Traditional therapy for chronic pelvic pain does not work: what do we do now?

Nature Clinical Practice. Urology
Rodney U Anderson

Abstract

The dilemma of managing patients with chronic pelvic pain syndromes continues to frustrate physicians confronted with these complaints. Multiple diagnoses traditionally label this condition in men and women and, typically, implicate a pelvic-organ system when, in fact, very little objective evidence for a pathophysiologic process exists. Traditional therapies, consisting of antibiotics, anti-inflammatories, and muscle relaxants, simply do not work, and their lack of efficacy compared with placebo has been documented by randomized clinical trials in the US that were sponsored by the NIH. What do we do now? This review article attempts to describe the clinical efforts of several investigators and to put their patients' outcomes in perspective, and thereby suggest alternative therapies to help these patients.

References

Dec 1, 1988·Urology·H C Miller
Apr 1, 1986·International Clinical Psychopharmacology·J A Mattes
May 1, 1997·Journal of Psychosomatic Research·C J Savidge, P Slade
Jan 1, 1997·International Urology and Nephrology·T A SerelM Kecelioğlu
Jul 11, 1998·Surgical and Radiologic Anatomy : SRA·R RobertJ Leborgne
Dec 10, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A Shafik
Sep 1, 1999·BJU International·C TheodorouT Becopoulos
Oct 5, 2001·The Journal of Urology·S SiegelK Oleson
Oct 26, 2001·Current Pain and Headache Reports·T R Deer
Jun 29, 2002·World Journal of Urology·E Wespes
Jan 11, 2003·Urology·Anthony J SchaefferUNKNOWN Chronic Prostatitis Collaborative Research Network
Jan 11, 2003·World Journal of Urology·Ragi Doggweiler-Wiygul, Elizabeth Sellhorn
Jan 11, 2003·World Journal of Urology·Emmey Ripoll, Dawn Mahowald
May 9, 2003·Journal of Sex & Marital Therapy·Rossella E NappiFranco Polatti
Jun 25, 2003·American Journal of Physical Medicine & Rehabilitation·Christopher Edward RamsdenAlexis Faure
Jul 24, 2003·European Urology·Thomas LeippoldBrigitte Schurch
Aug 13, 2003·The Journal of Urology·J Curtis NickelUNKNOWN Chronic Prostatitis Collaborative Research Network Study Group
Sep 23, 2003·The Journal of Urology·Hubert JohnDieter Hauri
Jan 7, 2004·International Journal of Urology : Official Journal of the Japanese Urological Association·Po Hui Chiang, Chin Pei Chiang
Mar 5, 2004·Journal of Neurology·F MasuhrK Einhäupl
Apr 20, 2004·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Sherin K JarvisThierry G Vancaillie
May 25, 2004·Expert Opinion on Pharmacotherapy·Zaf MaanHitendra R H Patel
Aug 3, 2004·International Journal of Urology : Official Journal of the Japanese Urological Association·Hisashi HonjoTsuneharu Miki
Oct 20, 2004·Annals of Internal Medicine·Richard B AlexanderUNKNOWN Chronic Prostatitis Collaborative Research Network
Oct 20, 2004·Annals of Internal Medicine·Wolfgang Weidner

❮ Previous
Next ❯

Citations

Sep 1, 2006·Photomedicine and Laser Surgery
Aug 27, 2014·Obstetrics and Gynecology Clinics of North America·Theresa Monaco Spitznagle, Caitlin McCurdy Robinson
Dec 27, 2011·Journal of Bodywork and Movement Therapies·Cynthia E NevilleFrank Tu
Oct 21, 2006·Current Urology Reports·Kenneth M Peters, Donna J Carrico

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.