scholarly journals Applications of ozone therapy in urology [abstract]

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Sinan Ekici
Keyword(s):  
Selection Criteria ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Pelvic Pain Syndrome ◽  
Chronic Cystitis ◽  
Ozone Therapy ◽  
Background Ozone ◽  
The Right ◽  
Urological Diseases

BACKGROUND: Ozone therapy has been successfully used in various diseases for years. But, what about urological diseases? We used ozone therapy for the treatment of several urological diseases. MATERIAL and METHODS: From November 2016 up to now, we performed ozone therapy to treat intractable urethritis in 16 patients, chronic prostatitis/chronic pelvic pain syndrome in 14 patients, chronic cystitis in 14 patients, erectile dysfunction in 21 patients. We used several criteria to test the effectiveness of the ozone therapy. RESULTS: According to the follow-up results, we obtained complete success in more than 90% of the patients, complains of almost 5% the patients relieved to tolerable degree. The remaining 5% was unresponsive to the ozone therapy. We did not experience of any complications. DISCUSSION: Our results showed that ozone can be used to treat intractable and challenging urological diseases without any complications. Determining the right patient to be treated with ozone safely, ozone application route and ozone dose are the most essential steps. Therefore, selection criteria of treatable patients must be clarified with increasing clinical experience soon. CONCLUSION: This study summarizes and showed that different modalities of ozone therapy applications in various intractable or chronic urological diseases can be used successfully and safely.

scholarly journals Bladder Pain Syndrome and Interstitial Cystitis Beyond Horizon: Reports from the Global Interstitial Cystitis/Bladder Pain Society (GIBS) Meeting 2019 Mumbai – India

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Mohammad Sajjad Rahnama'i ◽  
Aida Javan ◽  
Navita Vyas ◽  
Sandor Lovasz ◽  
Neelanjana Singh ◽  
...  
Keyword(s):  
Interstitial Cystitis ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Bladder Pain Syndrome ◽  
Dietary Advice ◽  
Pelvic Pain Syndrome ◽  
Clinical Test ◽  
Bladder Pain ◽  
Bladder Instillation ◽  
The Right

Purpose of the Meeting: Bladder pain syndrome/interstitial cystitis is a prevalent but underserved disease. At the Global Interstitial Cystitis/Bladder Pain Syndrome Society (GIBS) meeting, the organization and participants were committed to delivering word-class expertise and collaboration in research and patient care. Under the umbrella of GIBS, leading research scholars from different backgrounds and specialties, as well as clinicians, from across the globe interested in the science and art of practice of Bladder Pain Syndrome (BPS)/Interstitial Cystitis (IC) were invited to deliberate on various dimensions of this disease. The meeting aimed to have global guidelines to establish firm directions to practicing clinicians and patients alike on the diagnosis and treatment of this disease entity. Chronic Pelvic Pain Syndrome (CPPS) is defined by pain in the pelvic area that can have different etiologies. This can be due to urologic, gynecologic, musculoskeletal, gastrointestinal, neurologic, and autoimmune or rheumatologic diseases. At the GIBS meeting held in Mumbai, India, in August 2019, a multidisciplinary expert panel of international urologists, gynecologists, pain specialists, and dietitians took part in a think tank to discuss the development of evidence-based diagnostic and treatment algorithms for BPS/IC. Summary of Presented Findings: The diagnosis of BPS/IC is difficult in daily clinical practice. Patients with BPS/IC present with a variety of signs and symptoms and clinical test results. Hence, they might be misdiagnosed or underdiagnosed, and the correct diagnosis might take a long time. A good history and physical examination, along with cystoscopy, is a must for the diagnosis of IC/BPS. For the treatment, besides lifestyle management and dietary advice, oral medication and bladder instillation therapy, botulinum toxin, and sacral neuromodulation were discussed. The innovation in bladder instillation applicators, as well as battery-free neuromodulation through the tibial nerve, was discussed, as well. Recommendation for Future Research: As BPS/IC is complex, for many patients, several treatments are necessary at the same time. This was presented at GIBS 2019 as the piano model. In this way, a combination of treatments is tailored to an individual patient depending on the symptoms, age, and patients’ characteristics. In the art of medicine, especially when dealing with BPS/IC patients, pressing the right key at the right time makes the difference.

scholarly journals Optimization of the tactics of endovascular treatment of chronic pelvic pain syndrome caused by varicous diseases of the pelvic veins in women

2020 ◽  
Vol 33 (3) ◽  
pp. 39-55
Author(s):  
I.V. Altman
Keyword(s):  
Endovascular Treatment ◽  
Pelvic Pain ◽  
Selection Criteria ◽  
Chronic Pelvic Pain ◽  
Varicose Veins ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Treatment Result ◽  
Pelvic Pain Syndrome ◽  
Venous Plexus

Objective – to improve the selection criteria and the algorithm for examining patients with chro-nic pelvic pain syndrome caused by varicose pelvis veins. Optimize the technique of embolization of ovarian veins and veins of the pelvic venous plexus, to improve the results of endovascular treatment and prevent possible complications that may arise during the embolization procedure.Materials and methods. The analysis of 24 sources of scientific and medical literature on the problem of etiology, pathogenesis, diagnostic and endovascular treatment of chronic pelvic pain syndrome in women by embolization of ovarian veins and veins of the pelvic venous plexus. The authors present their own results of endovascular treatment of 31 patients with varicose veins of the small pelvis and ovarian veins.Results. The improved patient selection criteria based on careful history taking, preoperative confirmation of ovarian and pelvic varicose veins. The technique of phlebographic examination, embolization of ovarian veins and veins of the pelvic venous plexus was optimized. The causes of complications that arise during the embolization procedure have been analyzed. Practical recommendations for endovascular surgeons are given for the prevention of such complications in the future.Conclusions. The failure of the ovarian and pelvic veins underlies the etiology of pelvis veins varicose. Pain syndrome against the background of pelvis veins varicose is the main reason for referring to gynecologists in 10–30 % of cases. Selective phlebography of the ovarian and pelvic veins has become the gold standard in the diagnosis of venous pelvic insufficiency, since only this technique is most likely to show the connection between the incompetent ovarian and internal iliac veins. Conservative therapy of pelvic congestion syndrome often turns out to be ineffective, and surgical approaches do not exclude organ loss. Endovascular surgery showed a disappearing or decrease in the clinical manifestations of chronic pelvic pain syndrome by up to 94 %, while maintaining a positive treatment result for up to 12–36 months. The main complication during embolization is the migration of the coils to the right heart and pulmonary artery. Careful adherence to the embolization technique, the correct selection of the length and diameter of the coil can minimize the occurrence of embolic complications and improve the results of treatment of chronic pelvic pain syndrome.

scholarly journals Efficacy of Extracorporeal Shock Wave Therapy for the Treatment of Chronic Pelvic Pain Syndrome: A Randomized, Controlled Trial

ISRN Urology ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Babak Vahdatpour ◽  
Farshid Alizadeh ◽  
Amir Moayednia ◽  
Masoud Emadi ◽  
Mohammad Hatef Khorami ◽  
...  
Keyword(s):  
Shock Wave ◽  
Chronic Pelvic Pain ◽  
Sham Group ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Extracorporeal Shock Wave Therapy ◽  
Pelvic Pain Syndrome ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave

Objectives. To investigate the effectiveness of extracorporeal shock wave therapy (ESWT) for symptoms alleviation in chronic pelvic pain syndrome (CPPS). Materials and Methods. 40 patients with CPPS were randomly allocated into either the treatment or sham group. In the first group, patients were treated by ESWT once a week for 4 weeks by a defined protocol. In the sham group, the same protocol was applied but with the probe being turned off. The follow-up assessments were done at 1, 2, 3, and 12 weeks by Visual Analogue Scale (VAS) for pain and NIH-developed Chronic Prostatitis Symptom Index (NIH-CPSI). Results. Pain domain scores at follow-up points in both treatment and sham groups were reduced, more so in the treatment group, which were significant at weeks 2, 3, and 12. Urinary scores became significantly different at weeks 3 and 12. Also, quality of life (QOL) and total NIH-CPSI scores at all four follow-up time points reduced more significantly in the treatment group as compared to the sham group. Noticeably, at week 12 a slight deterioration in all variables was observed compared to the first 3 weeks of the treatment period. Conclusions. our findings confirmed ESWT therapy as a safe and effective method in CPPS in short term.

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