PD01-12 PELVIC FLOOR MYALGIA AND TEMPOROMANDIBULAR JOINT DYSFUNCTION: A COMMON AND CLINICALLY IMPORTANT RELATIONSHIP8.6.1

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Interstitial Cystitis (PD01)1 Sep 2021PD01-12 PELVIC FLOOR MYALGIA AND TEMPOROMANDIBULAR JOINT DYSFUNCTION: A COMMON AND CLINICALLY IMPORTANT RELATIONSHIP8.6.1 Luke* Griffiths, Samir Derisavifard, Daniel Alaiev, Michael Funaro, Micah Levy, Jessica Kreshover, Robert Moldwin, and Sonia Bahani Luke* GriffithsLuke* Griffiths More articles by this author , Samir DerisavifardSamir Derisavifard More articles by this author , Daniel AlaievDaniel Alaiev More articles by this author , Michael FunaroMichael Funaro More articles by this author , Micah LevyMicah Levy More articles by this author , Jessica KreshoverJessica Kreshover More articles by this author , Robert MoldwinRobert Moldwin More articles by this author , and Sonia BahaniSonia Bahani More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001965.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic floor muscle tenderness/dysfunction (PFMD) is a cause of pelvic pain commonly occurring with other chronic pain syndromes. Temporomandibular Joint dysfunction (TMJD) is a similar disorder often associated with pain. The current study wished to determine the association between these two conditions. METHODS: Patients were prospectively enrolled in 2 study groups: those with and without exam-proven myofascial pelvic pain. Inclusion into the pain-free group was predicated on the absence of a urinary infection, >18-years-old, PFMD, and the presence of microscopic hematuria without associated pathology. Patients were surveyed using the TMJD screening questionnaire, the International Prostate Symptom Score (IPSS), and the Genitourinary Pain Index (GUPI). Univariate and Bayesian regression models were generated to predict the probability of a TMJD diagnosis. RESULTS: One-hundred patients were enrolled with 50 in each arm. Patients in the pain group were significantly more likely to have a history of TMJD than those without pain (38% vs. 14%, p=0.01). The pain group has a 94.6% posterior probability for higher chance of TMJD than the pain-free group after adjusting for age. Additionally, Patients in the pain group expressed higher rates of lower urinary tract symptoms (IPSS: 14.6 vs. 5.5, p<0.01) and poorer quality of life (GUPI: 26.7 vs. 5.2, p<0.01). CONCLUSIONS: Patients with PFMD associated pain are 94.6% more likely to suffer from TMJD than pain-free patients without PFMD. These data suggest TMJD and PFMD may be functionally related syndromes. Source of Funding: None. © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e35-e36 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Luke* Griffiths More articles by this author Samir Derisavifard More articles by this author Daniel Alaiev More articles by this author Michael Funaro More articles by this author Micah Levy More articles by this author Jessica Kreshover More articles by this author Robert Moldwin More articles by this author Sonia Bahani More articles by this author Expand All Advertisement Loading ...