Pelvic Floor Rehabilitation with Intravaginal Inflatable Balloon: Case Report

Genitopelvic pain/penetration disorder (GPPD) is characterized by the inability of nonpainful vaginal penetration. There’s no “gold-standard” treatment, thus the combination of therapies such as pharmacotherapy, psychotherapy and pelvic floor rehabilitation are often used as a first line treatment options. We present a case of GPPD treated with a combination of topical anesthetic and pelvic floor rehabilitation program resorting to an intravaginal inflatable balloon for stretching exercises of the pelvic floor muscles. The patient was evaluated before and 3 months after the onset of the treatment, applying the New Scale of Sexual Satisfaction and the Female Sexual Function Index. The results revealed an overall improvement of both scales scores. A pelvic floor rehabilitation in association with an intravaginal inflatable balloon revealed to be an effective treatment option for GPPD, making it a possible new treatment technique of other pelvic floor dysfunctions, particularly the ones with evidence of muscular hypertrophy.