Understanding and Treating Vaginismus
Dr. Peter T. Pacik presented understanding and treating vaginismus, a podium lecture, to the 2014 annual meeting of the New England Society of Plastic and Reconstructive Surgery held in Maine. The title of the presentation was “Treatment of Vaginismus With OnabotulinumtoxinA (Botox) Results From a Pilot Study” which showed a 96.8% success rate of patients achieving intercourse or ability to use large dilators in women without partners. In this series there were no adverse events and no recurrences. This study spanned 2010 to 2011, patients are now two to three years post treatment. More can be read about this FDA approved study.
Most plastic surgeons are unfamiliar with vaginismus. Numerous questions after the presentation and further discussion followed. It is hoped that more physicians will take an interest in vaginismus.
The Botox multimodal treatment of vaginismus includes the injection of Botox into the spastic muscles and progressive dilation all done under anesthesia. Following this the patients rapidly develop an understanding of how to use the dilators. There is no discomfort because a long acting local anesthetic is injected during the treatment. Post procedure counseling includes how to dilate, how to transition from dilators to intercourse and the importance of keeping a daily log keeping Dr. Pacik informed of progress. This program continues to be safe in over 300 patients treated.
If you have any questions about our Botox treatment for vaginismus and progressive dilation under anesthesia, please contact us via our contact us form.