2000
DOI: 10.1016/s0090-4295(00)00796-2
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Biofeedback, pelvic floor re-education, and bladder training for male chronic pelvic pain syndrome

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Cited by 128 publications
(68 citation statements)
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“…Two similar studies (25,26) on non pharmacological, non invasive CAM therapy testing the value of biofeedback therapy for CP/CPPS yielded positive results. The first study assessed 62 patients who were refractory to conventional therapy (such as antibiotics and/or alpha-blockers) for greater than half a year.…”
Section: Commentsmentioning
confidence: 90%
See 1 more Smart Citation
“…Two similar studies (25,26) on non pharmacological, non invasive CAM therapy testing the value of biofeedback therapy for CP/CPPS yielded positive results. The first study assessed 62 patients who were refractory to conventional therapy (such as antibiotics and/or alpha-blockers) for greater than half a year.…”
Section: Commentsmentioning
confidence: 90%
“…These results demonstrated significant improvement in pain scores as measured by the AUA symptom index (P = 0.001). While this study focused on testing the effect of biofeedback therapy in treating the symptoms associated with CP/CPPS, it also implicated the presence of pelvic floor tension contributing to pain and the paramount importance of muscular reeducation for its treatment (26). These initial, positive biofeedback studies may warrant larger randomized clinical trials to confirm safety and efficacy as well as explore the mechanism of action of biofeedback therapy.…”
Section: Commentsmentioning
confidence: 99%
“…However, small (n ≤ 105) comparative trials evaluating combinations of tamsulosin plus levofloxacin [73] and doxazosin plus ciprofloxacin [74] have shown that combined therapies outperformed monotherapy approaches in terms of NIH-CPSI score improvements. Evaluations of three-or four-component combinations of antibiotic, a-blocker, phytotherapy and/or physiotherapy techniques provide data in favour for combined therapies [51,85,86]; however, the lack of a control arm in these studies is a notable caveat Specialist physiotherapy Three small (n = 19-31) pilot studies [87][88][89] have shown that a pelvic floor biofeedback re-educating programme significantly reduces symptom severity in patients with CP/CPPS. The largest of the three studies, which evaluated the effect of six to eight biofeedback sessions, showed a mean reduction in the total NIH-CPSI score from 23.6 at baseline to 11.4 after treatment (P < 0.001) [88].…”
Section: A-reductase Inhibitorsmentioning
confidence: 99%
“…Subjects with CPPS were less able to spread their toes than subjects without CPPS. This neurological finding could be a consequence of sacral nerve processes resulting in other neurologically related findings in CPPS such as bladder hypersensitivity, pelvic floor spasm and tenderness, lower urinary flow rates, and perineal heat hypersensitivity [11,12,17]. Our findings suggest that muscles innervated by the sacral nervous system are often in spasm and hypersensitive in subjects with CPPS [14].…”
Section: Discussionmentioning
confidence: 58%