[Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve]

Rev Bras Anestesiol. 2017 Nov-Dec;67(6):632-636. doi: 10.1016/j.bjan.2014.10.005. Epub 2015 Dec 1.
[Article in Portuguese]

Abstract

Vaginismus is a poorly understood disorder, characterized by an involuntary muscular spasm of the pelvic floor muscles and outer third of the vagina during intercourse attempt, which results in aversion to penetration. It is reported to affect 1-7% of women worldwide. With this report the authors aim to describe the case of a young patient with vaginismus in whom techniques usually from the chronic pain domain were used as part of her multimodal therapeutic regimen.

Keywords: Chronic pain; Dor crônica; Nervo pudendo; Ponto gatilho; Pudendal nerve; Pulsed radiofrequency; Radiofrequência pulsada; Trigger point; Vaginismo; Vaginismus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Analgesics / administration & dosage*
  • Anesthesia, Local
  • Anesthetics, Local / administration & dosage*
  • Clonidine / administration & dosage*
  • Combined Modality Therapy
  • Female
  • Humans
  • Pudendal Nerve
  • Pulsed Radiofrequency Treatment*
  • Ropivacaine / administration & dosage*
  • Trigger Points
  • Vaginismus / therapy*

Substances

  • Analgesics
  • Anesthetics, Local
  • Ropivacaine
  • Clonidine