NEUROPHYSIOLOGIC EVALUATION OF PATIENTS WITH CHRONIC PROSTATITIS (III B CHRONIC PAIN SYNDROME)


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article presents the results of neurophysiological examination of 32 patients with noninflammatory form of abacterial chronic prostatitis/ chronic pelvic pain syndrome (CP/CPPS III B). Intramuscular electromyography was performed, right and left bulbocavernous reflex and cortical somatosensory evoked potentials during stimulation of n. pudendus were evaluated. It is shown that there is a high frequency of abnormal neurophysiological patterns in the absence of clinical neurological disease in patients with CP/CPPS III B. In this case, the pain as the main symptom was not associated with prostate disease. It is suggested that some patients with a diagnosis of CP / CPPS III B have neurological pathology that not manifested at the time of the examination.

Full Text

Restricted Access

References

  1. Fall M., Baranowski A. P., Elneil S. et al. Guidelines on Chronic Pelvic Pain. Eur. Urol. 2010; 57(1): 35-48.
  2. Zermann D. H., Ishigooka M., Doggweiler R., Schmidt R. A. Neurourological insights into the etiology of genitourinary pain in men. J Urol. 1999; 161(3):903-908.
  3. Yilmaz U., Liu Y.-W., Berger R. E.et al. Autonomic nervous system changes in men with CPPS. J. Urol. 2007; 177(6):2170-2174.
  4. Yang C. C., Lee J. C., Kromm B. G., Ciol M. A., Berger R. E. Pain sensitization in male chronic pelvic pain syndrome: why are symptoms so difficult to treat? J. Urol. 2003; 170(3):823-827.
  5. Lee J. C., Yang C. C., Kromm B. G. et al. Neurophysiologic testing in chronic pelvic pain syndrome: a pilot study. Urology. 2001; 58(2): 246-250.
  6. Mendell L. M., Wall P. D. Responses of single dorsal cord cells to peripheral cutaneous unmyelinated fibres. Nature. 1965; 206:97.
  7. Danuser H., Springer J. P., Katofiasc M. A. et al. Extrinsic innervation of the cat prostate gland: a combined tracing and immunohistochemical study. J Urol. 1997; 157(3):1018-1024.
  8. Zermann D. H., Schmidt R. A. Neurophysiology of the pelvic floor: It is role in prostate and pelvic pain. In Nickel JC (ed): Textbook of Prostatitis. Oxford, United Kingdom, ISIS Medical Media. 1999: 95-105.
  9. Howard F. M. Pelvic floor pain syndrome. In: Howard FM (ed). Pelvic Pain. Diagnosis and Management. Philadelphia: Lippincott Williams & Wilkins. 2000: 429-432.
  10. Anderson R.U., Sawyer T., Wise D. et al. Painful Myofascial Trigger Points and Pain Sites in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome. J. Urol. 2009; 182(6):2753-2758.
  11. Carter J.E. Abdominal wall and pelvic myofascial trigger points. In: Howard F. M., ed. Pelvic Pain. Diagnosis and Management. Lippincott Williams & Wilkins: Philadelphia. 2000; 314-358.
  12. Andersen J. T. Treatment of prostatodynia (pelvic floor myalgia or chronic non-inflammatory pelvic pain syndrome). In: Nickel JC (ed). Textbook of Prostatitis. Oxford, United Kingdom: ISIS Medical Media Ltd. 1999; 357-364.
  13. Egan K. J., Krieger J. L. Chronic abacterial prostatitis - a urological chronic pain syndrome? Pain. 1997; 69(3):213-218.
  14. Бадалян Л. О., Скворцов И. А. Клиническая электронейромиография (Руководство для врачей). М.: Медицина;1986, ил.
  15. Гехт Б. М. Теоретическая и клиническая электромиография. Л.: Наука; 1990.
  16. Podnar S., Vodusek D., Fowler C. Electrodiagnosis. In Bourcier A., McGuire E., Abrams P. (eds.): Pelvic floor disorders. Elsevier Inc. 2004:216-232.
  17. Физиология человека: Учебник. Под ред. В. М. Покровского, Г. Ф. Коротько. 2-е изд., перераб. и доп. М.: ОАО Изд-во “Медицина”; 2007.
  18. Caruso C., Buchthal F. Refractory period of muscle and EMG findings in relatives of patients with muscular dystrophy. Brain. 1965; 88:29-50.
  19. Реброва О. Ю. Статистический анализ медицинских данных. М.: Гэотар-Мед; 2003. С. 139.
  20. Martinez C. P., Vargas Diaz I. B. et al. Skin surface EMG in CP Type III/ CPPS: a case control study. J. Urol. 2009; 181(4, Suppl.): 120. abst. 331.
  21. Горпинченко И. И., Колесников В. А. Метод объективной регистрации бульбокавернозного рефлекса. Урология и нефрология.1986; 6:52-54.
  22. Bird S. J., Hanno P. M. Bulbocavernosus reflex studies and autonomic testing in the diagnosis of erectile dysfunction. J. Neurol. Sci. 1998; 154(1):8-13.
  23. Hetrick D. C., Glazer H., Liu Y. W. et al. Pelvic Floor EMG in Men With Chronic Pelvic Pain Syndrome: A Case-Control Study. Neurourol. Urodynam. 2006; 25:46-49.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies