Sacral magnetic stimulation in non-inflammatory chronic pelvic pain syndrome.
OBJECTIVE
To prospectively evaluate sacral magnetic high-frequency stimulation as a treatment option for patients with non-inflammatory chronic pelvic pain syndrome (CPPS, category IIIB).


METHODS
Fourteen men with CPPS IIIB were treated with high-frequency sacral magnetic stimulation, with 10 treatment sessions once a week for 30 min at a frequency of 50 Hz. The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and quality-of-life index were determined before and after treatment.


RESULTS
All patients tolerated the stimulation well and 12 of 14 reported agreeable sensations during stimulation. There were no complications; only one patient did not complete the treatment course. The mean (range) total NIH-CPSI score did not change with treatment, at 27 (18-38) before and 27 (4-40) after treatment. Moreover, there was no sustained effect on the mean scores for pain, micturition complaints or quality of life.


CONCLUSIONS
High-frequency sacral magnetic stimulation in patients with CPPS IIIB only reduces pain during stimulation, with no sustained relief of symptoms. Therefore, intermittent sacral magnetic stimulation cannot be recommended as a treatment option for CPPS IIIB.
Leippold
Thomas
T
Department of Urology, University Hospital Zurich, Switzerland.
Strebel
Raeto T
RT
Huwyler
Mirjam
M
John
Hubert A
HA
Hauri
D
D
Schmid
Daniel M
DM
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004599:Electric Stimulation Therapy / Q000379:methods*; D006801:Humans; D008280:Magnetics / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D011446:Prospective Studies; D011472:Prostatitis / Q000150:complications*; D011788:Quality of Life; D012445:Sacrococcygeal Region; D017211:Treatment Failure