PD62-09 PHYSICAL THERAPY FOR ORCHIALGIA EFFECTIVE IN PREVIOUSLY TREATED PATIENTS

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia II1 Apr 2018PD62-09 PHYSICAL THERAPY FOR ORCHIALGIA EFFECTIVE IN PREVIOUSLY TREATED PATIENTS Matthew A. Nielsen, Charles Gresham, Erin Glace, Courtney Anderson, Jessica Delong, Ramon Virasoro, Jeremy Tonkin, and Kurt McCammon Matthew A. NielsenMatthew A. Nielsen More articles by this author , Charles GreshamCharles Gresham More articles by this author , Erin GlaceErin Glace More articles by this author , Courtney AndersonCourtney Anderson More articles by this author , Jessica DelongJessica Delong More articles by this author , Ramon VirasoroRamon Virasoro More articles by this author , Jeremy TonkinJeremy Tonkin More articles by this author , and Kurt McCammonKurt McCammon More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2845AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Orchialgia and pelvic pain are challenging conditions to treat in urologic practice. Recent research and treatment programs have begun to focus on musculoskeletal dysfunction as a major contributor to pelvic pain and orchialgia. The objective of this study is to assess the clinically reported outcomes of patients who had past treatments for orchialgia and subsequently underwent physical therapy. METHODS A retrospective chart review was conducted on men who initially presented to our practice with orchialgia from January 2009 to June 2016 and referred for pelvic floor physical therapy. Each patient had a urologic assessment prior to physical therapy referral. Patients were evaluated and treated by our physical therapy team according to any presenting musculoskeletal impairments. Past treatments for orchialgia were assessed and NIH Chronic Prostatitis Symptom Index (NIH-CPSI) data was collected following pelvic floor physical therapy (PFPT). RESULTS A total of 392 patient charts were reviewed and 150 patients (38%) completed a NIH-CPSI questionnaire both pre and post treatment. One hundred and eight patients of these 150 patients (72%) had previous treatment for orchialgia. Average age was 44.6 years. Table 1 shows the number of patients previously treated with non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, surgery, nerve block, previous PFPT, and narcotics. Combination of these treatments was included. Previous surgeries were as follows: spermatocelectomy (1), hydrocelectomy (1), spermatic cord cyst removal (1), hernia repair (3), orchiopexy (2), vasectomy (2), varicocelectomy (5), spermatic cord stripping (1). Changes in pre and post NIH-CPSI pain, urinary and quality of life (QOL) categories are also shown in Table 1. Improvement was seen in NIH-CPSI pain and QOL categories for all patients who had previous treatment for orchialgia. CONCLUSIONS Physical therapy serves as a valid and effective treatment option for patients with orchialgia who have had previous medical and surgical interventions. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1160 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Matthew A. Nielsen More articles by this author Charles Gresham More articles by this author Erin Glace More articles by this author Courtney Anderson More articles by this author Jessica Delong More articles by this author Ramon Virasoro More articles by this author Jeremy Tonkin More articles by this author Kurt McCammon More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...