Department of Physical Therapy, University of California San Diego, La Jolla, CA, USA.
University of California San Diego, Koman Outpatient Pavilion, Rehabilitation Services, 9400 Campus Point Drive, La Jolla, CA, 92037, USA.
Curr Pain Headache Rep. 2022 Oct;26(10):775-782. doi: 10.1007/s11916-022-01076-0. Epub 2022 Sep 16.
Female urogenital pain (FUGP) affects many women and is often a diagnosis of exclusion. The long path to a diagnosis and subsequent treatment frequently leads to suffering on the individual's behalf (Obstet. Gynecol. 121: 645-50, 2013). Additionally, this delay in diagnosis and thus treatment places stress on the US medical system (Obstet. Gynecol. 121: 645-50, 2013). There is a lack of knowledge regarding the scope of pelvic floor physical therapy (PFPT) across the medical community that may prevent physicians from referring patients (J Urol. 193:1545-53, 2015; Sex Med Rev., 2021). PFPT is a low-risk, potentially high-reward option that should be recognized as part of the multidisciplinary approach to managing FUGP.
Research databases (PubMed and Cochrane) were used to find articles on FUGP between 2005 and 2022. Systematic reviews, randomized controlled trials (RCTs), prospective and retrospective cohorts, and case-study analyses were included in reviewing the literature. The most recent studies in the last 2 years show the benefit of PFPT in certain FUGP diagnoses with improved pain scores and function when compared to no intervention or placebo treatment. The aim of this article is to elucidate the scope of PFPT in the treatment of FUGP with supporting research findings regarding efficacy. It is clear from the literature that PFPT should be recognized by referring physicians as part of a multidisciplinary approach to the treatment of FUGP.
目的综述：女性泌尿生殖疼痛（FUGP）影响了许多女性，且通常是一种排除性诊断。从诊断到后续治疗的漫长过程常常会给患者带来痛苦（Obstet. Gynecol. 121: 645-50, 2013）。此外，这种诊断和治疗的延迟给美国医疗系统带来了压力（Obstet. Gynecol. 121: 645-50, 2013）。医疗界对盆底物理治疗（PFPT）的范围缺乏了解，这可能导致医生无法为患者转介（J Urol. 193:1545-53, 2015; Sex Med Rev., 2021）。PFPT 是一种低风险、高回报的选择，应被视为管理 FUGP 的多学科方法的一部分。
最新发现：使用 PubMed 和 Cochrane 研究数据库，检索了 2005 年至 2022 年期间关于 FUGP 的文章。系统评价、随机对照试验（RCT）、前瞻性和回顾性队列研究以及病例研究分析均被纳入文献综述。过去 2 年中最新的研究表明，PFPT 在某些 FUGP 诊断中具有益处，与无干预或安慰剂治疗相比，疼痛评分和功能得到改善。本文旨在阐明 PFPT 在治疗 FUGP 中的作用范围，并提供支持疗效的研究结果。文献清楚地表明，PFPT 应该被转介医生识别为治疗 FUGP 的多学科方法的一部分。
