Prostatic vibratory stimulation for refractory chronic prostatitis: A case report.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a challenging condition with limited effective treatments. We report a case of a 44-year-old man with refractory CP/CPPS treated with a home-based prostatic vibratory stimulation protocol. After 12 weeks, the NIH-CPSI score improved from…
Initial Results of FAPI PET/MRI to Assess the Extent of Endometriosis.
Endometriosis is a common gynecologic disorder often associated with chronic pelvic pain, infertility, and reduced quality of life. Conventional imaging modalities, such as transvaginal ultrasound and MRI, may underestimate the extent of disease, particularly in deep infiltrating endometriosis. Fibr…
Uterine Leiomyomas Across the Menopausal Transition.
Leiomyomas remain highly prevalent by midlife, with persistent racial disparities in age at onset and tumor burden. Although they are traditionally expected to regress after menopause, longitudinal data demonstrate variable behavior, with many leiomyomas persisting, some regressing modestly, and a s…
Serving Those Who Served: Tailored Approaches for Military and Veteran Women With CPP.
Eighteen percent of active-duty personnel are women, and 11% of Veterans are women. Chronic pelvic pain (CPP) is found in 30% of women Veterans. We utilized the International Federation of Gynecology and Obstetrics and the International Pelvic Pain Society "R U MOVVING SOMe" classification system as…
Male Pelvic Health in Saudi Arabia: Knowledge-Practice Gap in Pelvic Floor Muscle Exercises and Implications for Preventive Physiotherapy and Health Policy.
To assess the knowledge, attitudes, and practices (KAP) of Saudi men toward pelvic floor muscle training (PFMT) and to identify demographic and clinical predictors of awareness and practice. A cross-sectional survey was conducted among 458 Saudi men in Al-Baha using a validated Arabic questionnaire…
Insomnia in UCPPS: Prevalence, Psychosocial Influences, and Clinical Implications.
To understand how disease-based and other psychosocial factors influence insomnia disorder in urologic chronic pelvic pain syndrome (UCPPS), this study examined rates of insomnia disorder in UCPPS, factors associated with insomnia disorder in UCPPS, and the relative impacts of urinary, cognitive, an…
Microglia Mediate Sex-Dependent Memory Deficits in Pelvic Pain.
Chronic pain is associated with memory deficits clinically and in animal models. Similarly, interstitial cystitis/bladder pain syndrome (IC/BPS) afflicts patients with severe chronic pelvic pain and urinary dysfunction as well as cognitive effects including anxiety/depression and patient-reported me…
From Cramps to Chronicity: Rethinking Dysmenorrhea on the Spectrum of Chronic Pelvic Pain.
Dysmenorrhea is pain associated with menstrual bleeding; however, recent research has shown that dysmenorrhea is a risk factor for chronic pelvic pain in some individuals. Shared etiological factors associated with pain, such as central sensitization, have also been shown in both conditions. This pa…