Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain

Botulinum toxin (BoNT) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex – with variation in operative technique and needle placement confounding the abili...

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Detalles Bibliográficos
Autores principales: Evans, Susan Florence, Porter, Justin Matthew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Short Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034745/
https://www.ncbi.nlm.nih.gov/pubmed/26224128
http://dx.doi.org/10.1111/ajo.12381
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author Evans, Susan Florence
Porter, Justin Matthew
author_facet Evans, Susan Florence
Porter, Justin Matthew
author_sort Evans, Susan Florence
collection PubMed
description Botulinum toxin (BoNT) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex – with variation in operative technique and needle placement confounding the ability to assess outcomes. We describe a simplified technique for BoNT injection to obturator internus using neurostimulation under ultrasound guidance.
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spelling pubmed-50347452016-10-03 Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain Evans, Susan Florence Porter, Justin Matthew Aust N Z J Obstet Gynaecol Short Communication Botulinum toxin (BoNT) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex – with variation in operative technique and needle placement confounding the ability to assess outcomes. We describe a simplified technique for BoNT injection to obturator internus using neurostimulation under ultrasound guidance. John Wiley and Sons Inc. 2015-07-30 2015-12 /pmc/articles/PMC5034745/ /pubmed/26224128 http://dx.doi.org/10.1111/ajo.12381 Text en © 2015 The Authors Australian and New Zealand Journal of Obstetrics and Gynaecology published by Wiley Publishing Asia Pty Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Short Communication
Evans, Susan Florence
Porter, Justin Matthew
Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
title Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
title_full Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
title_fullStr Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
title_full_unstemmed Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
title_short Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
title_sort simplified technique for injection of botulinum toxin to obturator internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034745/
https://www.ncbi.nlm.nih.gov/pubmed/26224128
http://dx.doi.org/10.1111/ajo.12381
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