The Preliminary Study Of Correlation Between Chronic Pelvic Pain Syndrome And Central Lumbar Disc Herniation

Objective:To study the correlation of chronic pelvic pain syndrome (CPPS) and central lumbar disc herniation (CLIDH), and explore the cause of CPPS, seeking the effective treatment.Methods:The outpatient CPPS patients, diagnosed according to the inclusion criteria, are examined with lumbar intervertebral disc (lumbar sacral 3 to 1) CT. The positive patients are randomly divided into the control group and experimental group. The control group is treated with doxazosin mesylate 4mg,1 night times. The experimental group is taked lumbar traction (every other day, every 30 min, traction changed with tolerated in patients and body weight), while giving the medicine Duhuojisheng decoction (1 dose,2 times a day orally). Before and after treatment 4 weeks, NIH Chronic Prostatitis Symptom Index (NIH-CPS1) score, including pain, urinary symptoms and quality of life scores, as well as Self-Rating Anxiety Scale (SAS) score are recorded.Results:In 160 cases of unexplained CPPS patients,132 cases (82.5%) exists CLIDH.125 cases of patients complete the experiment finally with orbicular data, including 60 cases of control group,65 patients of experimental group. After 4 weeks of treatment in the control group, CPSI total score decreases from 25.03±2.79 to 23.27±4.65 (P> 0.05), in which the pain score from 12.68±1.70 to 12.45±3.10 (P> 0.05), voiding score from 4.67±1.27 down to 3.57± 1.56 (P<0.05), quality of life score from 7.68 ±1.48 to 7.25±1.87 (P> 0.05), with the SAS score of 53.50± 4.64 decreased to 52.13±5.79 (P> 0.05). After the experimental group therapy, CPSI total score decreases 26.33±2.64 to 15.62± 2.46, in which the pain score of 13.43± 1.48 down to 7.83 ±1.96, urinary tract symptom score of 4.70±1.26 down to 3.60± 1.43, quality of life score of 7.26±1.64 down to 4.18±1.03, with the SAS score decreased from 54.15±5.23 to 37.28±9.08. Compared with before treatment, the differences are statistically significant (P<0.05). Moreover, the curative effect of experimental group has an advantage of the control group in CPSI, pain, quality of life and SAS (P<0.05).Conclusion:CLIDH will probably be one important cause of most of the CPPS. And it has an obvious curative effect and simple methods for such CPPS patients with lumbar traction therapy and oral Tradition Chinese Medicine. It provides a new way of thinking and methods for clinical diagnosis and treatment CPPS.