The role of the multi-disciplinary team and multi-disciplinary therapeutic protocol in the management of the chronic pelvic pain: There is strenght in numbers!

A. Centemero, Lorenzo Rigatti, Donatella Giraudo, Guglielmo Mantica, Davide De Marchi, Elisabetta Francesca Chiarulli, Franco Gaboardi
In: Archivio Italiano di Urologia e Andrologia · 2021 · vol. 93(2) , pp. 211–214 · doi:10.4081/aiua.2021.2.211 · PMID:34286558 · W3177371034
article OA: gold CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

A multi-disciplinary team approach involving urogynecologists, a psychologist, and a physiotherapist, alongside a multimodal therapeutic protocol, significantly improved chronic pelvic pain outcomes.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This prospective study evaluated whether a multidisciplinary team (MDT) and a multidisciplinary therapeutic protocol improve outcomes for chronic pelvic pain (CPP), comparing consecutive patients referred from 11/2016 to 2/2019 before vs after MDT implementation. Group A (41 females, 6 males) received weekly bladder instillations with dimethyl sulfoxide (DMSO) plus kinesiotherapy for trigger points, percutaneous tibial nerve stimulation for 10 weeks, self-treatment using the Stanford Protocol, and diet adherence, while Group B (38 females, 5 males) received only DMSO instillations and a strict diet. Group A showed statistically significant improvement in pelvic pain urgency/frequency measures on a 6-month voiding diary and a better Patient Global Impression of Improvement, with the major caveat that the design compares cohorts across time without a randomized control and has limited details on other confounders. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

INTRODUCTION: The aim of the study is to evaluate the effectiveness of a Multi-disciplinary team (MDT) and multi-disciplinary approach in the treatment of Chronic Pelvic Pain (CPP). METHODS: The data of all consecutive patients referred for a CPP from 11/2016 to 2/2019 has been prospectively collected. The sample was divided in two groups: Group A, made by patients managed after the institution of our MDT, and Group B, made of patients managed before this date. The MDT is composed by three urogynecologists, a psychologist and a physiotherapist. All Group A patients underwent a weekly bladder instillation with dimethyl sulfoxide (DMSO), kinesiotherapy for trigger points and Percutaneous Tibial Nerve Stimulation for 10 consecutive weeks. Patients were asked to perform a self-treatment following the Stanford Protocol and to adhere to a specific diet. All Group B patients were managed only with DMSO instillations and a strict diet. RESULTS: The Group A was made of 41 females and 6 males while the Group B was made of 38 females and 5 males. The Group A patients showed a statistically significant improvement in the Pelvic Pain Urgency Frequency, in the frequency times reported at the 6 months voiding diary, and a better Patient Global Impression of Improvement. CONCLUSIONS: Our data support the efficacy of the MDT in the management of CPP. The multimodal approach might represent an effective and reproducible non-invasive option to manage successfully CPP.

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chronic_pelvic_pain

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