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

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 ai...

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Main Authors: Joana Chaves Gonçalves Rodrigues de Carvalho, Luís Miguel Agualusa, Luísa Manuela Ribeiro Moreira, Joana Catarina Monteiro da Costa
Format: Article
Language:English
Published: Elsevier 2017-11-01
Series:Brazilian Journal of Anesthesiology
Online Access:http://www.sciencedirect.com/science/article/pii/S0104001415000500
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author Joana Chaves Gonçalves Rodrigues de Carvalho
Luís Miguel Agualusa
Luísa Manuela Ribeiro Moreira
Joana Catarina Monteiro da Costa
author_facet Joana Chaves Gonçalves Rodrigues de Carvalho
Luís Miguel Agualusa
Luísa Manuela Ribeiro Moreira
Joana Catarina Monteiro da Costa
author_sort Joana Chaves Gonçalves Rodrigues de Carvalho
collection DOAJ
description 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. 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. Keywords: Vaginismus, Pulsed radiofrequency, Pudendal nerve, Trigger point, Chronic pain, Palavras-chave: Vaginismo, Radiofrequência pulsada, Nervo pudendo, Ponto gatilho, Dor crônica
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spelling doaj.art-105c9e140aaa4529aeb33390c8b568212022-12-22T03:37:49ZengElsevierBrazilian Journal of Anesthesiology0104-00142017-11-01676632636Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerveJoana Chaves Gonçalves Rodrigues de Carvalho0Luís Miguel Agualusa1Luísa Manuela Ribeiro Moreira2Joana Catarina Monteiro da Costa3Corresponding author.; Hospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, PortugalHospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, PortugalHospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, PortugalHospital Pedro Hispano, Departamento de Anestesiologia, Matosinhos, PortugalVaginismus 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. 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. Keywords: Vaginismus, Pulsed radiofrequency, Pudendal nerve, Trigger point, Chronic pain, Palavras-chave: Vaginismo, Radiofrequência pulsada, Nervo pudendo, Ponto gatilho, Dor crônicahttp://www.sciencedirect.com/science/article/pii/S0104001415000500
spellingShingle Joana Chaves Gonçalves Rodrigues de Carvalho
Luís Miguel Agualusa
Luísa Manuela Ribeiro Moreira
Joana Catarina Monteiro da Costa
Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
Brazilian Journal of Anesthesiology
title Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
title_full Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
title_fullStr Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
title_full_unstemmed Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
title_short Multimodal therapeutic approach of vaginismus: an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
title_sort multimodal therapeutic approach of vaginismus an innovative approach through trigger point infiltration and pulsed radiofrequency of the pudendal nerve
url http://www.sciencedirect.com/science/article/pii/S0104001415000500
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