Genito-Pelvic Pain/Penetration Disorder

Metacognition-Oriented Therapy

Treatment Summary: This case study focused on achieving pain cessation for women who were experiencing chronic severe pelvic pain. The procedure involved inserting a needle-like device into the area near the woman's rectum towards the sacrococcygeal joint. The skin is injected with lidocaine and further inserted into the coccyx area. A neurolytic agent, which is the main "ingredient" in the procedure, is placed into the patient. I found it to be interesting that there were absolutely no issues or complications with this study. No patients complained of injection site problems or other issues after the actual procedure. The results were quite positive as well. Constant, chronic pain was subsided, and many of the "shooting" or "throbbing" pains were decreased all-together. Almost half of the patients were completely pain-free after the procedure. Seven of the patients were drawn to continue the therapy after 12 months and continued to have limited to no pain afterwards. While this "treatment" appears to be a pain management technique, the pain-free periods for many of the participants were many months to a year long

• Reference: Malec-Milewska, M., Horosz, B., Koleda, I., Sekowska, A., Kucia, H., Kosson, D., & Jakiel, G. (2014). Neurolytic block of ganglion of Walther for the management of chronic pelvic pain. Videosurgery and Other Miniinvasive Techniques, 9(3), 458-462.
• Submitter: Brittany Hemenway