Indonesia's First: Botulinum Toxin Procedure as a Modality of Successful Vaginismus Treatment

Robbi Asri Wicaksono, Merlinda Nur Annissa

2018

Abstract

Vaginismus is a common female sexual dysfunction, but mostly unknown among clinicians, that continues to be ignored by many medical schools, residency programs and is rarely discussed at medical meetings. Patients with vaginismus had involuntary spasm of the pelvic muscles surrounding of the vagina. Penetration such as tampons, finger, vaginal dilators, gynecological exams, and intercourse is often painful or impossible. This article aims to bring attention to the understanding and treatment of vaginismus. Vaginismus patients came to Limijati Hospital between January and December 2017. Diagnosis was made based on history taking and physical examination of vaginal spasm. The severity of vaginismus was ranked 1-5 according to Lamont-Pacik classification. Seventeen patients underwent the procedure consists of total intravenous anesthesia, botulinum toxin (botox) injections, and progressive dilation, with 100% same day successful self dilation using 4 inch silicone dilator, and 82.3% achieved sexual intercourse in average of 4,5 weeks after the procedure. Botox along with other modalities appear to be a promising result for vaginismus treatment. Awareness among clinicians about diagnosis and treatment of vaginismus is extremely needed.

Paper Citation

in Harvard Style

Wicaksono R. and Annissa M. (2018). Indonesia's First: Botulinum Toxin Procedure as a Modality of Successful Vaginismus Treatment.In Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD, ISBN 978-989-758-494-7, pages 204-208. DOI: 10.5220/0008154002040208

in Bibtex Style

@conference{rcd18,
author={Robbi Asri Wicaksono and Merlinda Nur Annissa},
title={Indonesia's First: Botulinum Toxin Procedure as a Modality of Successful Vaginismus Treatment},
booktitle={Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD,},
year={2018},
pages={204-208},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0008154002040208},
isbn={978-989-758-494-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD,
TI - Indonesia's First: Botulinum Toxin Procedure as a Modality of Successful Vaginismus Treatment
SN - 978-989-758-494-7
AU - Wicaksono R.
AU - Annissa M.
PY - 2018
SP - 204
EP - 208
DO - 10.5220/0008154002040208