Extracorporeal shock wave therapy for treating dyspareunia: A prospective, randomized, double-blind, placebo-controlled study - 14/12/21
, Frantisek Zahalka b, Michael Halaska a, Ivana Rakovicova c, Jakub Rakovic c, Vaclav Cmelinsky d
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Highlights |
• | Dyspareunia is a genital pain during or after penile-vaginal sexual intercourse. |
• | A painful spasm of the pelvic muscles that disables vaginal penetration. |
• | Extracorporeal shock wave therapy (ESWT) is a physical and noninvasive procedure. |
• | ESWT is a simple, safe, modern and promising pain-killing option. |
Abstract |
Background |
Dyspareunia is a genital pain during or after penile-vaginal sexual intercourse. It is a painful spasm of the pelvic muscles that partly or entirely disables vaginal penetration.
Objectives |
We examined the effect of extracorporeal shock wave therapy (ESWT) on idiopathic non-organic dyspareunia in women. A prospective, randomized, double-blind, placebo-controlled study was conducted.
Methods |
The study included 62 women who reported dyspareunia. Patients in the treatment and placebo groups received ESWT perineally weekly for 4 consecutive weeks; placebo patients received placebo stand-off treatment. The grade of dyspareunia was estimated by using the Marinoff Dyspareunia Scale and subjective pain intensity on a visual analog scale (VAS) before and after treatment. Follow-ups were conducted 1, 4 and 12 weeks after the final ESWT session.
Results |
The study included 61 women. The treatment but not placebo group differed by the Marinoff Dyspareunia Scale and VAS. Differences before and after treatment within groups were all P<0.001 and between groups, P<0.001. Pain reduction was always>30%. The effect sizes were both large: Marinoff 0.825 and VAS 0.883.
Conclusions |
ESWT significantly reduced subjective pain in our women treated for dyspareunia.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Dyspareunia, ESWT, Extracorporeal shock wave therapy, Pain, Sexual dysfunction, Vaginism
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Vol 64 - N° 6
Articolo 101545- novembre 2021 Ritorno al numero
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