Botulinum Toxin A: Evolving Treatment Strategies for the Chronic Pelvic Pain Patient

被引:0
作者
Smith W.R. [1 ]
Murphy A.M. [1 ]
Das A.K. [1 ]
Shenot P.J. [1 ]
机构
[1] Department of Urology, Thomas Jefferson University, 1025 Walnut Street Suite 1100, Philadelphia, 19107, PA
关键词
Botulinum toxin; Chronic pain; Chronic pelvic pain syndrome (CPPS); Pelvic pain;
D O I
10.1007/s11884-016-0374-3
中图分类号
学科分类号
摘要
Chronic pelvic pain syndrome (CPPS) is defined as pain perceived within the structures of the male or female pelvis of at least 6-month duration. The management of CPPS in both men and women poses a challenge to both the clinician and the patient. Botulinum toxin type A (BoNT-A) is known to block the release of neurotransmitters at the neuromuscular junction but also appears to have anti-nociceptive and anti-inflammatory effects. BoNT-A has been used for over two decades to treat conditions associated with pathological muscle hyperactivity. There is emerging evidence that BoNT-A may play a role in treating CPPS when alternate treatments and more conservative measures have been ineffective. Moving forward, well-designed clinical trials are needed to further investigate the utility of BoNT-A use in the treatment of CPPS. © 2016, Springer Science+Business Media New York.
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页码:277 / 283
页数:6
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