Uclinic, Level 1, 421 Bourke Street, Surry Hills, Sydney, New South Wales 2010, Australia.
BJU Int. 2011 Apr;107 Suppl 3:34-7. doi: 10.1111/j.1464-410X.2011.10047.x.
• To review the literature and the generally accepted unsatisfactory management of chronic genital pain in men. • To refer such patients for Journey psychotherapy and record the outcomes of such treatment.
• We describe an alternative psychotherapeutic approach in the treatment of such men, whereby deep-seated emotions are considered an underlying cause in the expression of chronic genital pain. • Eleven men with refractory chronic genital pain were counselled, and given one Journey process, lasting 2-3 h. • They were followed up for up to 4 years in some cases, and their outcomes recorded. • No further treatment was undertaken in this time.
• Of the 11 cases, four had significant pain relief, four had partial relief of their symptoms, and three did not (or may have had some relief but were lost to follow-up).
• Chronic genital pain syndromes are common and often debilitating. Patients are subject to an array of investigations that usually identify non-specific abnormalities at best. Treatment is usually aimed at symptomatic control as underlying organic pathology is rarely identified. Patients have been given multiple courses of antibiotics even in the absence of identifiable organisms, anti-inflammatory drugs in the absence of proven inflammation, and narcotic analgesics in an attempt to control chronic pain. Occasionally surgery, such as orchidectomy, has been performed to remove the painful organ, without satisfactory results. We therefore looked for an alternative approach that had the promise of a more satisfactory outcome. • Given the usual psychotherapeutic requirement of lengthy periods of therapy, and given that each patient only had one session, we find the above results remarkable and very encouraging. • With this experience, we now offer this approach early to avoid wasting time and money, and would persist with further therapy sessions especially in those with partial relief of their pain.
回顾文献和普遍认为不满意的男性慢性生殖器疼痛管理。
将此类患者转介进行 Journey 心理治疗，并记录这种治疗的结果。
我们描述了一种替代的心理治疗方法，用于治疗此类男性，认为深层情感是慢性生殖器疼痛表达的潜在原因。
对 11 名患有难治性慢性生殖器疼痛的男性进行了咨询，并进行了一次持续 2-3 小时的 Journey 治疗。
在某些情况下，对他们进行了长达 4 年的随访，并记录了他们的结果。
在这段时间内没有进行进一步的治疗。
慢性生殖器疼痛综合征很常见，且常常使人衰弱。患者接受了一系列检查，这些检查最好也只能识别出非特异性异常。治疗通常针对症状控制，因为很少发现潜在的有机病理学。即使没有可识别的病原体，患者也被给予了多种抗生素治疗，即使没有证实的炎症，也给予了抗炎药物，并用麻醉性镇痛药试图控制慢性疼痛。偶尔，例如睾丸切除术，已经进行了手术以切除疼痛的器官，但结果并不令人满意。因此，我们寻找了一种更有希望获得更满意结果的替代方法。
考虑到通常的心理治疗需要长时间的治疗，而且每个患者只有一次治疗，我们发现上述结果非常显著且令人鼓舞。
有了这方面的经验，我们现在早期提供这种方法，以避免浪费时间和金钱，并会坚持进一步的治疗疗程，特别是在那些疼痛部分缓解的患者。
