title: Neurolysis with alcohol for deep dyspareunia caused by trigger points in the uterosacral stumps.
abstract: Neurolysis with alcohol has been rarely used in gynecology. We describe a case of deep dyspareunia caused by trigger points in the uterosacral stumps that was successfully treated using alcohol neurolysis. We highlight the risk of voiding dysfunction after uterosacral neurolysis and recommend a 2-step procedure with unilateral injection of alcohol, 1 side at a time at an interval of 2 to 3 months.
authors.affiliation: Medical Center of Central Georgia, Macon, Georgia 31201, USA. mswalid@yahoo.com
authors.forename: M Sami
authors.initials: MS
authors.lastname: Walid
authors.forename: Richard L
authors.initials: RL
authors.lastname: Heaton
mesh_terms: D055011:Ablation Techniques / Q000379:methods*; D004414:Dyspareunia / Q000209:etiology / Q000601:surgery*; D000431:Ethanol / Q000008:administration & dosage*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D036502:Infusions, Intralesional; D008875:Middle Aged; D009209:Myofascial Pain Syndromes / Q000209:etiology / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D010052:Ovariectomy / Q000009:adverse effects; D017060:Patient Satisfaction
chemical_list: D000431:Ethanol