Trial reportInternational urogynecology journal2015
A pilot randomized trial of levator injections versus physical therapy for treatment of pelvic floor myalgia and sexual pain.
Trial report in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03163160 (Intratissue Percutaneous Electrolysis Technique vs. Manual Therapy in Women With Dyspareunia and Pelvic Pain), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Intratissue Percutaneous Electrolysis Technique vs. Manual Therapy in Women With Dyspareunia and Pelvic Pain
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- Interventional treatment for myofascial pelvic floor pain in women: systematic review with meta-analysis.International urogynecology journal · 2021Pooled it
- Digital Health Technologies in the Treatment of Chronic Pelvic Pain Syndromes: A Systematic Review of Randomized Clinical Trials.Healthcare (Basel, Switzerland) · 2025Review
- Urologic Manifestations of Nonrelaxing Pelvic Floor Dysfunction: Insights on Clinical Workup and Management.Current urology reports · 2025Review
- How to Approach Female Sexual Dysfunction in a Urogynecology Practice.International urogynecology journal · 2025Review
- Practice for Parturition: Does Sexual Activity Improve Labor and Birth Outcomes?Archives of sexual behavior · 2025Review
- Trigger point injections followed by immediate myofascial release in the treatment of pelvic floor tension myalgia.Archives of gynecology and obstetrics · 2023Article
- Review
- Clinical Management of Chronic Pelvic Pain in Endometriosis Unresponsive to Conventional Therapy.Journal of personalized medicine · 2022Article
- Factors Associated With Nonadherence to Pelvic Floor Physical Therapy Referral for the Treatment of Pelvic Pain in Women.Physical therapy · 2019Article
- Traditional Biofeedback vs. Pelvic Floor Physical Therapy-Is One Clearly Superior?Current urology reports · 2019Review
- Current best practice management of interstitial cystitis/bladder pain syndrome.Therapeutic advances in urology · 2018Article
- An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction.International urogynecology journal · 2018Article
- Physiotherapy for pelvic pain and female sexual dysfunction: an untapped resource.International urogynecology journal · 2018Review
- Physical, Complementary, and Alternative Medicine in the Treatment of Pelvic Floor Disorders.Current urology reports · 2017Review
- Utility of trigger point injection as an adjunct to physical therapy in men with chronic prostatitis/chronic pelvic pain syndrome.Translational andrology and urology · 2017Article
- Review
- Anorectal and Pelvic Pain.Mayo Clinic proceedings · 2016Review
- The Efficacy of Manual Therapy for Treatment of Dyspareunia in Females: A Systematic Review.Journal of women's health physical therapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisOur aim was to determine the effects of pelvic floor physical therapy (PT) and levator-directed trigger-point injections (LTPI) on sexual function and levator-related pelvic pain. STUDY
designA randomized trial among women with pelvic floor myalgia (PFM) was performed wherein participants received either PT or LTPI. Pain was assessed and 1 month posttreatment completion. Levator-based pain was assessed using a numeric rating scale (NRS) and the Patient Global Impression of Improvement (PGI-I) scale. Sexual function was assessed using the Female Sexual Function Index (FSFI).
resultsTwenty-nine women completed the study (17 had PT, 12 had LTPI). Both groups reported reduction in vaginal pain: mean NRS change from baseline of 4.47 [standard deviation (SD) 2.12) for PT and 4.67 (SD 1.72) for LTPI (p = 0.8)]. A >50 % improvement in NRS was documented among 59 % of women receiving PT and 58 % receiving LTPI (p = 1.0). Consistent with NRS scores, mean PGI-I score was 2.50 (SD 1.17) for PT and 2.17 (SD 1.01) for LTPI (p = 0.5). Mean change in FSFI favored PT [PT +8.87 (SD 5.60), LTPI +4.00 (SD 5.24), p = 0.04], reflecting improvement in the sexual pain domain favoring PT (p = 0.02). However, the time in weeks to effect improvement favored LTPI if controlling for the degree of change in NRS (p = 0.01) and FSFI (p = 0.01).
conclusionsVaginal myalgia and sex-related pain improved with pelvic floor PT and LTPI. Time-to-effect improvement and significance of therapy are dependent on treatment type.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.