Severe Case of Chronic Pelvic Pain Syndrome: Recovery after Injection of Procaine into the Vesicoprostatic Plexus—Case Report and Discussion of Pathophysiology and Mechanisms of Action

Kronenberg, Regula; Ludin, Sabina; Fischer, Lorenz (2018). Severe Case of Chronic Pelvic Pain Syndrome: Recovery after Injection of Procaine into the Vesicoprostatic Plexus—Case Report and Discussion of Pathophysiology and Mechanisms of Action. Case reports in urology, 2018, pp. 1-5. Hindawi 10.1155/2018/9137215

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We describe a patient with a 35-year history of a severe chronic pelvic pain syndrome (CPPS) that failed to adequately respond to various drug therapies and other treatments by different specialists. In addition to the ongoing chronic pain, he suffered fromweeklong episodes of increased pain with no discernible trigger. At the first consultation with us the patient was in a particularly severe pain phase. He was taking four different analgesically effective drugs. In terms of therapeutic local anesthesia (neural therapy), we performed suprapubic injection of procaine 1% with infiltration of the vesicoprostatic plexus. Just a few minutes later, the pain decreased significantly. To maintain and further increase the effect, we performed the injection six more times. The patient gradually reduced and stopped all drugs and remained free of pain and discomfort ever since. This is the first report of a successful therapeutic infiltration of the vesicoprostatic plexus using a local anesthetic (LA) in a patient with CPPS that has been refractory to different treatments for many years. A possible explanation may be that the positive feedback loops maintaining pain and neurogenic inflammation are disrupted by LA infiltration. This can lead to a new organisation (self-organisation) of the painprocessing systems.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of Complementary Medicine (ICOM)

UniBE Contributor:

Ludin, Sabina and Fischer, Lorenz

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-6978

Publisher:

Hindawi

Language:

English

Submitter:

Lorenz Fischer

Date Deposited:

18 Jul 2018 12:29

Last Modified:

22 Jul 2018 02:30

Publisher DOI:

10.1155/2018/9137215

BORIS DOI:

10.7892/boris.118679

URI:

https://boris.unibe.ch/id/eprint/118679

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