I too have suffered with vulvodynia. In 2003 I had kenalog injections, It gave me relief for about 8 months. In 2005 I had another set of injections, again 8 months of relief. Then in 2007 My ob did a vestibuarectomy this gave me 4 years of relief. Now I am suffering from this pain again. My Doctor who was able to help me has retired. So now I am just suffering with no hope. I am not sure why the surgery is the last result. It makes me mad that the Doctors make you do so much and suffer for so long before the they will do that procedure.