22/04/2026
Botulinum toxin A (BTA) injection is an emerging off-label therapy for myofascial pelvic pain syndromes, including vaginismus and dyssnergic defecation. Using a modified Delphi method, we generated expert consensus-based guidelines for pelvic floor botox injections in an attempt to standardize this procedure and its indications.
https://journals.lww.com/fpmrs/fulltext/2026/04000/modified_delphi_consensus_guidelines_for_pelvic.2.aspx