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CP/CPPS patients should not be continued treatment with
the failed conventional therapies rather its treatment as a
psycho-neuromuscular pathology significantly reduced the symptoms.
According to a recently published meta-analysis,
reduced NIH-CPSI scores and treatment considering CP/CPPS, a
psycho-neuromuscular condition were found to be significantly related to each
other.
CP/CPPS disorders show resistance against
conventional urologic approaches like alpha-blockers, analgesics and
antibiotics. As per a prescription, CPPS/ CP is a psycho-neuromuscular disorder
due to psychosocial stress and protective pelvic floor guarding.
Rodney U.Anderson and colleagues conducted the
meta-analysis to determine cognitive behavioural therapy, physical therapy and
biofeedback efficacy in CPPS/ CP management. The data was collected from search
engines Google Scholar, Cochran Library and PubMed from inception to December
2017. The keywords used during the search were pelvic pain, prostatitis,
biofeedback, cognitive behavioural therapy or myofascial trigger point release.
The analysis assessed the National Institutes of Health Chronic Prostatitis
Symptom Index (NIH-CPSI) scores before and after the treatment.
A total of eight studies involved 280 patients
selected for the analysis, which include sample sizes ranged from 8 to 116 men
and treatment duration from 8 to 26 weeks. The CPSI noted before treatment was
21.7 to 33.5. After the procedure, 8.8 points non-standard weighted mean
reduction in CPSI scores were noticed from baseline (p<0.001). Little
heterogeneity among the studies was seen (I2 statistic = 18.5%). Further, an
additional multimodal intervention study of 100 patients involved a sensitivity
analysis also exhibited the same outcomes. The CPSI score with 6-point
reduction showed significant improvement in disease condition, which concludes
that introducing CPPS/ CP as psycho-neuromuscular disorder helps to reduce
disease-related symptoms.
Urology
Chronic Prostatitis/Chronic Pelvic Pain as a Psycho-Neuromuscular Disorder-A Meta-analysis
Rodney U.Anderson et al.
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