N.S. BADIKOVA

«Izmaylovskiy» Consultation-diagnostic Center of National Medical-Surgical Center named after N.I. Pirogov, 70 Nizhnyaya Pervomayskaya St., Moscow, Russian Federation, 105203 

Badikova N.S. ― Cand. Med. Sc., obstetrics-gynecologist of Gynecology Department with day patient facility, tel. +7-916-847-95-97 

Objective ― to compare the efficiency and safety of obstetrics-gynecological massage and monotherapy with Tambuil suppositories in treating the chronic pelvic pain syndrome.

Materials and methods. 94 women patients aged 18 to 45 were examined; average age was 31.5 y.o., diagnosis ― chronic pelvic pain syndrome. 47 patients were treated with obstetrics-gynecological massage and 47 patients ― with Tambuil suppositories. All patients were divided into 2 groups according to the applied treatment: the 1^st group was treated with Tambuil vaginal suppositories (n=47), the 2^nd group ― obstetrics-gynecological massage (by Benediktov) (n=47). The efficiency and safety of therapy were estimated after 3 days and after a month after its termination.

Results. The efficiency of obstetrics-gynecological massage was higher due to laboratory-instrumental effects both during the first and the second visits compared with applying the Tambuil vaginal suppositories.

Conclusion. The most efficient scheme of chronic pelvic pain syndrome treatment was the obstetrics-gynecological massage. The efficiency of treatment with Tambuil vaginal suppositories was 75%, the efficiency of obstetrics-gynecological massage was 98%.

Key words: chronic pelvic pain syndrome, obstetrics-gynecological massage, pyleoid-therapy.

 
REFERENCES

1. Baranskaya E.K. Abdominal pain: a clinical approach to the patient and treatment algorithm. Place antispasmodic therapy in the treatment of abdominal pain. Farmateka, 2005, no. 14 (in Russ.).

2. Benediktov I.I. Ginekologicheskiy massazh i gimnastika [Gynecologic massage and gymnastics]. Nizhnii Novgorod: Izdatel’stvo NGMA, 1998. 24 p.

3. Ivashkin V.T., Shul’pekova Yu.O. The neural mechanisms of pain sensitivity. Rossiyskiy zhurnal gastroenterologii, gepatologii, koloproktologii, 2002, no. 4, p. 1 (in Russ.).

4. www.clinicaltrials.gov (accessed: 1.07.12).

5. http://www.sirweb.org/patients/chronic–pelvic–pain (accessed: 20.06.11).

6. Kuz’mina M.A. Resort factors in the system of regenerative treatment of patients with chronic inflammatory diseases of the pelvic organs, pelvic pain syndrome complicated. Zhurnal Rossiyskogo obshchestva akusherov-ginekologov, 2010, no. 2, p. 14 (in Russ.).

7. Shneyderman M.G. Akushersko-ginekologicheskiy massazh: prakticheskoe rukovodstvo dlya vrachey [Obstetric and gynecological massage: a practical guide for physicians]. Moscow: GEOTAR-Media, 2014. 82 p.

8. Anderson R., Wise D., Sawyer T., Nathanson B.H. Safety and Effectiveness of an Internal Pelvic Myofascial Trigger Point Wand for Urologic Chronic Pelvic Pain Syndrome. Clin. J. Pain, 2011, May 25 [Epub ahead of print www.pubmed.com].

9. Chang L. Brain responses to visceral and somatic stimuli in irritable bowel syndrome: a central nervous system disorder? Gastroenterol. Clin. North. Am, 2005, Jun, 34 (2), pp. 271-279.

10. Driul L., Bertozzi S., Londero A.P. et al. Risk factors for chronic pelvic pain in a cohort of primipara and secondipara at one year after delivery: association of chronic pelvic pain with autoimmune pathologies. Minerva Ginecol, 2011, Apr, 63 (2), pp. 181-7.

11. Jacques E. Common Chronic Pelvic Pain Symptoms by Diagnosis, available at: http://www.pain.about.com/od/typesofchronicpain/a/CPP symptoms.htm

12. Mayer E., Berman S., Suyenobu B. et al. Differences in brain responses to visceral pain between patients with irritable bowel syndrome and ulcerative colitis. Pain, 2005, Jun, 115 (3), pp. 398-409.

13. Musial F., Huser W., Langhorst J. et al. Psychophysiology of visceral pain in IBS and health. J. Psychosom. Res, 2008, Jun, 64 (6), pp. 589-597.

14. Neslihan Zehra Gultasl, Aydn Kurt, Ali Ipek, Mehmet Gumus, Kemal Rdvan Yazcoglu, Gulcin Dilmen, Ismet Tas The relation between pelvic varicose veins, chronic pelvic pain and lower extremity venous insufficiency in women. Diagn. Interv. Radiol, 2006, 12, pp. 34-38.

15. Soleymani H., Ismail L., Currie I. GPs should be vigilant for pelvic inflammatory disease. Practitioner, 2011, Mar, 255 (1738), pp. 15-8.