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

Joana Chaves Gonçalves Rodrigues de Carvalho; Luís Miguel Agualusa; Luísa Manuela Ribeiro Moreira; Joana Catarina Monteiro da Costa

doi:10.1016/j.bjane.2014.10.011

Clinical Informations

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

Terapêutica multimodal do vaginismo: abordagem inovadora por meio de infiltração de pontos gatilho e radiofrequência pulsada do nervo pudendo

Joana Chaves Gonçalves Rodrigues de Carvalho; Luís Miguel Agualusa; Luísa Manuela Ribeiro Moreira; Joana Catarina Monteiro da Costa

http://dx.doi.org/10.1016/j.bjane.2014.10.011 Braz J Anesthesiol, vol.67, n6, p.632-636, 2017

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Abstract

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

Vaginismus, Pulsed radiofrequency, Pudendal nerve, Trigger point, Chronic pain

Resumo

Resumo O vaginismo é uma doença pouco compreendida que se caracteriza por uma contração muscular involuntária dos músculos do pavimento pélvico e do terço externo da vagina durante as tentativas de intercurso sexual, o que resulta em aversão à penetração. Estima-se que possa afetar entre 1%-7% da população feminina mundial. Com este relato os autores pretendem apresentar o caso de uma paciente jovem com vaginismo na qual foram usadas técnicas habitualmente do domínio da medicina da dor crônica como parte do seu esquema terapêutico multimodal.

Palavras-chave

Vaginismo, Radiofrequência pulsada, Nervo pudendo, Ponto gatilho, Dor crônica

References

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

Terapêutica multimodal do vaginismo: abordagem inovadora por meio de infiltração de pontos gatilho e radiofrequência pulsada do nervo pudendo

Joana Chaves Gonçalves Rodrigues de Carvalho; Luís Miguel Agualusa; Luísa Manuela Ribeiro Moreira; Joana Catarina Monteiro da Costa

Abstract

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