Urology
July 30, 2026
5 min read

How is Pelvic Floor Botox Applied? Procedure Steps

Op. Dr. Fettah Tosun

Op. Dr. Fettah Tosun

Üroloji Uzmanı

The greatest concern of patients deciding to undergo pelvic floor Botox is whether they will feel pain during the procedure or the sensation of a needle being inserted into the vagina. This anxiety is extremely natural for vaginismus patients. In professional clinical settings, patient comfort is ensured with a zero-pain principle. This article answers the questions of how pelvic floor Botox is applied and what the steps of the procedure are.

Step-by-Step Botox Procedure

The procedure is carried out in a sterile operating room under hospital conditions:

  • Light Anesthesia (Sedation): To ensure the patient feels nothing during the procedure and experiences no psychological tension, a light sedative is administered intravenously by an anesthesiologist. The patient sleeps completely and feels no pain.
  • Identification of Muscles: In the gynecological position, the most intensely contracting regions of the levator ani and pubococcygeus muscles at the vaginal entrance are identified.
  • Injection (10 minutes): Botox is injected in specific units into the designated muscle points using very fine needles. The procedure is bloodless and sutureless.
  • Waking Up and Discharge: The patient wakes up 5 minutes after the injection is completed. After resting for approximately 1-2 hours, they can walk back home.
  • The relaxing effect of Botox on the muscles begins fully about 5 to 7 days after the procedure. Following this period, the sexual intercourse stages planned by the specialist physician are initiated.

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