Pelvic Floor Exam & Trigger Point Injections: A Cadaveric and Animated Demonstration

Booher J1, Shenhar C1, Hoang Roberts L1, Slopnick E1, Gleich L1

Research Type

Pure and Applied Science / Translational

Abstract Category

Pelvic Pain Syndromes

Best Video Abstract (Joint)
Abstract 299
Surgical Videos - Urogynaecology and Pain
Scientific Podium Video Session 37
Friday 29th September 2023
16:00 - 16:09
Room 104AB
Anatomy Female Pain, Pelvic/Perineal Pelvic Floor
1. Cleveland Clinic
Presenter
J

Jacquelyn Booher

Links

Abstract

Introduction
Pelvic pain is a complex phenomenon for which many women seek treatment from urologists. If pelvic floor trigger point injections are not taught in residency or fellowship, a urologist may not feel comfortable offering this treatment therefore referring the patient to another specialty or urologic subspecialist. This video aims to be an all-encompassing video one can watch to familiarize oneself with the pelvic floor anatomy, positioning, specific distances, and pitfalls for transvaginal pelvic floor injections by the use of cartoon animations, cadaveric model, and needles into specific proposed injection sites. Once watching this video one will feel comfortable performing this therapy.
Design
A single female cadaver was dissected by the authors to identify specific pelvic structures relevant to pelvic floor trigger point injections. A video recording was taken demonstrating a standard pelvic floor injection template. Spinal needles were placed into the proposed area of injection. Voice over and picture in picture cartoon animations were used for enhanced visual aid.
Results
The location of the spinal needles in the cadaver model shows exact placement into the pelvic floor muscles that are being targeted for pelvic floor injections. This video demonstrates the close proximity of the obturator nerve and vessels at the 1-o’clock injection sites. It also highlights the close proximity of injection in relation to the pudendal vessels. These are pitfalls to consider.
Conclusion
Pelvic pain is a complex phenomenon for which many women seek treatment from urologists. If pelvic floor trigger point injections are not taught in residency or fellowship, a urologist may not feel comfortable offering this treatment therefore referring the patient to another specialty or urologic subspecialist.  Once watching this video one will feel comfortable performing this therapy.
Disclosures
Funding NONE Clinical Trial No Subjects None
Citation

Continence 7S1 (2023) 101016
DOI: 10.1016/j.cont.2023.101016

13/07/2024 01:35:17