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Levator ani syndrome: transperineal botox injections

Levator ani syndrome: transperineal botox injections Techniques in Coloproctology (2018) 22:465–466 https://doi.org/10.1007/s10151-018-1801-6 TRICK OF THE TR ADE 1 2 1 1 V. Bolshinsky  · B. Gurland  · T. L. Hull  · M. Zutshi Received: 3 May 2018 / Accepted: 15 May 2018 / Published online: 31 May 2018 © Springer International Publishing AG, part of Springer Nature 2018 Levator spasm is a condition characterized by constant or The procedure is performed in a lithotomy position under frequent anal pain that is typically dull in nature. This is general, or monitored anesthesia care (MAC) anesthesia. due either to paradoxical contraction of the puborectalis at The patient is prepped and draped in the standard fashion. the anorectal junction during defecation, or the failure of We commence the procedure by performing a pudendal muscular relaxation [1]. Symptoms typically occur more nerve block, injecting 5 ml of local anaesthetic near each than 6 months prior to diagnosis, with episodes lasting for ischial tuberosity and 10 ml into the levators via the trans- longer than 20 min at a time, on a background of persistent perineal route. The use of local anaesthetic blockade is syn- rectal pain. The pain is reproduced by posterior palpation ergistic in the relief of symptoms, as there is a delay of 1 of the puborectalis http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Techniques in Coloproctology Springer Journals

Levator ani syndrome: transperineal botox injections

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Surgery; Gastroenterology; Proctology; Abdominal Surgery; Colorectal Surgery
ISSN
1123-6337
eISSN
1128-045X
DOI
10.1007/s10151-018-1801-6
Publisher site
See Article on Publisher Site

Abstract

Techniques in Coloproctology (2018) 22:465–466 https://doi.org/10.1007/s10151-018-1801-6 TRICK OF THE TR ADE 1 2 1 1 V. Bolshinsky  · B. Gurland  · T. L. Hull  · M. Zutshi Received: 3 May 2018 / Accepted: 15 May 2018 / Published online: 31 May 2018 © Springer International Publishing AG, part of Springer Nature 2018 Levator spasm is a condition characterized by constant or The procedure is performed in a lithotomy position under frequent anal pain that is typically dull in nature. This is general, or monitored anesthesia care (MAC) anesthesia. due either to paradoxical contraction of the puborectalis at The patient is prepped and draped in the standard fashion. the anorectal junction during defecation, or the failure of We commence the procedure by performing a pudendal muscular relaxation [1]. Symptoms typically occur more nerve block, injecting 5 ml of local anaesthetic near each than 6 months prior to diagnosis, with episodes lasting for ischial tuberosity and 10 ml into the levators via the trans- longer than 20 min at a time, on a background of persistent perineal route. The use of local anaesthetic blockade is syn- rectal pain. The pain is reproduced by posterior palpation ergistic in the relief of symptoms, as there is a delay of 1 of the puborectalis

Journal

Techniques in Coloproctology – Springer Journals

Published: May 31, 2018

References

  • Consensus statement of definitions for anorectal physiology testing and pelvic floor terminology (Revised)
    Bordeianou, LG; Carmichael, JC; Paquette, IM
  • Functional anorectal disorders
    Bharucha, AE; Wald, A; Enck, P; Rao, S