Assessment of the psycho-emotional status of patients with chronic pelvic pain syndrome using magnetotherapy

Abstract

BACKGROUND: Chronic pelvic pain syndrome against the background of chronic abacterial prostatitis is most often associated with emotional and behavioral disorders, asthenic syndrome, erectile dysfunction, lower urinary tract symptoms, which significantly reduce the quality of life of patients and require additional medication correction. Despite the fact that there are currently more than 15 groups of drugs used in this case, their effectiveness remains insufficiently high. In this regard, the search for new innovative technologies for non-drug therapy of chronic pelvic pain and chronic abacterial prostatitis is relevant.

AIM: Study of the effect of extracorporeal magnetic stimulation of the pelvic floor and transcranial magnetic therapy on the parameters of the psycho-emotional status and clinical parameters in patients with chronic pelvic pain syndrome against the background of chronic abacterial prostatitis.

MATERIALS AND METHODS: The study included 52 patients with chronic pelvic pain syndrome against the background of chronic abacterial prostatitis aged 28 to 45 years. Subject to the principles of simple randomization, patients were divided into 2 groups. Patients of the control group (n=26) received a basic sanatorium complex with the inclusion of therapeutic exercises, dosed walking, drinking mineral water. Patients of the main group (n=26) in addition to the basic complex received extracorporeal magnetic stimulation of the pelvic floor and transcranial magnetic therapy.

RESULTS: The use of extracorporeal magnetic stimulation of the pelvic floor and transcranial magnetic therapy in patients with chronic pelvic pain syndrome against the background of chronic abacterial prostatitis is accompanied by a significant decrease in the severity of pain syndrome, clinical symptoms of the disease and improvement in psycho-emotional status parameters.

CONCLUSION: The inclusion of extracorporeal magnetic stimulation of the pelvic floor and transcranial magnetic therapy in the treatment complex of patients with chronic pelvic pain syndrome against the background of chronic abacterial prostatitis contributes to the regression of the clinical manifestations of the disease, pain syndrome, dysuria disorders, and a significant improvement in the parameters of the psycho-emotional state.

Keywords

chronic pelvic pain syndrome / abacterial prostatitis / extracorporeal magnetic stimulation / transcranial magnetic therapy / psychoemotional status

References

[1] Fall M, Baranowski AP, Elneil S, et al. EAU guidelines on chronic pelvic pain. Eur Urol. 2010;57(1):35–48.doi: 10.1016/j.eururo.2009.08.020

[2] Fall M., Baranowski A.P., Elneil S., et al. EAU guidelines on chronic pelvic pain // Eur Urol. 2010. Vol. 57, N 1. P. 35–48.doi: 10.1016/j.eururo.2009.08.020

[3] Rachin SA, Sharov MN, Zaitsev AV, et al. Chronic pelvic pain: from correct diagnosis to adequate therapy. Neurology, neuropsychiatry, psychosomatics. 2020;12(2):12–16. (In Russ).doi: 10.14412/2074-2711-2020-2-12-16

[4] Рачин С.А., Шаров М.Н., Зайцев А.В., и др. Хроническая тазовая боль: от правильной диагностики к адекватной терапии // Неврология, нейропсихиатрия, психосоматика. 2020. Т. 12, № 2. С. 12–16. doi: 10.14412/2074-2711-2020-2-12-16

[5] Al-Shukri SN, Salikhov DN. Modern methods of treatment of chronic prostatitis (literature review). Nephrology. 2009;13(2):86–91. (In Russ).

[6] Аль-Шукри С.Н., Солихов Д.Н. Современные методы лечения хронического простатита (обзор литературы) // Нефрология. 2009. Т. 13, № 2. С. 86–91.

[7] Dolgov AB, Popkov VM, Churakov AA. Chronic abacterial prostatitis / chronic pelvic pain syndrome: a modern view on aspects of pathogenesis. Modern problems of science and education. 2016;(4):1–13. (In Russ).

[8] Долгов А.Б., Попков В.М., Чураков А.А. Хронический абактериальный простатит / синдром хронической тазовой боли: современный взгляд на аспекты патогенеза // Современные проблемы науки и образования. 2016. № 4. С. 1–13.

[9] Popkov VM, Churakov AA, Dolgov AB, Polozov AB. The role of physiotherapeutic methods in the modern strategy of treatment of patients with chronic abacterial prostatitis / chronic pelvic pain syndrome. Bulletin of medical Internet conferences. 2017;7(2):574–576. (In Russ).

[10] Попков В.М., Чураков А.А., Долгов А.Б., Полозов А.Б. Роль физиотерапевтических методов в современной стратегии лечения пациентов с хроническим абактериальным простатитом / синдромом хронической тазовой боли // Бюллетень медицинских интернет-конференций. 2017. Т. 7, № 2. С. 574–576.

[11] Bozhedomov VA. Chronic prostatitis: a new paradigm of treatment. Urology. 2016;(3-S3):78–90. (In Russ).

[12] Божедомов В.А. Хронический простатит: новая парадигма лечения // Урология. 2016. № 3-S3. С. 78–90.

[13] Gilmutdinov BR, Daminov IN, Gilmutdinov AR, et al. Parameters of regional hemodynamics of patients with chronic pelvic pain syndrome on the background of magnetic stimulation and peloidotherapy. Physiotherapist. 2021;(2):9–15. (In Russ).doi: 10.33920/med-14-2104-01

[14] Гильмутдинов Б.Р., Даминов И.Н., Гильмутдинов А.Р., и др. Параметры регионарной гемодинамики пациентов с синдромом хронической тазовой боли на фоне магнитной стимуляции и пелоидотерапии // Физиотерапевт. 2021. № 2. С. 9–15. doi: 10.33920/med-14-2104-01

[15] Gilmutdinov BR, Daminov IN, Gilmutdinov AR, et al. The effectiveness of mud therapy and magnetic stimulation in sanatorium therapy of chronic pelvic pain syndrome. Spa medicine. 2020;(3):76–81. (In Russ).

[16] Гильмутдинов Б.Р., Даминов И.Н., Гильмутдинов А.Р., и др. Эффективность грязелечения и магнитной стимуляции в санаторной терапии синдрома хронической тазовой боли // Курортная медицина. 2020. № 3. C. 76–81.

[17] Goryaev AG, Kuleshova TV. Optimization of complex sanatorium-resort treatment of patients with chronic insomnia by including transcranial magnetotherapy. Bulletin of restorative medicine. 2021;20(2):118–125. (In Russ).doi: 10.38025/2078-1962-2021-20-2-118-125

[18] Горяев А.Г., Кулишова Т.В. Оптимизация комплексного санаторно-курортного лечения больных с хронической инсомнией путем включения транскраниальной магнитотерапии // Вестник восстановительной медицины. 2021. Т. 20, № 2. С. 118–125. doi: 10.38025/2078-1962-2021-20-2-118-125

[19] Gilmutdinov BR, Daminov IN, Gilmutdinov AR, Garifyanova RA. Sanatorium therapy of chronic prostatitis using physiobalneotherapy. Physiotherapist. 2021;(1):64–69. (In Russ).doi: 10.33920/med-14-2102-07

[20] Гильмутдинов Б.Р., Даминов И.Н., Гильмутдинов А.Р., Гарифьянова Р.А. Cанаторная терапия хронического простатита с применением физиобальнеотерапии // Физиотерапевт. 2021. № 1. С. 64–69. doi: 10.33920/med-14-2102-07

RIGHTS & PERMISSIONS

Eco-Vector