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

The Australian & New Zealand journal of obstetrics & gynaecology 2015 Vol.55(6) p. 612-4

Evans SF, Porter JM

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Abstract

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.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 2

MeSH Terms

Amides; Anesthesia, General; Anesthetics, Local; Botulinum Toxins, Type A; Electric Stimulation; Female; Humans; Injections, Intramuscular; Muscle, Skeletal; Needles; Nerve Block; Pelvic Pain; Pudendal Nerve; Ropivacaine; Ultrasonography, Interventional

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