Evidence map›Paper›PMID 33178502›Full record

ArticleCureus2020

A Novel Multimodal Treatment Method and Pilot Feasibility Study for Vaginismus: Initial Experience With the Combination of Sacral Erector Spinae Plane Block and Progressive Dilatation.

Emsal Pinar Topdagi Yilmaz, Elif Oral Ahiskalioglu, Ali Ahiskalioglu, Serkan Tulgar, Muhammed E Aydin, Yakup Kumtepe

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05632536 (Comparison of Analgesic Efficacy of Sacral erectOR Spinae Plane Block and Caudal Block in Patients Undergoing Hypospadias Surgery), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05632536 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparison of Analgesic Efficacy of Sacral erectOR Spinae Plane Block and Caudal Block in Patients Undergoing Hypospadias Surgery

TypeinterventionalSponsorSisli Hamidiye Etfal Training and Research HospitalRan2022 to 2023Enrolled68ConditionsPost Operative Pain, HypospadiasArmsSACRAL ESP AND CAUDAL BLOCK
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Botulinum toxin treatment of refractory vaginismus: a prospective study.International journal of women's dermatology · 2024
    Article
  2. Ultrasound-guided fascial plane blocks in chronic pain: a narrative review.Journal of anesthesia, analgesia and critical care · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. Comparative Study of 150 vs. 200 Units of Botulinum Toxin as Treatment for Vaginismus.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Observational
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Emsal Pinar Topdagi YilmazObstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, TUR.
Elif Oral AhiskaliogluAnesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, TUR.
Ali AhiskaliogluClinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, TUR.
Serkan TulgarAnesthesiology, Maltepe University Faculty of Medicine, Istanbul, TUR.
Muhammed E AydinClinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, TUR.
Yakup KumtepeObstetrics and Gynecology, Ataturk University School of Medicine, Erzurum, TUR.
Maltepe University · TRAtatürk University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background 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.

Indexed as

erector spinae plane blockmultimodal treatmentprogressive vaginal dilatationsacralultrasoundvaginismus

Identifiers

PMID33178502
PMCPMC7651775
OpenAlexW3092214458

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.