@entity1118 occurs in about 15% of @entity1 and has a variety of causes requiring accurate diagnosis and appropriate treatment if @entity158 reduction is to be effected. Superficial conditions such as provoked @entity2411 and deeper pelvic issues such as pelvic @entity925 were traditionally difficult to diagnose and adequately treat. For provoked @entity2411 , there are limited data, in the form of case reports and small series, to indicate that botulinum toxin (BoNT) injections may provide short-term (3-6 months) benefit. Retreatment is reported to be successful and side effects are few. Class-I studies are essential to adequately assess this form of treatment. For pelvic @entity925 , 1 class-I study and 3 class-II to -III studies indicate efficacy of BoNT. In the only double-blind, randomized, controlled study, significant @entity551 with significant @entity158 reduction for some types of @entity2371 are reported compared with baseline. No differences in @entity158 occurred compared with the control group who had physical therapy as an intervention. Physical therapy should be used as a noninvasive first-line treatment, with BoNT injections reserved for those who are refractory to treatment. @entity3087 should be considered as a cause for chronic @entity2371 in @entity1 and an attempt made to diagnose and treat such problems as a routine practice. The use of BoNT as a therapeutic option for pelvic floor muscle @entity2473 and @entity158 is still in its infancy. Initial reports suggest that there may be a significant role for @entity1 with @entity1118 that is refractory to currently available medical and surgical treatments, however, there are very few high-quality studies and research is essential before this novel treatment can be accepted into widespread use for @entity2371 attributable to the pelvic floor.

The use of botulinum toxin in the pelvic floor for XXXX with chronic @entity2371 -a new answer to old problems?

@entity1 :: ('9606', 'Species') :: ['women'] @entity3087 :: ('MESH:D059952', 'Disease') :: ['Pelvic floor disorders'] @entity2371 :: ('MESH:D017699', 'Disease') :: ['pelvic pain'] @entity551 :: ('MESH:D007022', 'Disease') :: ['reduction in pelvic floor pressures'] @entity2411 :: ('MESH:D056650', 'Disease') :: ['vestibulodynia'] @entity2473 :: ('MESH:D013035', 'Disease') :: ['spasm'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity925 :: ('MESH:D063806', 'Disease') :: ['floor myalgia'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['Chronic pelvic pain', 'chronic pain']
@entity1 :: (9606,Species) :: ['women']
