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Botulinum toxin (Bo NT ) injections have been used to reduce muscle spasm in the presence of severe pelvic pain. However, while pubococcygeus is easily accessed vaginally, injection to obturator internus is more complex – with variation in operative technique and needle placement confounding the ability to assess outcomes. We describe a simplified technique for Bo NT  injection to obturator internus using neurostimulation under ultrasound guidance.

australian and new zealand journal of obstetrics and gynaecology

Simplified technique for injection of Botulinum Toxin to Obturator Internus muscle using ultrasound‐guided nerve stimulation for persistent pelvic pain