Op. Dr. Fettah Tosun
Üroloji ve Pelvik Taban Cerrahisi Uzmanı
Medikal Olarak İncelendi & Akademik Kılavuzlara Göre Onaylandı
The greatest concern of patients deciding to undergo pelvic floor Botox is whether they will feel pain during the procedure or the sensation of a needle being inserted into the vagina. This anxiety is extremely natural for vaginismus patients. In professional clinical settings, patient comfort is ensured with a zero-pain principle. This article answers the questions of how pelvic floor Botox is applied and what the steps of the procedure are.
Step-by-Step Botox Procedure
The procedure is carried out in a sterile operating room under hospital conditions:
<li><strong>Light Anesthesia (Sedation):</strong> To ensure the patient feels nothing during the procedure and experiences no psychological tension, a light sedative is administered intravenously by an anesthesiologist. The patient sleeps completely and feels no pain.</li>
<li><strong>Identification of Muscles:</strong> In the gynecological position, the most intensely contracting regions of the levator ani and pubococcygeus muscles at the vaginal entrance are identified.</li>
<li><strong>Injection (10 minutes):</strong> Botox is injected in specific units into the designated muscle points using very fine needles. The procedure is bloodless and sutureless.</li>
<li><strong>Waking Up and Discharge:</strong> The patient wakes up 5 minutes after the injection is completed. After resting for approximately 1-2 hours, they can walk back home.</li>
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The relaxing effect of Botox on the muscles begins fully about 5 to 7 days after the procedure. Following this period, the sexual intercourse stages planned by the specialist physician are initiated.
Bilimsel Referanslar & Akademik Kaynakça (E-E-A-T)
- 1.EAU Guidelines: European Association of Urology (EAU) Guidelines on Non-neurogenic Female LUTS and Urinary Incontinence (2025 update). uroweb.org ↗
- 2.NIH & PubMed: High-Intensity Focused Electromagnetic (HIFEM) technology for pelvic floor muscle strengthening: Clinical evaluation on stress urinary incontinence. (PMID: 32014589) pubmed.gov ↗
- 3.ICS Standard: International Continence Society (ICS) standards on pelvic floor rehabilitation and biofeedback protocols. ics.org ↗