scholarly journals Multimodal treatment of myophasal chronic pelvic pain in women: institutional experience

2019 ◽  
Vol 8 (5) ◽  
pp. 1708
Author(s):  
Guadalupe Guerrero Reyes ◽  
Cristobal Barragan Ochoa ◽  
Claudia M. Moysen Marin ◽  
Vianey B. Ayala Quispe ◽  
Laura Escobar Del barco ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Multimodal Treatment ◽  
Chronic Pelvic Pain ◽  
Trigger Point ◽  
Pain Scale ◽  
Treatment Modalities ◽  
Average Score ◽  
Significant Difference ◽  
Institutional Experience ◽  
Multimodal Management

Background: Chronic pelvic pain of myofascial origin is an underdiagnosed condition and with partial responses to the different treatment modalities. The objective of this study was to report the results of the multimodal management of Myofascial Chronic Pelvic Pain.Methods: Retrospective cohort of 33 patients with myofascial chronic pelvic pain, during the period 01 January 2016 to August 31, 2018, who were treated based on trigger point infiltration and analgesic vaginal electrostimulation. The analogous visual pain scale (VAS) was used at the beginning, sixth, twelfth and six months after the last electrostimulation session, in order to measure the effect of the treatment.Results: During the study period, 32 patients with chronic myofascial pelvic pain were found who received the multimodal scheme that is offered in our clinic. The average score of the EVA before starting the treatment was 8.5 points, at the sixth session of the treatment the average EVA was 3.6 points, at the twelfth session of 1.3 points and the average score of the EVA at six months after the last session of the multimodal treatment was 2.9 points. A significant difference was demonstrated in the average EVA score in the first with respect to the sixth, twelfth and six months (p = <0.000). There were no complications or adverse effects secondary to the multimodal treatment.Conclusions: Multimodal treatment was associated with progressive improvement in 80% of patients with miofascial chronic pelvic pain.

Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Acupuncture – a Case Report

2007 ◽  
Vol 25 (4) ◽  
pp. 198-199 ◽  
Author(s):  
Palle Rosted
Keyword(s):  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Acupuncture Treatment ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pain Scale ◽  
Pelvic Pain Syndrome ◽  
Acupuncture Points ◽  
Constant Pain

A 47 year old man had suffered from chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) for eight years, and received conventional treatment from a university clinic without effect during the entire period. The patient presented for acupuncture treatment, complaining of constant pain in the perineal region, varying in severity from 5 to 9 on a 0 to 10 pain scale. After three treatments with acupuncture, the pain was reduced to 3.5; after a further three treatments the pain was reduced to 2.5; and after 10 months, the pain was reduced to either 2 or 3 and has remained stable for two years since then. The acupuncture points used were BL28, BL29 and KI3, all located within the S2–S4 segments. It seems likely that the reported beneficial effect may be due to the acupuncture treatment and further cases should be studied.

scholarly journals Chronic prostatitis/chronic pelvic pain syndrome is associated with previous colonoscopy

2017 ◽  
Vol 11 (9) ◽  
pp. E367-71
Author(s):  
Ming-Chieh Tsai ◽  
Li-Ting Kao ◽  
Herng-Ching Lin ◽  
Cha-Ze Lee ◽  
Shiu-Dong Chung
Keyword(s):  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Index Date ◽  
Conditional Logistic Regression ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome ◽  
Colonoscopic Examination ◽  
Significant Difference

Introduction: This study aimed to examine the association between chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and receipt of a prior colonoscopic examination using a populationbased database.Methods: We used the Taiwan Longitudinal Health Insurance Database 2005 to retrieve the study sample. This study included 3933 patients with CP/CPPS and 3933 age-matched controls. We designated the date of receiving the first diagnosis of CP/CPPS as the index date for cases. We defined the first an ambulatory care visit occurring in the matched year as the index date for the controls. Conditional logistic regressions was used to calculate the odds ratio (OR) and 95% confidence interval (CI) for having previously received colonoscopy between cases and controls.Results: We found that 349 (4.44%) of the 7866 sampled patients had previously undergone colonoscopy, including 223 (5.67%) cases and 126 (3.20%) controls (p<0.001). A conditional logistic regression analysis revealed that the adjusted OR of receiving a colonoscopy within three years before the index date was 1.77 (95% CI 1.42‒2.23) for cases compared to controls. Furthermore, we found that the youngest group of cases (<40 years) had the greatest adjusted OR for having received colonoscopy within three years before the index date compared to controls (OR 2.81; 95% CI 1.45‒5.44); however, in contrast, no significant difference in the adjusted odds of having previously received colonoscopy was observed between cases and controls among the oldest age group (≥60 years).Conclusions: We concluded that there was an association between antecedent colonoscopy and CP/CPPS.

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