Huntzinger Jake, Selassie Meron
Medical University of South Carolina, 167 Ashley Avenue, Suite 301, Charleston, SC, 29425, USA.
Department of Anesthesiology, Medical University of South Carolina, 167 Ashley Avenue, Suite 301, Charleston, SC, 29425, USA.
Curr Urol Rep. 2023 Apr;24(4):165-171. doi: 10.1007/s11934-022-01141-6. Epub 2023 Jan 31.
Chronic pelvic pain syndrome (CPPS) is a common yet complex disease in the field of urology, gynecology, and pain management. This review article summarizes the anatomy and physiology of CPP with an in-depth discussion of established and emerging interventional treatment options.
Though psychosocial variables play a significant role in the development and propagation of CPPS, interventional treatment strategies are available to ameliorate symptoms. Sympathetic and peripheral nerve blocks along with chemical and radiofrequency denervation are conventional, evidence-based treatments. Recent advances in spinal cord stimulation and dorsal root ganglion stimulation offer novel and effective therapeutic options to treat CPPS. A biopsychosocial model should be employed for effective management of CPPS with advances in neuromodulation offering newfound hope in alleviating symptoms and restoring function.
慢性盆腔疼痛综合征（CPPS）是泌尿外科、妇科和疼痛管理领域中一种常见但复杂的疾病。本文综述总结了慢性盆腔疼痛的解剖学和生理学，并深入讨论了已确立的和新兴的介入治疗选择。
尽管社会心理因素在慢性盆腔疼痛综合征的发生和发展中起着重要作用，但仍有介入治疗策略可用于改善症状。交感神经和周围神经阻滞以及化学和射频去神经支配是传统的、有循证依据的治疗方法。脊髓刺激和背根神经节刺激的最新进展为治疗慢性盆腔疼痛综合征提供了新的有效治疗选择。应采用生物心理社会模型对慢性盆腔疼痛综合征进行有效管理，神经调节的进展为缓解症状和恢复功能带来了新的希望。
