Authors: Ernesto Delgado Cidranes, Zuramis Estrada Blanco.
Objective: The purpose of this study was verifying the effectiveness of the use of double bipolar radiofrequency in the control of urethritis and trigonitis in three patients with complex chronic pain syndromes of the pelvic floor.
Methods: Three women were analyzed and studied for inclusion in the study and treatment. These are very complex cases with no resolution with previous treatments. Previous studies were carried out, incontinence test, evaluation of pain scales, quality of life test, advanced echographic analysis such as elastography, low flow Doppler and 3D / 4D volumetric study of the urethral and vaginal area to be treated. Studies of flowmetry, cystoscopy, urethrocystography and analysis before and after with functional magnetic resonance were performed. We used the Pulstrode catheter at the urethral level and the bipolar radiofrequency Votiva Inmode for the treatment and vaginal approach.
Results: The three complex patients with severe pain above 7 on the analogue visual scale for pain decreased their pain by more than 4 points in the first 15 days after treatment. Two of them a month no longer present pain and only one pain was assessed in 2. The degree of satisfaction after the procedure was 100% for its clear improvement, absence of complications and improvement in quality of life.
Conclusion: 100% of patients improved in pain control, general satisfaction and improvement of quality of life. His level of frustration improved and limitations in social activities.
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