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Nonurological uses of botulinum toxin in gynaecology

^1. Department of Obstetrics and Gynaecology, Royal Jubilee Maternity Hospital, Grosvenor Road, Belfast BT12 6BJ, UK
^2. Department of Obstetrics and Gynaecology, Ulster Hospital, Dundonald BT16 1RH, UK Email: ralph.roberts{at}setrust.hscni.net (corresponding author)

Key content:

• Botulinum toxin is a powerful neurotoxin which causes temporary flaccid muscle paralysis.
  
• A number of potential gynaecological applications have been described in addition to the well-established uses in urogynaecology.
  

Learning objectives:

• To understand how botulinum toxin works.
  
• To learn about the preparations available and their contraindications and side-effects.
  
• To be aware of the potential uses of botulinum toxin in the treatment of vaginismus and other gynaecological pain syndromes.
  

Ethical issues:

• Many of the uses described are still essentially experimental, although largely accepted into mainstream practice: does this need to be acknowledged when counselling women?
  

Please cite this article as: Anbazhagan A, Roberts R. Nonurological uses of botulinum toxin in gynaecology. The Obstetrician & Gynaecologist 2008;10:75–79.

Keywords botulinum toxin / chronic pelvic pain / vaginismus / vulvar vestibulitis / vulvodynia