• Emsal Pinar Topdagi Yilmaz, Oral AhiskaliogluElifEAnesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, TUR., Ali Ahiskalioglu, Serkan Tulgar, Muhammed E Aydin, and Yakup Kumtepe.
• Obstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, TUR.
• Cureus. 2020 Oct 8; 12 (10): e10846.

AbstractBackground Genito-pelvic pain/penetration disorder, commonly referred to as vaginismus, is a relatively common condition in women of childbearing age and has physical and psychological aspects. Various cognitive and behavioral therapies, dilatators, botulinum injections, and so on have been tried in the treatment. We hypothesize that the combination of sacral erector spinae plane (ESP) block and progressive dilatation treatment increases treatment quality. Methods We performed the sacral ESP block and progressive dilatation, which we added to multimodal treatment for resistant vaginismus cases. After the procedure, all patients were followed up during one menstrual cycle. They were recommended to have sexual intercourse on the day of the procedure. Results In 15 of our treatment-resistant cases, when we added the sacral ESP block, successful penetration after the first block was 73%. Pregnancy occurred in eight patients after the initial one-month follow-up. Four of the 15 patients needed a second block. Conclusions The sacral ESP block added to the multimodal treatment protocol significantly improves treatment quality.Copyright © 2020, Topdagi Yilmaz et al.

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