Savio LF, et al. - A comprehensive examination was conducted of men with Chronic Pelvic Pain Syndrome (CPPS), who underwent comprehensive pelvic floor physical therapy program for symptom improvement. It was deduced that this therapy could serve as an effective treatment for select patients. In order to validate the routine use of pelvic floor rehabilitation in men with CPPS and to speculate the characteristics of men who would respond to therapy, prospective research was necessitated.

Methods

• The enrollees comprised of 14 men who underwent physical therapy for idiopathic CPPS from October 2015 to October 2016.
• The exclusion criteria was men with clearly identifiable causes of pelvic pain, such as previous surgery, chronic infection, trauma, prostatitis and epididymitis.
• The therapy consisted of manual therapy of pelvic floor and abdominal musculature; therapeutic exercises; biofeedback and electrical stimulation.
• NIH-CPSI questionnaires were collected at initial evaluation, every subsequent 10th visit, and discharge.

Results

• Higher scores reflected worse symptoms.
• A reduction of 7 points to robustly speculate being a treatment responder (sensitivity 100%, specificity 76%) and a change in 4 points to predict modest response was obtained from previous validation of the modified NIH-CPSI.