Biofeedback and Functional Electrical Stimulation Therapy for Patients with Intractable Chronic Pelvic Pain Syndrome.
- Author:
Sang Kuk YANG
1
;
Won Sub SUNG
;
Hong CHUNG
;
Tong Wook KIM
;
Hong Sup KIM
;
Yong Soo LHO
Author Information
1. Department of Urology, College of Medicine, Konkuk University, Chungju, Korea. yskurol@kku.ac.kr
- Publication Type:Original Article
- Keywords:
Pelvic pain;
Biofeedback;
Electrical stimulation;
Prostatitis
- MeSH:
Biofeedback, Psychology*;
Electric Stimulation Therapy*;
Electric Stimulation*;
Humans;
Myalgia;
Pelvic Floor;
Pelvic Pain*;
Prospective Studies;
Prostatitis;
Quality of Life
- From:Korean Journal of Urology
2003;44(12):1220-1224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Chronic pelvic pain syndrome(CPPS) is a debilitating condition characterized by pelvic pain and voiding symptoms. Pelvic floor tension myalgia is hypothesized to be a contributing factor in CPPS. The therapeutic effect of biofeedback and electrical stimulation for CPPS was evaluated prospectively. MATERIALS AND METHODS: Thirteen patients with CPPS intractable to conventional medication were enrolled. The patients were treated by domestic KontinenceTM equipment 2 times a week for 6 weeks. Patients completed the National Institute of Health Chronic Prostatitis Symptom Index(NIH-CPSI) before and after treatment. RESULTS: The average score for all 3 domains in NIH-CPSI significantly decreased. Pain domain decreased from 12.9+/-3.4 to 9.8+/-1.7(p=0.002), voiding symptoms from 4.5+/-1.6 to 3.2+/-0.9(p=0.006), and impact plus quality of life from 7.3+/-2.2 to 4.7+/-1.5(p=0.003). CONCLUSIONS: Biofeedback with electrical stimulation therapy can provide significant improvement in CPPS intractable to medication. Large, randomized trials are needed to confirm its efficacy.