Biofeedback Therapy for Chronic Pelvic Pain Syndrome

The etiology of chronic pelvic pain syndrome is still not completely clear. Recently, biofeedback has made great progress in the treatment of chronic pelvic floor pain syndrome and achieved good results.
Biofeedback therapy (BFT) is a new technology in modern physical therapy, which involves the comprehensive application of many disciplines, including physical medicine, cybernetics, psychology, physiology, and other disciplines. The main method is to use a biofeedback therapy instrument to improve the contraction function of pelvic floor muscles.
Indications of biofeedback therapy for CPPS
Recurrent prostatitis, other treatments are ineffective, and the bacteriological examination shows nonbacterial infection.
Recurrent frequency and urgency of urination without abnormality in cystoscopy
Dre found that pelvic floor muscle was tense or had trigger point.
EMG of pelvic floor increased significantly
Systematic biofeedback training
First of all, we should establish treatment motivation, connect patients with instruments, and explain the mechanism and advantages of biofeedback therapy.
The training schedule is usually arranged 5 times a week, 2 weeks as a course of treatment, which is carried out in the mode of consulting room treatment combined with a family practice.
Each time, the anal electrode is used to connect the patient with the machine for 20 minutes.
After the connection, the patient is instructed to perform the contraction/relaxation exercise of pelvic floor muscles. The patient can clearly see the contraction/relaxation of pelvic floor muscles according to the feedback information displayed on the screen, and gradually learn to master the correct contraction/relaxation action of pelvic floor muscles according to the system guidance.
Homework is to apply the experience gained from the practice in the treatment room to daily life, 2-3 times a day, about 20 minutes each time. Patients can also use self-observation diary to record symptoms, dosage, experience, and times of consulting room treatment and family practice, mood, sleep status, life events, and efforts.
Every doctor should check and talk with the patient's homework diary, which includes the evaluation of the diary content and understanding of the patient's feelings and requirements, in order to enhance the patient's confidence and optimism in overcoming the disease.
Through the biofeedback therapy for patients with chronic pelvic pain syndrome, it was found that the symptoms of drips after urinating, pelvic floor muscle tension and spasm were relieved to vary degrees.
In the follow-up study, it was also found that biofeedback treatment can significantly improve the symptoms of chronic pelvic floor pain syndrome, such as pain, frequency of urination, the urgency of urination, and improve the quality of life, and can reduce the Leukocyte count in prostatic fluid or semen.

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