Injection of Botox in the Perineal Muscles in Resistant Cases of Vaginal Spasm (VginsmsBOTOX)
Vaginismus
About this trial
This is an interventional treatment trial for Vaginismus focused on measuring Vaginismus, Botox, Sex, Clostridium, Botulinum, Neurotoxin, Perineal, Muscles
Eligibility Criteria
Inclusion Criteria:
- cases with resistant vaginismus
Exclusion Criteria:
- cases with congenital anomalies in the lower female genital tract
Sites / Locations
- AbdelMaguid Ramzy
Arms of the Study
Arm 1
Experimental
BOTOX group
Injection of BOTOX in the perineal muscles in resistant cases of vaginismus. Proper informed consent forms will be signed. The injection procedure is done under local anesthesia for most of our patients. We followed up the patient by phone calls for possible adverse effects following the procedure for 4 days.The patient is then instructed to attend dilatation sessions twice weekly in the clinic, in the presence of the husband, for 3-4 weeks. We use silicone dilators, of ascending sizes, covered by lubricated condoms. In the initial phase of the dilatation procedure we start each session with the appropriate size of the dilator according to the capacity of the introitus and the degree of vaginismus, and thereafter increase the size gradually.