1Physical Therapy Department, New Kasr El-Aini Teaching Hospital, Faculty of Medicine, Cairo University, Egypt
2Physical Therapy Department for Growth and Developmental Disorders in Children and Its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
3Andrology and STDs Department, Faculty of Medicine, Cairo University, Egypt
Online published on 1 October, 2011.
Chronic Pelvic Pain Syndrome type III or chronic non-bacterial prostatitis (CP/CPPS) is characterized by Lower Urinary Tract Symptoms, discomfort or pain in the pelvic region for at least 3 months of duration and sexual dysfunction. The purpose of the study was to evaluate the efficacy of TENS in the treatment of CPPS.
Forty male volunteer patients, suffering from non-bacterial CPPS, participated in the study their age was ranging from 35 to 55 years. Patients were randomly assigned into 2 groups of equal number study (group 1) and control (group 2). Patients in group 1 received TENS plus traditional medical treatment in the form of antibiotics (ofloxacin 300 mg t.d.s.), and analgesics (ibuprofen 400 mg b.d.). Patient in group 2 received placebo TENS plus the traditional medical treatment as in group 1. The parameters investigated including EMG activity at rest, and NIH-CPSI pain domain questionnaire scores.
The results revealed no significant difference between the two groups in all parameters (EMG activities at rest and NIH-CPSI pain, domain questionnaire) before treatment while after the treatment, significant improvement was recorded in all parameters in group 1 and non-significant was recorded in group 2.
It could be concluded that TENS is an effective means of non-invasive symptomatic treatment of CPPS and the results of this study was based on the changes of electrical activity of pelvic floor muscles by EMG.
Transcutaneous Electrical Nerve Stimulation (TENS), Chronic Pelvic Pain Syndrome (CPPS), Electromyography (EMG)