• The Journal of Internal Korean Medicine
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• v.44 no.3
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• pp.536-543
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• 2023

Objectives: The purpose of this study was to report the effectiveness of Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment in the management of chronic prostatitis/chronic pelvic pain syndrome. Methods: A patient with chronic prostatitis/chronic pelvic pain syndrome underwent Korean medical treatment, including Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment. The severity of symptoms was assessed with a daily visual analog scale (VAS) for orchialgia and lower abdominal pain. In addition, we measured the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) on the first and last days of visit. Results: The patient's symptoms were improved after treatment. The severity of orchialgia was reduced from VAS7 to VAS2, and lower abdominal pain was improved from VAS6 to VAS1. NIH-CPSI decreased from 21 to 5. Conclusion: Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment are effective in treating chronic prostatitis/chronic pelvic pain syndrome.

• The Journal of Internal Korean Medicine
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• v.31 no.4
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• pp.914-922
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• 2010

Objective : The purpose of this study is to report the clinical effect of herb medicine (Indongsoyeom-bang) and acupuncture therapy on Chronic Prostatitis/Chronic Pelvic Pain Syndrome. Methods : 15 patients diagnosed with Chronic Prostatitis/Chronic Pelvic Pain Syndrome were enrolled in this study. They were treated with herb medicine (Indongsoyeom-bang) and acupuncture therapy. To evaluate the therapeutic effect, before and after we measured Extract Prostatic Secretion (EPS), National Institutes of Health Chronic Prostatitis Symptom Index (NIHCPSI) and International Prostatitis Symptom Score (IPSS). Result : After treatment WBC numeral index by EPS test and NIH-CPSI and IPSS decreased. Conclusion : Herb medicine (Indongsoyeom-bang) and acupuncture therapy are effective in treating Chronic Pelvic Pain Syndrome. Further study of mechanism and efficacy is needed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.3
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• pp.201-208
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• 2016

Chronic prostatitis/Chronic pelvic pain syndrome (CP/CPPS) is a common disorder to men that involved urinary symptoms and sexual activity-related discomfort. As a pathophysiology of the diseases has not been established, CP/CPPS is diagnosed on the basis of symptoms, principally pain or discomfort in the pelvic region. The purpose of this study is to report the clinical effects of Korean medicine, Sibimijihwang-tang(十二味地黃湯), bee venom pharmacopuncture, and acupuncture treatment on 6 cases of CP/CPPS. 6 patients were treated with Korean medicine, Sibimijihwang-tang and acupuncture and bee venom pharmacopuncture was given into Hoeeum(CV1) et al. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to assess treatment effect. After treatment, NIH-CPSI decreased significantly all the patients. Sibimijihwang-tang, bee venom pharmacopuncture and acupuncture treatment was shown fairly effective to CP/CPPS.

• Childhood Kidney Diseases
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• v.11 no.1
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• pp.126-131
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• 2007

Flank Pain is a leading indicator of renal and upper urinary tract disease or trauma, and rarely results from pelvic congestion syndrome. Although pelvic congestion syndrome occurs commonly in multi-parous women, pelvic congestion syndrome should also be considered as the cause of flank pain in an adolescent girl. We report the first case of pelvic congestion syndrome presenting with chronic left flank pain in an adolescent girl.

• Journal of Acupuncture Research
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• v.31 no.4
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• pp.223-232
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• 2014

Objectives : The objective of this study was to report a effectiveness of meridian tendino-musculature acupuncture on the pelvic pain and dysuria in a patient with chronic prostatitis. Methods : A patient with Pelvic pain and Dysuria was treated with acupuncture and moxibustion. Before and After treatment we measured International Prostate Symptom Score(IPSS), National Institutes of Health-Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS). Results : International Prostate Symptom Score(IPSS), National Institutes of Health -Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS) scores were decreased considerably after 14 times treatment. Conclusions : It was suggesting that symptoms(pelvic pain and dysuria) of chronic prostatitis could be improved by acupuncture and moxibustion treatment in the view of the meridian tendino- musculature acupuncture.

• The Journal of Korean Medicine
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• v.41 no.1
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• pp.117-125
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• 2020

Objectives: Chronic Prostatitis/Chronic Pelvic Pain Syndrome(CP/CPPS) is diagnosed on the basis of symptoms, principally pain or discomfort in the pelvic region. Pathophysiology and treatment of this disease has not been established. CP/CPPS's main symptom appears to be an incurable pain and Collateral disease's(絡病) symptoms also appear as incurable pain in general. The purpose of this study is to report the clinical effects of Gyejibokryeong-hwan(桂枝茯苓丸) based on removing Stasis and freeing Collateral disease on CP/CPPS in which pain appears largely. Methods: The patient was treated with Gyejibokryeong-hwan. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to assess treatment effect. Results: NIH-CPSI and Pelvic pain decreased significantly after treatment. Conclusions: Gyejibokryeong-hwan was effective in treating CP/CPPS. Especially, there was a clear effect on Pelvic pain among the symptoms.

• The Journal of Internal Korean Medicine
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• v.36 no.3
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• pp.391-399
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• 2015

Objectives This case series reports the efficacy of Baenong Ickki San, a Bojungikki-tang -modified formula, in treating chronic prostatitis/chronic pelvic pain syndrome. Methods Patients diagnosed with chronic prostatitis/chronic pelvic pain syndrome (n=11) were treated with Baenong Ickki San. Changes in their condition were measured using the National Institutes of Health Chronic Prostatitis Symptoms Index (NIH-CPSI). Results NIH-CPSI scores showed a significant improvement in the disease. The mean NIH-CPSI total score significantly decreased from 37.6±5.8 at baseline to 7.5±3.9 at end point (p<0.001), i.e., a 30.2±7.3 mean decrease was noted. Conclusions Baenong Ickki San may be a potential new medicine for chronic prostatitis/chronic pelvic pain syndrome.

• Journal of Korean Neurosurgical Society
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• v.47 no.6
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• pp.473-476
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• 2010

Sacral nerve stimulation (SNS) is an effective treatment for bladder and bowel dysfunction, and also has a role in the treatment of chronic pelvic pain. We report two cases of intractable pain associated with cauda equina syndrome (CES) that were treated successfully by SNS. The first patient suffered from intractable pelvic pain with urinary incontinence and fecal incontinence after surgery for a herniated lumbar disc. The second patient underwent surgery for treatment of a burst fracture and developed intractable pelvic area pain, right leg pain, excessive urinary frequency, urinary incontinence, voiding difficulty and constipation one year after surgery. A SNS trial was performed on both patients. Both patients' pain was significantly improved and urinary symptoms were much relieved. Neuromodulation of the sacral nerves is an effective treatment for idiopathic urinary frequency, urgency, and urge incontinence. Sacral neuromodulation has also been used to control various forms of pelvic pain. Although the mechanism of action of neuromodulation remains unexplained, numerous clinical success reports suggest that it is a therapy with efficacy and durability. From the results of our research, we believe that SNS can be a safe and effective option for the treatment of intractable pelvic pain with incomplete CES.

• The Journal of Internal Korean Medicine
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• v.29 no.3
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• pp.800-809
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• 2008

Objective : Although chronic prostatitis/chronic pelvic pain syndrcme(CP/CPPS) is a common disease, there is no consensus on the etiology or pathology and treatment. This was a double-blinded, placebo-controlled, randomized clinical trial, investigating the therapeutic effects of the traditional Korean medicine, Bosingunyang-tang(BSGYT). Method : Participants who met US National Institutes of Health (NIH) consensus criteria for CP/CPPS were entered after applying inclusion/exclusion criteria. They were randomized to the BSGYT or placebo group. and treated three times a day for 6 weeks. NIH-Chronic Prostatitis Symptom Index (NIH-CPSI) was used to estimate the clinical symptoms of CP/CPPS. Prostaglandin E2 and ${\beta}$-endorphin in prostatic fluid, collected by 2-glass pre-massage and post-massage test, were analyzed as factors associated with pain and inflammation. Result : The mean decrease in NIH-CPSI total score of the BSGYT group was 11.0 points, which is 5.7 points more than the placebo group. (Mann Whitney test P=0.038) Also the BSGYT group showed three times higher response rate than the placebo group in NIH-CPSI pain subscale score. (Fisher's exact test P=0.027) In those responders, prostaglandin E2 decreased significantly. (Wilcoxon's signed-ranks test P=0.037). No specific side effects were observed. Conclusion : After a 6-week treatment period, BSGYT improved clinical symptoms of CP/CPPS patients by decreasing PGE2 level in prostatic fluid.

• The Korean Journal of Pain
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• v.8 no.1
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• pp.149-151
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• 1995

Piriformis syndrome is a syndrome of low back and leg radiating pain thought to be due to a chronic contracture of the piriformis muscle that causes irritation of the sciatic nerve. The piriformis muscle is a flat pyramidal muscle, an external rotator and abductor of the hip, originating from the front of the sacrum and inner aspect of the sacroiliac joint, then passes laterally out of the sciatic notch to attach posteriorly to the greater trochanter of the femur, the sciatic nerve passes between the two bellies of the muscle. Mechanical irritation of the sciatic nerve by an inflammatory reaction of the piriformis muscle and its fascia at this pelvic level causes pain to radiate in the dermatomal regions of the nerve roots similar to that disk entrapment. diagnosis of piriformis syndrome is made primary on the basis of history and clinical examination. The incidence is considerably higher in women, with the reported ratio of women to men of 6:1. These patients frequently present with associated symptoms of pelvic pain and/or dyspareunia. Symptoms are usually unilateral but occasionally be bilateral. We had a 42 year-old woman patient with low back and left leg radiating pain and dyspareunia treated by caudal steroid and local anesthetic.