RETROSPECTIVE ANALYSIS OF SADDLE BLOCK FOR VAGINISMUS THREATMENT

Ismail Coskuner; Meltem Turkay; Emin Silay; H�¼seyin Yıldız; Ali Koray Bayramoglu

Volume : III, Issue : X, October - 2014

RETROSPECTIVE ANALYSIS OF SADDLE BLOCK FOR VAGINISMUS THREATMENT

Ismail Coskuner, Meltem Turkay, Emin Silay, H Seyin Y Ld Z, Ali Koray Bayramoglu

Abstract :

Introduction: Vaginismus is characterized by repeated involuntary contractions, when vaginal penetration occurs, of one–third of the outer layer of the perineal muscles surrounding the vagina. This study started with the idea that pain and contractions can be prevented by blocking the lower lumbar and sacral segments by using the saddle–block technique. Materials and Methods: In this retrospective study, we screened 30 patients with a diagnosis of vaginismus who were treated with saddle block from 2005 to 2012. We recorded: the patients� heart rates and mean artery pressure values at entry, at 5, 10, and 20 minutes post–block and post–intercourse; age; marriage duration; saddle–block regression time; mean age of the spouses; the level of sensory block; whether sedation was applied; whether erectile dysfunction occurred; or whether any problem occurred during sexual intercourse after the procedure. Results: The mean age of the patients was 22.37�2.51 years. The mean marriage duration was 17.9�14.62 months. The complete regression time of the saddle block was 117.97�10.78 minutes. Sedation was applied to two patients. Sexual dysfunction occurred after the procedure in only one patient. Conclusion: Some vaginismus cases may be treated effectively by applying saddle block in favorable conditions and with careful hemodynamic follow–up