Effectiveness of Acupuncture in Patients with Category IIIB Chronic Pelvic Pain Syndrome: A Report of 97 Patients

Tuğcu, Volkan; Taş, Selim; Eren, Gülay; Bedirhan, B; Karadağ, Serdar; Taşçı, Ali İhsan

doi:10.1111/j.1526-4637.2009.00794.x

Cited by 30 publications

(26 citation statements)

References 24 publications

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“…A small (n = 24) randomised, placebo-controlled trial in patients with CP/CPPS found that TENS was significantly more effective than placebo in reducing in pain symptoms [92] Small pilot studies of acupuncture in patients with CP/CPPS refractory to standard pharmacotherapy have provided positive results; in 12 men, a 6-week acupuncture regimen (given twice weekly), achieved a significant decrease in total, pain, urinary and QoL NIH-CPSI scores after an average 33 weeks follow-up (P < 0.05) [93]. Similarly, symptom improvements, as assessed by the NIH-CPSI, were seen with a 5-week [94] and 6-week course [95] of acupuncture (on the bilateral BL33 region), with improvements in pain, voiding symptoms and QoL in non-inflammatory CP/CPPS. Randomised, sham-controlled studies (n = 39-89) support these results; a 10-week course of acupuncture proved almost twice as likely as sham treatment to improve CP/CPPS symptoms [96], while a three-arm trial showed that after 6 weeks of electro-acupuncture, the NIH-CPSI total score had decreased significantly vs the sham and advice and exercise groups alone (P < 0.001) [97].…”

Section: A-reductase Inhibitorsmentioning

confidence: 69%

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Rees

Abrahams

Doble³

et al. 2015

BJU International

246

193

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ObjectivesTo improve awareness and recognition of chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) among non-specialists and patients. To provide guidance to healthcare professionals treating patients with CBP and CP/CPPS, in both non-specialist and specialist settings. To promote efficient referral of care between nonspecialists and specialists and the involvement of the multidisciplinary team (MDT). Patients and MethodsThe guideline population were men with CBP or CP/CPPS (persistent or recurrent symptoms and no other urogenital pathology for ≥3 of the previous 6 months). Consensus recommendations for the guidelines were based on a search to identify literature on the diagnosis and management of CBP and CP/CPPS (published between 1999 and February 2014). A Delphi panel process was used where high-quality, published evidence was lacking. ResultsCBP and CP/CPPS can present with a wide range of clinical manifestations. The four main symptom domains are urogenital pain, lower urinary tract symptoms (LUTSvoiding or storage symptoms), psychological issues and sexual dysfunction. Patients should be managed according to their individual symptom pattern. Options for first-line treatment include antibiotics, a-adrenergic antagonists (if voiding LUTS are present) and simple analgesics. Repeated use of antibiotics, such as quinolones, should be avoided if there is no obvious symptomatic benefit from infection control or cultures do not support an infectious cause. Early use of treatments targeting neuropathic pain and/or referral to specialist services should be considered for patients who do not respond to initial measures. An MDT approach (urologists, pain specialists, nurse specialists, specialist physiotherapists, general practitioners, cognitive behavioural therapists/psychologists, and sexual health specialists) is recommended. Patients should be fully informed about the possible underlying causes and treatment options, including an explanation of the chronic pain cycle. ConclusionChronic prostatitis can present with a wide variety of signs and symptoms. Identification of individual symptom patterns and a symptom-based treatment approach are recommended. Further research is required to evaluate management options for CBP and CP/CPPS.

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Section: A-reductase Inhibitorsmentioning

confidence: 69%

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Rees

Abrahams

Doble³

et al. 2015

BJU International

246

193

View full text Add to dashboard Cite

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“…Thus different applications such as 6, 10 or 12 sessions are seen in studies [11,16,17]. Katayama et al applied acupuncture treatment once a week for three months on 8 refractory IC patients and reported that the treatment was effective in three patients (38%) but efficiency increased when the treatment was repeated [17].…”

Section: Discussionmentioning

confidence: 99%

“…As it is known, interstitial cystitis is one of the subtypes of chronic pelvic pain that negative cognitive, behavioural, emotional and sexual symptoms accompany. The efficiency of acupuncture in the recovery of functional disorders such as chronic pelvic pain [11,12], dysuria induced by benign prostate hyperplasia [13] and irritative bladder symptoms [14] were demonstrated in studies. Although use of acupuncture was accepted by urology experts in the previous decade, there is a limited number of studies investigating the efficiency of acupuncture in IC/BPS in literature [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Complete response to acupuncture therapy in female patients with refractory interstitial cystitis/bladder pain syndrome

Sönmez

Kozanhan

2017

Ginekol Pol

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Objectives: Interstitial Cystitis/Bladder Pain syndrome (IC/BPS) is a considerable issue in urology and gynecology and unfortunately, the treatment options recommended are not fully efficient. Therefore, in this study we aimed to determine the effectiveness of acupuncture treatment in patients with refractory IC/BPS. Results: There was a statistically significant decrease in all of the scores evaluated at first month compared with the baseline. While the change in VAS score in 1, 3, 6 and 12 th months were found statistically significant, measurements of ICSI, OSS and PUF scores and MVV values in the 6 th and 12 th months and ICPI and PHQ scores in the 12 th month were not found statistically significant compared to the pre-treatment period. Response to treatment for the first three months after acupuncture application was (100%), but this ratio was measured as 33.3% (4/12) in the sixth month and 16.6% in the 12 th month (2/12). Conclusions:The results of this study suggest that acupuncture appears to be an effective, useful, non-invasive method in IC/BPS patients. It can be used as an appropriate treatment method not only in refractory but also in IC patients since it is rather advantageous compared to other treating agents.

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“…Bei der Literatursuche (Stichwör-ter "acupuncture" und "chronic pelvic pain syndrome") zeigten sich nach Ausschluss von "case reports" und Veröffent-lichungen in einer anderen Sprache als Deutsch oder Englisch nur noch 6 Originalarbeiten [59,60,61,62,63,64] [60]) verwendet.…”

Section: Pudendale Nervenstimulationunclassified

“…Suh et al [67] und Westesson et al [68] bezogen sich auf [62,63,64], Lee et al [65] nahmen zu allen 6 Studien Stellung, Chen et al [69] kommentierten nur die eigene Arbeit [60], Posadzki et al [66] [65].…”

Section: Pudendale Nervenstimulationunclassified

Chronisches Schmerzsyndrom des Beckens

Walter

Sammer

Kessler

2012

Urologe

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Chronic pelvic pain syndrome (CPPS) is defined by the European Association of Urology guidelines as a non-malignant pain perceived in structures related to the pelvis of either women or men for at least 6 months without proven infection or other obvious pathology. It affects the quality of life of millions of people worldwide and has an impact similar to that reported for other chronic diseases, such as diabetes mellitus, Crohn's disease and congestive heart failure. The treatment of CPPS remains a challenge despite several established first line therapies because many patients are therapy refractory. Unconventional treatments, such as neurostimulation, neuromodulation and acupuncture may be highly successful for treating CPPS and have a favorable adverse event profile. Thus, these promising therapeutic alternatives should be considered more often in daily clinical practice. DOI: https://doi.org/10.1007/s00120-012-3037-9Other titles: Chronic pelvic pain syndrome: neurostimulation, neuromodulation and acupuncture "chronic pelvic pain syndrome", "neurostimulation", "neuromodulation", "acupuncture") und schlossen nur Originaloder Übersichtsarbeiten in deutscher oder englischer Sprache ein. Transkranielle Stimulation durch Strom oder MagnetfeldDie transkranielle Stimulation durch Strom ("transcranial direct current stimulation", tDCS) zur Behandlung des CPPS wurde bisher nur in einer Studie untersucht. Im Rahmen einer prospektiven, randomisierten, doppelt verblindeten Crossover-Studie wurden 7 therapierefraktäre CPPS-Patienten mit einem Durchschnittsalter von 38 Jahren eingeschlossen [19]. Die aktive Therapie wurde über einen Zeitraum von 2 Tagen für jeweils 20 min mittels direkter Stromapplikation von 1 mA durchgeführt. In der Sham-Gruppe wurde die Stimulation bereits nach 30 s wieder beendet. In der aktiven Therapiegruppe zeigte sich im Vergleich zur Sham-Gruppe auf einer visuellen Analogskala (VAS) eine signifikante Reduktion der Becken-und Gesamtschmerzsymptomatik. Nebenwirkungen wie Kopf-und Nackenschmerzen, Brennen und Schmerzen der Kopfhaut traten in beiden Gruppen gleichhäufig auf. Es kam zu keinem nebenwirkungsbedingten Studienabbruch.

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Effectiveness of Acupuncture in Patients with Category IIIB Chronic Pelvic Pain Syndrome: A Report of 97 Patients

Abstract: The results of this study suggest that acupuncture appears to be a safe and potentially effective treatment in improving the symptoms and quality of life of men clinically diagnosed with CP/CPPS.

Cited by 30 publications

References 24 publications

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Complete response to acupuncture therapy in female patients with refractory interstitial cystitis/bladder pain syndrome

Chronisches Schmerzsyndrom des Beckens

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