Chronic Pelvic Pain/Chronic Prostatitis: A Psycho-Neuromuscular Disease

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Chronic Pelvic Pain/Chronic Prostatitis: A Psycho-Neuromuscular Disease

According to a recently published meta-analysis, considering chronic pelvic pain/chronic prostatitis (CPPS/ CP) as a psycho-neuromuscular disorder aid to its management.

The CPPS/CP symptom complex has resisted resolution from the conventional urologic therapy of the prostate, which covers antibiotics, alpha-blockers, and analgesics.  According to a new standard introduced in 1995, CPPS/ CP has been viewed as a psycho-neuromuscular disorder due to psychosocial stress and protective pelvic floor guarding.

Rodney U.Anderson and colleagues conducted the meta-analysis study to determine the efficacy of cognitive behavioral therapy, physical therapy and biofeedback in CPPS/ CP management. The data was collected from search engines Google Scholar, Cochran Library and PubMed from inception to December 2017. The keywords used for the search included pelvic pain, prostatitis, biofeedback, cognitive behavioral therapy and myofascial trigger point release. The analysis assessed the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) scores before and after the treatment.

Primary inclusion criteria were met by a total of eight studies which included 280 patients. The study sample sizes ranged from 8 to 116 men and treatment duration from 8 to 26 weeks. The CPSI noted before treatment ranged from 21.7 to 33.5. The non- standardized weighted mean decrease of CPSI score from baseline was 8.8 points. The similar findings were observed with the sensitivity analysis including an additional multimodal intervention study of with 100 patients. The CPSI score with 6-point reduction showed significant improvement in disease condition which concludes that considering CPPS/ CP as psycho-neuromuscular disorder helps to reduce disease-related symptoms.

Source

Urology           

Link:

https://www.ncbi.nlm.nih.gov/pubmed/30056195

The original title of the article:

Chronic Prostatitis/Chronic Pelvic Pain as a Psycho-Neuromuscular Disorder-A Meta-analysis

Authors:

Rodney U.Anderson et al.

SearchTags: 
Exploratory, Pelvic Pain, Pelvis, Chronic, Meta-analysis, CPSI Scores
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