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Research Article

Maintenance Of The Response To Sacral Pulsed Radiofrequency In Chronic Prostatitis/Pelvic Pain Syndrome Using Hyperbaric Oxygen

Gallego-Vilar D*, Cuñat Albert E and Gallego-Gomez J
Departament of Urology, Hospital General Universitario de Castellon, Castellon de la Plana, Valencia, Spain
Corresponding Author : Daniel Gallego-Vilar
Department of Urology
Hospital General Universitario de Castellon
Castellon de la Plana, Valencia, Spain
Tel: 0034649103362
E-mail: dagalvi@hotmail.com
Received November 19, 2013; Accepted January 15, 2014; Published January 17, 2014
Citation: Gallego-Vilar D, Cuñat Albert E, Gallego-Gomez J (2014) Maintenance of the Response to Sacral Pulsed Radiofrequency in Chronic Prostatitis/Pelvic Pain Syndrome using Hyperbaric Oxygen. J Pain Relief 3:131. doi: 10.4172/2167-0846.1000131
Copyright: © 2014 Gallego-Vilar D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: None of treatments reported for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) has shown considerable improvement in patient´s daily life. Our objective is to determine the efficacy of hyperbaric oxygen therapy (HBOT) in the maintenance of response after sacral pulsed radiofrequency (PRF) in patients with CP/CPPS.

Material and methods: Prospective, comparative study including men with CP/CPPS divided in group A: S2-S4 PRF; and group B: S2-S4 PRF+HBO. The evaluated variables were pain (through the visual analog scale, VAS), and quality of life using the The NIH Chronic Prostatitis Symptom Index (CPSI) at 0, 1, 3, 6 and 12 months-follow up. Responders were predefined as patients who had experienced a more than 50% of decrease in the total NIH- CPSI score and more than 50% improvement in different areas of KHQ.

Results: 24 patients met the inclusion/exclusion criteria (17 Group A; 7 Group B) . A significant manteinance of improvement (p<0.05) for pain subscore, urinary subscore, quality of life subscore, total NIH-CPSI score and all the areas of KHQ was noticed in Group B after 18 months follow-up. No adverse effects were reported.

Conclusions: In this study, HBO improved the maintenance of the beneficial effects of sacral PRF among men with CP/CPPS.

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