing his treatment protocols with traditional approaches to chronic urogenital pain.
ISSVD Presentation – Findings on Mechanisms of Pain in Vulvodynia
Marek Jantos presented further findings on mechanisms of pain in vulvodynia at the International Conference of the International Society for the Study of Vulvovaginal Diseases (ISSVD). Entitled Can Pain Mapping in Vulvodynia Cases Provide Insights into Mechanisms and Management of Pain, the presentation reviewed the role of pain mapping in the diagnosis and assessment of vulvodynia and presented findings from an analysis of data involving 82 participants, highlighting the role of peripheral mechanisms and the benefits of pain mapping during assessment of patients. Pain mapping seeks to localize the origins of pain, assess its severity, characteristics and spatial distribution. An integrated mapping and assessment protocol was introduced (IMAP) to assess pain of muscular and soft tissue origin. The presentation was co-authored, Marek Jantos, PhD, Sherie Johns RN, RM, Anna Torres MD, PhD, Ewa Baszak-Radomańska MD, PhD.
Marek Jantos, Appointed Sub-Section Editor for Chronic Pelvic Pain, Editorial Board of Pelviperineology Journal
Marek Jantos was appointed to the Editorial Board of the Journal of Pelviperineology as Subsection editor for Chronic Pelvic Pain. Marek Jantos is also a current member of the Editorial Board of the Journal of Lower Tract Genital Disease.
Working with chronic urogenital pain conditions presents unique challenges. From the patient perspective it is to have their pain recognised as real, from the clinicians perspective to have the therapy recognised as helpful and appropriate, even in the absence of a gold standard.
I have welcomed the outcome of the recent Health and Community Services Complaints Commission (HCSCC) Inquiry into my credentials and protocols. The process was an extensive and comprehensive one. The full report can be viewed online.
I continue to work in as transparent a manner as I can, by publishing, speaking at meetings and conferences, providing workshops and clinical training. My resolution continues to be to hold the interests of the patients first and foremost in my clinical work.