Neuromodulation for Management of Chronic Pelvic Pain : A Comprehensive Review
© 2022. The Author(s)..
INTRODUCTION: Chronic pelvic pain (CPP) is a symptom that derives from a complex group of heterogeneous pathologies of the pelvic organs. The aim of this study was to review the available evidence on efficacy of neuromodulatory modalities including sacral neuromodulation, dorsal root ganglion stimulation, dorsal column neuromodulation, and pudendal nerve stimulation.
METHODS: This narrative review focuses on updated information on neuromodulation for management of chronic pelvic pain. In 2022, we searched English-language studies on neuromodulation, pelvic pain, and chronic pain in a comprehensive search. We searched the following databases: PubMed, Medline, SciHub, Cochrane Database of Systematic Reviews, and Google Scholar. We used the following combinations of keywords: neuromodulation, pelvic pain, chronic pain, chronic pelvic pain, pelvic pain treatment. We tried to include as many recent manuscripts as possible (within the last 3 years) but also included papers older than 3 years if they were particularly relevant to our topic. We also attempted to search for, use, and cite primary manuscripts whenever possible.
RESULTS: CPP is a challenging entity to treat because of diagnostic inconsistencies and limited evidence for therapeutic modalities. Our review found evidence suggestive of benefit for all modalities reviewed but the data was of overall low quality with numerous limitations. The literature highlights a lack of randomized controlled trials for neuromodulatory therapies but suggests a growing role for such techniques in treating refractory chronic pelvic pain syndrome (CPPS).
CONCLUSIONS: This review explores the available evidence on efficacy of neuromodulatory modalities for CPPS and contextualizes the results with information about the type of neuromodulation, lead location and waveform, pain outcomes and assessment timepoints, and reported adverse effects.
Errataetall: |
CommentIn: Pain Ther. 2023 Aug;12(4):1095-1097. - PMID 37148446 |
---|---|
Medienart: |
E-Artikel |
Erscheinungsjahr: |
2022 |
---|---|
Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
---|---|
Enthalten in: |
Pain and therapy - 11(2022), 4 vom: 15. Dez., Seite 1137-1177 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Hao, David [VerfasserIn] |
---|
Links: |
---|
Themen: |
Chronic pain |
---|
Anmerkungen: |
Date Revised 08.05.2023 published: Print-Electronic CommentIn: Pain Ther. 2023 Aug;12(4):1095-1097. - PMID 37148446 Citation Status PubMed-not-MEDLINE |
---|
doi: |
10.1007/s40122-022-00430-9 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM346262151 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM346262151 | ||
003 | DE-627 | ||
005 | 20231226031013.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231226s2022 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1007/s40122-022-00430-9 |2 doi | |
028 | 5 | 2 | |a pubmed24n1154.xml |
035 | |a (DE-627)NLM346262151 | ||
035 | |a (NLM)36109459 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Hao, David |e verfasserin |4 aut | |
245 | 1 | 0 | |a Neuromodulation for Management of Chronic Pelvic Pain |b A Comprehensive Review |
264 | 1 | |c 2022 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Revised 08.05.2023 | ||
500 | |a published: Print-Electronic | ||
500 | |a CommentIn: Pain Ther. 2023 Aug;12(4):1095-1097. - PMID 37148446 | ||
500 | |a Citation Status PubMed-not-MEDLINE | ||
520 | |a © 2022. The Author(s). | ||
520 | |a INTRODUCTION: Chronic pelvic pain (CPP) is a symptom that derives from a complex group of heterogeneous pathologies of the pelvic organs. The aim of this study was to review the available evidence on efficacy of neuromodulatory modalities including sacral neuromodulation, dorsal root ganglion stimulation, dorsal column neuromodulation, and pudendal nerve stimulation | ||
520 | |a METHODS: This narrative review focuses on updated information on neuromodulation for management of chronic pelvic pain. In 2022, we searched English-language studies on neuromodulation, pelvic pain, and chronic pain in a comprehensive search. We searched the following databases: PubMed, Medline, SciHub, Cochrane Database of Systematic Reviews, and Google Scholar. We used the following combinations of keywords: neuromodulation, pelvic pain, chronic pain, chronic pelvic pain, pelvic pain treatment. We tried to include as many recent manuscripts as possible (within the last 3 years) but also included papers older than 3 years if they were particularly relevant to our topic. We also attempted to search for, use, and cite primary manuscripts whenever possible | ||
520 | |a RESULTS: CPP is a challenging entity to treat because of diagnostic inconsistencies and limited evidence for therapeutic modalities. Our review found evidence suggestive of benefit for all modalities reviewed but the data was of overall low quality with numerous limitations. The literature highlights a lack of randomized controlled trials for neuromodulatory therapies but suggests a growing role for such techniques in treating refractory chronic pelvic pain syndrome (CPPS) | ||
520 | |a CONCLUSIONS: This review explores the available evidence on efficacy of neuromodulatory modalities for CPPS and contextualizes the results with information about the type of neuromodulation, lead location and waveform, pain outcomes and assessment timepoints, and reported adverse effects | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Review | |
650 | 4 | |a Chronic pain | |
650 | 4 | |a Chronic pelvic pain | |
650 | 4 | |a Neuromodulation | |
650 | 4 | |a Pain treatment | |
650 | 4 | |a Pelvic pain | |
700 | 1 | |a Yurter, Alp |e verfasserin |4 aut | |
700 | 1 | |a Chu, Robert |e verfasserin |4 aut | |
700 | 1 | |a Salisu-Orhurhu, Mariam |e verfasserin |4 aut | |
700 | 1 | |a Onyeaka, Henry |e verfasserin |4 aut | |
700 | 1 | |a Hagedorn, Jon |e verfasserin |4 aut | |
700 | 1 | |a Patel, Kiran |e verfasserin |4 aut | |
700 | 1 | |a D'Souza, Ryan |e verfasserin |4 aut | |
700 | 1 | |a Moeschler, Susan |e verfasserin |4 aut | |
700 | 1 | |a Kaye, Alan David |e verfasserin |4 aut | |
700 | 1 | |a Orhurhu, Vwaire |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Pain and therapy |d 2012 |g 11(2022), 4 vom: 15. Dez., Seite 1137-1177 |w (DE-627)NLM240485173 |x 2193-8237 |7 nnns |
773 | 1 | 8 | |g volume:11 |g year:2022 |g number:4 |g day:15 |g month:12 |g pages:1137-1177 |
856 | 4 | 0 | |u http://dx.doi.org/10.1007/s40122-022-00430-9 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 11 |j 2022 |e 4 |b 15 |c 12 |h 1137-1177 |