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KMID : 0358320030440121220
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Korean Journal of Urology
2003 Volume.44 No. 12 p.1220 ~ p.1224
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Biofeedback and Functional Electrical Stimulation Therapy for Patients with Intractable Chronic Pelvic Pain Syndrome
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Yang Sang-Kuk
Sung Won-Sub
Chung Hong
Kim Tong-Wook
Kim Hong-Sup
Lho Yong-Soo
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Abstract
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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.
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KEYWORD
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Pelvic pain, Biofeedback, Electrical stimulation, Prostatitis
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