Comparing the effectiveness of functional electrical stimulation via sexual cognitive/behavioral therapy of pelvic floor muscles versus local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus: a randomized clinical trial
| العنوان: | Comparing the effectiveness of functional electrical stimulation via sexual cognitive/behavioral therapy of pelvic floor muscles versus local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus: a randomized clinical trial |
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| المؤلفون: | Sayeda Mahjabeen Mareshi, Elahe Miri Ashtiani, Mansooreh Yaraghi, Fariba Mohammadi, Shirin Ghazizadeh, Fatemeh Sadat Sarfjoo, Tahereh Eftekhar, Mahmood Bakhtiyari |
| المصدر: | International Urogynecology Journal. 30:1821-1828 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, 050103 clinical psychology, medicine.medical_specialty, Botulinum Toxins, Urology, medicine.medical_treatment, 030232 urology & nephrology, Electric Stimulation Therapy, Injections, Intralesional, law.invention, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Vaginismus, Humans, Medicine, Functional electrical stimulation, 0501 psychology and cognitive sciences, Pelvic floor, Cognitive Behavioral Therapy, business.industry, Standard treatment, 05 social sciences, Obstetrics and Gynecology, Pelvic Floor, medicine.disease, Combined Modality Therapy, Botulinum toxin, Cognitive behavioral therapy, Sexual dysfunction, medicine.anatomical_structure, Physical therapy, Female, medicine.symptom, business, medicine.drug |
| الوصف: | Most patients suffering from vaginismus feel sinful, anxious, and incompetent, with reduced self-confidence. This study was aimed at comparing the effectiveness of the physiotherapy of pelvic floor muscles as a standard treatment and local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus. In this randomized clinical trial (RCT), the study population included women with primary vaginismus referred to the Sexual Health and Gynecologic Clinics of Imam Khomeini Hospital during 2013–2014. They were diagnosed according to DSM-5 criteria and underwent treatments with botulinum injection (intervention group) and physiotherapy as the current treatment (control group). The participants’ primary and secondary outcomes were measured based on successful intercourse and sexual functioning of each group. The results indicated that the overall standard physiotherapy, along with other measurements, such as functional electrical stimulation and desensitization, could effectively improve the patients’ Female Sexual Function Index compared with botulinum treatment. At the end of the study, it was found that 20 and 26 patients out of the 30 and 28 patients in the intervention and control groups managed to have successful intercourse respectively (P = 0.014). Also, sexual dysfunction frequencies were seen to be decreased by 26.6% and 50% in the mentioned groups respectively (p = 0.008 and p |
| تدمد: | 1433-3023 0937-3462 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5e8173ae3421075718b1d195b3808218 https://doi.org/10.1007/s00192-018-3836-7 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....5e8173ae3421075718b1d195b3808218 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14333023 09373462 |
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