A Novel Multimodal Treatment Method and Pilot Feasibility Study for Vaginismus: Initial Experience With the Combination of Sacral Erector Spinae Plane Block and Progressive Dilatation.

Autor:	Topdagi Yilmaz EP; Obstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, TUR., Oral Ahiskalioglu E; Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, TUR., Ahiskalioglu A; Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, TUR.; Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, TUR., Tulgar S; Anesthesiology, Maltepe University Faculty of Medicine, Istanbul, TUR., Aydin ME; Clinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, TUR.; Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, TUR., Kumtepe Y; Obstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, TUR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2020 Oct 08; Vol. 12 (10), pp. e10846. Date of Electronic Publication: 2020 Oct 08.
DOI:	10.7759/cureus.10846
Abstrakt:	Background Genito-pelvic pain/penetration disorder, commonly referred to as vaginismus, is a relatively common condition in women of childbearing age and has physical and psychological aspects. Various cognitive and behavioral therapies, dilatators, botulinum injections, and so on have been tried in the treatment. We hypothesize that the combination of sacral erector spinae plane (ESP) block and progressive dilatation treatment increases treatment quality. Methods We performed the sacral ESP block and progressive dilatation, which we added to multimodal treatment for resistant vaginismus cases. After the procedure, all patients were followed up during one menstrual cycle. They were recommended to have sexual intercourse on the day of the procedure. Results In 15 of our treatment-resistant cases, when we added the sacral ESP block, successful penetration after the first block was 73%. Pregnancy occurred in eight patients after the initial one-month follow-up. Four of the 15 patients needed a second block. Conclusions The sacral ESP block added to the multimodal treatment protocol significantly improves treatment quality. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Topdagi Yilmaz et al.)
Databáze:	MEDLINE
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