난치성 만성골반통증후군 환자에서 바이오피드백 및 기능성전기자극의 치료효과
Biofeedback and Functional Electrical Stimulation Therapy for Patients with Intractable Chronic Pelvic Pain Syndrome
양상국, 성원섭, 정홍, 김동욱, 김홍섭, 노용수,
소속 상세정보
양상국 ( Yang Sang-Kuk )
건국대학교 의과대학 비뇨기과학교실
성원섭 ( Sung Won-Sub )
건국대학교 의과대학 비뇨기과학교실
정홍 ( Chung Hong )
건국대학교 의과대학 비뇨기과학교실
김동욱 ( Kim Tong-Wook )
건국대학교 의과대학 비뇨기과학교실
김홍섭 ( Kim Hong-Sup )
건국대학교 의과대학 비뇨기과학교실
노용수 ( Lho Yong-Soo )
건국대학교 의과대학 비뇨기과학교실
KMID : 0358320030440121220
Abstract
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.
키워드
Pelvic pain;Biofeedback;Electrical stimulation;Prostatitis
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