Evidence map›Paper›PMID 37301425›Full record

ArticleJournal of pediatric and adolescent gynecology2023

Botulinum Toxin Injections as a Treatment of Refractory Vulvodynia in Adolescents: A Case Series.

Julia Bhuiyan, Kaiane A Habeshian, Adam C Booser, Veronica Gomez-Lobo, Tazim Dowlut-McElroy

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Botulinum toxin for provoked vestibulodynia.The Cochrane database of systematic reviews · 2025
    Article
  2. Article
  3. 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

5 authors at 2 institutions in 1 country.

Julia BhuiyanEunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Kaiane A HabeshianDivision of Dermatology, Children's National Hospital, Washington, D.C.
Adam C BooserDepartment of Anesthesiology, Children's Mercy Hospital, Kansas City, Missouri.
Veronica Gomez-LoboEunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland; Pediatric and Adolescent Gynecology, Department of Surgery, Children's National Hospital, Washington, D.C.
Tazim Dowlut-McElroyPediatric and Adolescent Gynecology, Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri. Electronic address: tdowlutmcelroy1@cmh.edu.
Children's Mercy Hospital · USEunice Kennedy Shriver National Institute of Child Health and Human Development · US

Funding

Pediatric and Adolescent Gynecology Training ProgramZIEHD008985 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GOMEZ-LOBO, VERONICA · 2022 to 2025
$9.3M
Pediatric and Adolescent Gynecology Training ProgramZIAHD008985 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GOMEZ-LOBO, VERONICA · 2019 to 2021
$5.3M
Rare conditions in PAG-which will involve 4 other protocols ZIAHD009006 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GOMEZ-LOBO, VERONICA · 2022 to 2025
$2.4M
Intramural NIH HHS ZIA HD008985
6 · The paper itself

Abstract

backgroundVulvodynia involves vulvar discomfort that occurs in the absence of an identifiable cause. Because vulvodynia is often accompanied by myofascial pain and pelvic floor tension, transvaginal botulinum toxin (BT) injection into the pelvic floor has been proposed as a possible treatment.

methodsRetrospective case series

resultsThree adolescents with vulvodynia had a suboptimal response to treatment with several interventions, including neuromodulators (oral and topical), tricyclic antidepressants (oral and topical), and pelvic floor physical therapy. Subsequently, these patients underwent BT injections to the pelvic floor as treatment with varying responses.

conclusionIn select adolescent patients with vulvodynia, transvaginal BT injection into the pelvic floor can be an effective treatment. Further studies are needed to assess the optimal dosing, frequency, and sites of BT injections in the treatment of vulvodynia in pediatric and adolescent patients.

Indexed as

Botulinum ToxinsVulvodyniaAdolescentChildFemaleHumansRetrospective StudiesTreatment OutcomeBotulinum ToxinsAdolescent medicineBotulinum toxinGynecologyPelvic painVestibulodyniaVulva painVulvodynia

Identifiers

PMID37301425
PMCPMC10527077
OpenAlexW4379881620

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.