Sexual Dysfunction in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Improvement After Trigger Point Release and Paradoxical Relaxation Training

Abstract

Sexual dysfunction is common in men with refractory chronic pelvic pain syndrome but it is unexpected in the mid fifth decade of life. Application of the trigger point release/paradoxical relaxation training protocol was associated with significant improvement in pelvic pain, urinary symptoms, libido, ejaculatory pain, and erectile and ejaculatory dysfunction.

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

“…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]. Other small-to-medium studies suggest symptom improvement can be achieved by combining myofascial trigger point release with paradoxical relaxation training [22,90,91]. 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].…”

“…There may also be an association with recurrent UTIs in a minority of patients [19,21] Voiding LUTS (weak stream, straining and hesitancy) Storage LUTS (urgency AE urge incontinence, increased urinary frequency, nocturia and dysuria) Urethral burning during, and independent of, micturition Haematospermia (blood in semen) Recurrent UTI (more applicable to CBP) Sexual dysfunction symptoms [17,[22][23][24][25][26][27][28][29][30] Findings from cohort studies (n = 130-1 800) indicate that total or partial ED is reported by 15-55% of patients with CP/CPPS [22,[31][32][33][34], while the prevalence of overall, self-reported sexual dysfunction is higher at 46-92% [22,23,31,34]. Correlation studies of sexual dysfunction symptoms with NIH-CPSI scores indicate that patients with CP/CPPS with sexual dysfunction have higher total and QoL scores, suggesting that sexual symptoms can contribute substantially to morbidity [28,[31][32][33]35,36].…”

“…Table 5 [9,22,48, summarises the results of the literature search on interventions for CBP or CP/CPPS.…”

Síndrome de dolor miofascial del suelo pélvico: una patología urológica muy frecuente

“…Ló gicamente, en muchas ocasiones estos síntomas se van a superponer y será tarea nuestra ponerlo de manifiesto para hacer un diagnó stico preciso y poder tomar las medidas terapé uticas má s adecuadas [15][16][17] .…”

Kronik Prostatit/Kronik Pelvik Ağrı Sendromunda Etyoloji ve Tanı

“…Kronik prostatitli olguların %21.5 ile %77'sinde cinsel işlev bozuklukları görüldüğü bildirilmiştir (1,16). Yaşları 20 ile 59 yıl arasında değişen kronik prostatitli hastaların değerlendirildiği bir çalışmada cinsel işlev bozukluğu oranı %49 olarak bildirilirken 146 hastanın değerlendirildiği bir başka çalışmada bu oran %92 olarak bildirilmektedir (17,18). Kronik prostatitin neden olduğu hiperemi ve ödemin ereksiyon merkezini sürekli olarak uyardığı ve etkisini bozabildiği bildirilmektedir.…”