Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study
Prostatitis is a chronic disease that does not respond well to therapy. It is prone to frequent relapses and does not have a clear and unambiguous clinical picture, which can lead to diagnostic failure. A case of overactive bladder and myofascial syndrome described. The clinical picture was interpre...
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| Format: | Article |
| Language: | Russian |
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Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
2019-09-01
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| Series: | Вестник урологии |
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| Online Access: | https://www.urovest.ru/jour/article/view/273 |
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| author | E. V. Kulchavenya A. A. Baranchukova |
| author_facet | E. V. Kulchavenya A. A. Baranchukova |
| author_sort | E. V. Kulchavenya |
| collection | DOAJ |
| description | Prostatitis is a chronic disease that does not respond well to therapy. It is prone to frequent relapses and does not have a clear and unambiguous clinical picture, which can lead to diagnostic failure. A case of overactive bladder and myofascial syndrome described. The clinical picture was interpreted as «chronic prostatitis» erroneously. Differentiated analysis of the International Prostate Symptom Score (IPSS) and NIH-CPSI (National Institute of Health Chronic Prostatitis Symptom Index) questionnaires, as well as palpation of trigger points made it possible to establish the correct diagnosis. The following drugs were prescribed: Trospium chloride (Spasmex® ) 15 mg twice a day, Baclоfen (Baclophenum) 10 mg daily, Combilipen (B vitamins multicomplex) intramuscularly, Nimesulide (Nimesulide) orally, and locally low-intensity laser therapy. The patient noted a marked improvement after 14 days: the pain intensity decreased from 8 points to 1, urination urgency was not noted, nocturia stopped. The quality of life (QoL) accordingly improved to 1 point on the IPSS scale. The total score for domains III and IV decreased from 11 to 3 according to the NIH-CPSI symptom scale of chronic prostatitis. The pronounced positive dynamics of the patient’s state of health has confirmed the accuracy of the diagnosis and treatment. |
| format | Article |
| id | doaj-art-add63f10af38480fac6cd7d5964b75f7 |
| institution | Kabale University |
| issn | 2308-6424 |
| language | Russian |
| publishDate | 2019-09-01 |
| publisher | Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education |
| record_format | Article |
| series | Вестник урологии |
| spelling | doaj-art-add63f10af38480fac6cd7d5964b75f72025-08-20T03:35:53ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242019-09-0173596510.21886/2308-6424-2019-7-3-59-65213Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case studyE. V. Kulchavenya0A. A. Baranchukova1Novosibirsk Research Institute of Tuberculosis; Novosibirsk State Medical UniversityNovosibirsk State Medical UniversityProstatitis is a chronic disease that does not respond well to therapy. It is prone to frequent relapses and does not have a clear and unambiguous clinical picture, which can lead to diagnostic failure. A case of overactive bladder and myofascial syndrome described. The clinical picture was interpreted as «chronic prostatitis» erroneously. Differentiated analysis of the International Prostate Symptom Score (IPSS) and NIH-CPSI (National Institute of Health Chronic Prostatitis Symptom Index) questionnaires, as well as palpation of trigger points made it possible to establish the correct diagnosis. The following drugs were prescribed: Trospium chloride (Spasmex® ) 15 mg twice a day, Baclоfen (Baclophenum) 10 mg daily, Combilipen (B vitamins multicomplex) intramuscularly, Nimesulide (Nimesulide) orally, and locally low-intensity laser therapy. The patient noted a marked improvement after 14 days: the pain intensity decreased from 8 points to 1, urination urgency was not noted, nocturia stopped. The quality of life (QoL) accordingly improved to 1 point on the IPSS scale. The total score for domains III and IV decreased from 11 to 3 according to the NIH-CPSI symptom scale of chronic prostatitis. The pronounced positive dynamics of the patient’s state of health has confirmed the accuracy of the diagnosis and treatment.https://www.urovest.ru/jour/article/view/273chronic prostatitisoveractive bladderdiagnostic failuretrospium chloride (spasmex®) |
| spellingShingle | E. V. Kulchavenya A. A. Baranchukova Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study Вестник урологии chronic prostatitis overactive bladder diagnostic failure trospium chloride (spasmex®) |
| title | Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study |
| title_full | Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study |
| title_fullStr | Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study |
| title_full_unstemmed | Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study |
| title_short | Masks of Chronic Prostatitis: Overactive bladder and Myofascial Syndrome. Case study |
| title_sort | masks of chronic prostatitis overactive bladder and myofascial syndrome case study |
| topic | chronic prostatitis overactive bladder diagnostic failure trospium chloride (spasmex®) |
| url | https://www.urovest.ru/jour/article/view/273 |
| work_keys_str_mv | AT evkulchavenya masksofchronicprostatitisoveractivebladderandmyofascialsyndromecasestudy AT aabaranchukova masksofchronicprostatitisoveractivebladderandmyofascialsyndromecasestudy |