For Spanish speakers

Male pelvic pain, prostatitis, IC
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webslave
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For Spanish speakers

Post by webslave »

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

http://www.elsevier.es/revistas/ctl_ser ... istaid=292#

English version coming soon
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samgg10
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Re: For Spanish speakers

Post by samgg10 »

It's basically a full summary & treatment protocol for CPPS, published in what I think is a major Spanish-speaking Urology journal. Includes a list of internal & external muscles involved in chronic prostatitis / chronic pelvic pain syndrome and the sites of referred pain for each one. Discusses trigger points extensively.

There's a statistic that references some Italian data citing that, among 5540 outpatients visiting various Italian hospitals for urological reasons, 746 (~13-14%) supposedly had chronic pelvic pain, and possibly even more.

Says the condition is far more widespread than once thought.

Goes on to discuss diagnosis, treatment, possible causes (muscle stress/overload, poor posture, vitamin deficiencies (esp. Vit. C), psychological factors, hypothyroid, & initial onset of infection).

The treatment part is really comprehensive in some frustrating ways (to me at least). Huge section on experimental medical treatments. Talks about cortisone, lidocaine, & Botox injections ("[Botox] is recognized as a good treatment for myofascial pain by many authors, who use it successfully [all over the body].") The Botox section is rather large and mentions a lot of studies. Obviously there is a lot of money in this kind of treatment.

Briefly mentions Jacobsen & Wise & psychotherapy techniques like relaxation (cites a 72% success rate in symptom reduction for paradoxical relaxation).

Large section on trigger-point release.

Says that 3-4 months of comprehensive treatment is enough for significant improvement, and then up to 2 years for full recovery ("the key factor is time.")

Objective: "To bring the prevalence of [CPPS] to the attention of professional urologists through a systematic revision of the existing literature and the possibilities for diagnosis and treatment."

Conclusion: "[CPPS] is the most common cause of pelvic pain and greatly affects the quality of life of its sufferers. Today we have available the diagnostic tools and therapies to treat this disabling syndrome with good results."

Terrific that this is out there. It says pretty much everything you can say about CPPS.
Age: 24 CPPS: 21