Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol
Background: Urological chronic pelvic pain syndrome (UCPPS) combines two of the most widespread chronic urological pain disorders: interstitial cystitis (IC)/bladder pain syndrome (BPS) and chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS). This manuscript aims to assess the effectiven...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2022-02-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://imrpress.com/journal/JOMH/18/2/10.31083/j.jomh1802050 |
| _version_ | 1797326935929389056 |
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| author | Soha Patil Gabrielle Daniel Julia Gonzalez Engle Janaki Natarajan Yogita Tailor Rakhi Vyas Neha James Erika Moody Allyson Shrikhande |
| author_facet | Soha Patil Gabrielle Daniel Julia Gonzalez Engle Janaki Natarajan Yogita Tailor Rakhi Vyas Neha James Erika Moody Allyson Shrikhande |
| author_sort | Soha Patil |
| collection | DOAJ |
| description | Background: Urological chronic pelvic pain syndrome (UCPPS) combines
two of the most widespread chronic urological pain disorders: interstitial
cystitis (IC)/bladder pain syndrome (BPS) and chronic prostatitis (CP)/chronic
pelvic pain syndrome (CPPS). This manuscript aims to assess the effectiveness of
an outpatient, multimodal treatment protocol for men with UCPPS.
Methods: A retrospective study of 58 male patients was done on an
institutional review board approved protocol consisting of pelvic floor physical
therapy (PFPT) in concomitance with the pelvic floor muscles receiving ultrasound
guided trigger point injections and peripheral nerve blocks weekly for six weeks.
Patients rated their levels of pelvic pain, performance, and quality of life via
Visual Analogue Scale (VAS), Functional Pelvic Pain Scale (FPPS), and NIH-Chronic
Prostatitis Symptom Index (NIH-CPSI) at their new patient consult and 3-month
follow up.
Results: Initial average VAS was 6.24 ± 2.26 and average VAS
after treatment reduced to 4.25 ± 2.8. Initial average FPPS score was 9.21
± 5.24. Final average FPPS reduced to 7.28 ± 5.03. Initial average
total NIH-CPSI score was 24.55 ± 6.43 and after treatment reduced to 18.36
± 7.62. Initial average NIH-CPSI pain, urinary symptoms, and quality of
life sub scores were 11.28 ± 3.46, 3.41 ± 3.31, and 9.86 ±
2.05, respectively. After treatment, they decreased to 8.34 ± 4.14, 2.47
± 2.45, and 7.55 ± 2.74. Differences in pre and post treatment
outcomes were statistically significant.
Conclusions: This shows the protocol was successful at improving pain
and performance in male UCPPS patients. This supports the validity of a
multimodal treatment protocol given patients failed to improve after a full
course of PFPT by itself. However, they improved once PFPT was combined with
other treatment modalities, alleviating the underlying neuropathic and myofascial
pain seen in UCPPS. |
| first_indexed | 2024-03-08T06:31:17Z |
| format | Article |
| id | doaj.art-69d66af848dd44e5bdc4c236163c4f3d |
| institution | Directory Open Access Journal |
| issn | 1875-6859 |
| language | English |
| last_indexed | 2024-03-08T06:31:17Z |
| publishDate | 2022-02-01 |
| publisher | MRE Press |
| record_format | Article |
| series | Journal of Men's Health |
| spelling | doaj.art-69d66af848dd44e5bdc4c236163c4f3d2024-02-03T11:30:14ZengMRE PressJournal of Men's Health1875-68592022-02-0118205010.31083/j.jomh1802050S1875-6867(22)00281-0Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocolSoha Patil0Gabrielle Daniel1Julia Gonzalez Engle2Janaki Natarajan3Yogita Tailor4Rakhi Vyas5Neha James6Erika Moody7Allyson Shrikhande8Department of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USADepartment of Physical Medicine and Rehabilitation, Pelvic Rehabilitation Medicine Clinical Research Foundation, West Palm Beach, FL 33409, USABackground: Urological chronic pelvic pain syndrome (UCPPS) combines two of the most widespread chronic urological pain disorders: interstitial cystitis (IC)/bladder pain syndrome (BPS) and chronic prostatitis (CP)/chronic pelvic pain syndrome (CPPS). This manuscript aims to assess the effectiveness of an outpatient, multimodal treatment protocol for men with UCPPS. Methods: A retrospective study of 58 male patients was done on an institutional review board approved protocol consisting of pelvic floor physical therapy (PFPT) in concomitance with the pelvic floor muscles receiving ultrasound guided trigger point injections and peripheral nerve blocks weekly for six weeks. Patients rated their levels of pelvic pain, performance, and quality of life via Visual Analogue Scale (VAS), Functional Pelvic Pain Scale (FPPS), and NIH-Chronic Prostatitis Symptom Index (NIH-CPSI) at their new patient consult and 3-month follow up. Results: Initial average VAS was 6.24 ± 2.26 and average VAS after treatment reduced to 4.25 ± 2.8. Initial average FPPS score was 9.21 ± 5.24. Final average FPPS reduced to 7.28 ± 5.03. Initial average total NIH-CPSI score was 24.55 ± 6.43 and after treatment reduced to 18.36 ± 7.62. Initial average NIH-CPSI pain, urinary symptoms, and quality of life sub scores were 11.28 ± 3.46, 3.41 ± 3.31, and 9.86 ± 2.05, respectively. After treatment, they decreased to 8.34 ± 4.14, 2.47 ± 2.45, and 7.55 ± 2.74. Differences in pre and post treatment outcomes were statistically significant. Conclusions: This shows the protocol was successful at improving pain and performance in male UCPPS patients. This supports the validity of a multimodal treatment protocol given patients failed to improve after a full course of PFPT by itself. However, they improved once PFPT was combined with other treatment modalities, alleviating the underlying neuropathic and myofascial pain seen in UCPPS.https://imrpress.com/journal/JOMH/18/2/10.31083/j.jomh1802050chronic pelvic pain syndromechronic prostatitispelvic floor muscle dysfunctionmale pelvic painmultimodal therapypsychometricsquestionnaire |
| spellingShingle | Soha Patil Gabrielle Daniel Julia Gonzalez Engle Janaki Natarajan Yogita Tailor Rakhi Vyas Neha James Erika Moody Allyson Shrikhande Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol Journal of Men's Health chronic pelvic pain syndrome chronic prostatitis pelvic floor muscle dysfunction male pelvic pain multimodal therapy psychometrics questionnaire |
| title | Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol |
| title_full | Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol |
| title_fullStr | Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol |
| title_full_unstemmed | Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol |
| title_short | Urological Chronic Pelvic Pain Syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient, multimodal treatment protocol |
| title_sort | urological chronic pelvic pain syndrome improves when underlying neuromuscular dysfunction is addressed in an outpatient multimodal treatment protocol |
| topic | chronic pelvic pain syndrome chronic prostatitis pelvic floor muscle dysfunction male pelvic pain multimodal therapy psychometrics questionnaire |
| url | https://imrpress.com/journal/JOMH/18/2/10.31083/j.jomh1802050 |
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