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Obstetrics and Gynegology2023№10
Interdisciplinary consensus on the use...

Interdisciplinary consensus on the use of high-intensity pulsed electromagnetic field therapy in the treatment of neurogenic pelvic pain

DOI
https://dx.doi.org/10.18565/aig.2023.117

Fomenko O.Yu., Shelygin Yu.A., Apolihina I.A., Bashankaev B.N., Martynov M.Yu., Morozov D.A., Shkoda A.S., Poryadin G.V., Suponeva N.A., Bakulin I.S., Pojdasheva A.G., Nikityuk D.B., Morozov S.V., Borodulina I.V., Teterina T.A., Danilov A.B., Dreval O.N., Chagava D.A., Salmasi Zh.M., Korshunova E.S., Katunina E.A., Kasyan G.R., Gvozdev M.Yu., Isagulyan E.D., Kulikov A.G., Romanov D.V., Reutova A.A., Rumiantsev A.S., Popov A.A., Puchkov K.V., Fedorov A.A., Komancev V.N., Ekusheva E.V., Vojtenkov V.B., Nikolaev S.G., Groshilin V.S., Genov P.G., Romih V.V., Zaharchenko A.V., Shornikov P.V., Sinkin M.V., Dilanyan O.E., Izvozchikov S.B., Markaryan D.R., Danilov М.A., Shchyogolev A.I., Malinina О.Yu., Marchenko V.A., Silant’eva E.S., Kanaev S.P., Troshina E.M., Davletshina V.V., Pimenova E.S., Kashnikov V.N., Titov A.Yu., Aleshin D.V., Belousova S.V., Nekrasov М.А., Maslyukova A.V., Cherepahina N.L., Ipatova M.V., Achkasov S.I.

1) Ryzhikh National Medical Research Centre for Coloproctology, Ministry of Health of Russia, Moscow, Russia; 2) I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 3) Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 4) A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia; 5) Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow, Russia; 6) Federal Center of Brain Research and Neurotechnologies, Moscow, Russia; 7) L.A. Vorokhobov City Hospital №67, Moscow Health Department, Moscow, Russia; 8) Research Center of Neurology, Moscow, Russia; 9) Federal Research Center of Nutrition and Biotechnology, Moscow, Russia; 10) Russian Medical Academy of Postgraduate Education, Moscow, Russia; 11) Institute of Interdisciplinary Medicine, Moscow, Russia; 12) Central Clinical Hospital of Civil Aviation, Moscow, Russia; 13) N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of Russia, Moscow, Russia; 14) Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department, Moscow, Russia; 15) Mental Health Research Center, Moscow, Russia; 16) Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russia; 17) Center for Clinical and Experimental Surgery, Moscow, Russia; 18) St. Petersburg Institute for Advanced Training of Medical Experts, St. Petersburg, Russia; 19) National Research University “Belgorod State University”, Belgorod, Russia; 20) “Elf” Medical Company, Vladimir, Russia; 21) Rostov State Medical University, Ministry of Health of Russia, Rostov-on-Don, Russia; 22) City Hospital №52, Moscow Health Department, Moscow, Russia; 23) National Medical Research Radiological Centre, Ministry of Health of Russia, Moscow, Russia; 24) Research Institute – Regional clinical hospital №1 named after Professor S.V. Ochapovsky, Krasnodar, Russia; 25) N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia; 26) Dr. Dilanyan’s Clinic, Moscow, Russia; 27) Lomonosov Moscow State University, Medical Scientific and Educational Center, Moscow, Russia; 28) A.S. Loginov Moscow Clinical Scientific Center, Moscow, Russia; 29) I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint-Petersburg, Russia; 30) Clinic “Doctor PROF”, Moscow, Russia; 31) Medical Cluster Lapino, Moscow region, Russia; 32) St. Petersburg State University Hospital, St. Petersburg, Russia; 33) Fantasy Children’s Clinic, Moscow, Russia; 34) Ivanovo State Medical Academy, Ministry of Health of Russia, Ivanovo, Russia

The article presents the protocols for high-intensity pulsed electromagnetic field therapy in the treatment of neurogenic pelvic pain including the use of perineal extracorporeal, translumbosacral and transcranial magnetic therapy. The protocols were developed at the Ryzhikh National Medical Research Centre for Coloproctology, Moscow, Russia. Objective: To evaluate the opinion of experts and develop a consensus document on the use of protocols for high-intensity pulsed electromagnetic field therapy in the treatment of patients with chronic neurogenic pelvic pain. Materials and methods: A total of 55 people were invited to participate in the survey; 55 patients or 100% took part in the survey. All the responses as well as comments and recommendations were analyzed and grouped. Results: The present work evaluated the respondents’ opinions on the options for the use of high-intensity pulsed electromagnetic field therapy in the treatment of chronic neurogenic pelvic pain. The interdisciplinary consensus on the use of this treatment in Russia was reached. Experts’ opinions on the necessity of using the developed treatment algorithm were highly consistent: more than 80% of the experts agreed on all issues during the first round of decision-making process, therefore there was no need to hold the second round of voting. It was possible to improve the therapeutic algorithm taking into consideration the suggestions made by the specialists and experts. Conclusion: The protocol for using high-intensity pulsed electromagnetic field therapy in the treatment of patients with chronic neurogenic pelvic pain was approved by the multidisciplinary consensus of specialists. The presented consensus protocol needs to be studied and tested in a controlled clinical trial.

Authors’ contributions: Fomenko O.Yu. – developing the design and concept of the study, writing the text; Fomenko O.Yu., Belousova S.V., Nekrasov M.A. – collecting and processing the material; Achkasov S.I., Shelygin Yu.A., Bashankaev B.N., Poryadin G.V., Martynov M.Yu., Morozov D.A., Apolihina I.A., Vojtenkov V.B., Borodulina I.V., Suponeva N.A., Bakulin I.S., Pojdasheva A.G., Chagava D.A., Popov A.A., Shornikov P.V., Sinkin M.V., Dilanyan O.E., Izvozchikov S.B., Isagulyan E.D., Markaryan D.R., Malinina O.Yu., Marchenko V.A., Rumiantsev A.S., Silant’eva E.S., Nikityuk D.B., Morozov S.V., Teterina T.A., Dreval O.N., Salmasi Zh.M., Katunina E.A., Kasyan G.R., Gvozdev M.Yu., Kulikov A.G., Romanov D.V., Shkoda A.S., Fedorov A.A., Titov A.Yu., Danilov M.A, Komancev V.N., Ekusheva E.V., Nikolaev S.G., Maslyukova A.V., Groshilin V.S., Genov P.G., Danilov A.B., Romih V.V., Zaharchenko A.V., Kanaev S.P., Puchkov K.V., Troshina E.M., Davletshina V.V., Kashnikov V.N., Aleshin D.V. Reutova A.A., Korshunova E.S., Shchyogolev A.I., Pimenova E.S., Cherepahina N.L., Ipatova M.V. – editing.

Conflicts of interest: The authors declare no possible conflicts of interest.

Funding: The study was conducted without sponsorship.

For citation: Fomenko O.Yu., Shelygin Yu.A., Apolihina I.A., Bashankaev B.N., Martynov M.Yu., Morozov D.A., Shkoda A.S., Poryadin G.V., Suponeva N.A., Bakulin I.S., Pojdasheva A.G., Nikityuk D.B., Morozov S.V., Borodulina I.V., Teterina T.A., Danilov A.B., Dreval O.N., Chagava D.A., Salmasi Zh.M., Korshunova E.S., Katunina E.A., Kasyan G.R., Gvozdev M.Yu., Isagulyan E.D., Kulikov A.G., Romanov D.V., Reutova A.A., Rumiantsev A.S., Popov A.A., Puchkov K.V., Fedorov A.A., Komancev V.N., Ekusheva E.V., Vojtenkov V.B., Nikolaev S.G., Groshilin V.S., Genov P.G., Romih V.V., Zaharchenko A.V., Shornikov P.V., Sinkin M.V., Dilanyan O.E., Izvozchikov S.B., Markaryan D.R., Danilov М.A., Shchyogolev A.I., Malinina О.Yu., Marchenko V.A., Silant’eva E.S., Kanaev S.P., Troshina E.M., Davletshina V.V., Pimenova E.S., Kashnikov V.N., Titov A.Yu., Aleshin D.V., Belousova S.V., Nekrasov М.А., Maslyukova A.V., Cherepahina N.L., Ipatova M.V., Achkasov S.I. Interdisciplinary consensus on the use of high-intensity pulsed electromagnetic field therapy in the treatment of neurogenic pelvic pain. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (10): 160-176 (in Russian) https://dx.doi.org/10.18565/aig.2023.117

Keywords

chronic pelvic pain
protocol validation
extracorporeal
peripheral and transcranial magnetic therapy
translumbosacral neuromodulating therapy
consensus
Full text (in Russian)

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Received 10.05.2023

Accepted 31.08.2023

About the Authors

Oksana Yu. Fomenko – 0000-0001-9603-6988, Scopus Author ID: 16401538300
Yurij A. Shelygin – 0000-0002-8480-9362, Scopus Author ID: 6602949973
Inna A. Apolihina – 0000-0002-4581-6295
Badma N. Bashankaev – 0000-0003-2397-6578, Scopus Author ID: 24484684700
Mikhail Yu. Martynov – 0000-0003-2797-7877
Dmitrij A. Morozov – 0000-0002-1940-1395, Scopus Author ID: 56677459800
Andrej S. Shkoda – 0000-0002-9783-1796
Gennadij V. Poryadin – 0000-0003-2010-3296, Scopus Author ID: 55985271400
Natal'ya A. Suponeva – 0000-0003-3956-6362, Scopus Author ID: 35773598900
Il'ya S. Bakulin – 0000-0003-0716-3737, Scopus Author ID: 56444062400
Aleksandra G. Pojdasheva – 0000-0003-1841-1177, Scopus Author ID: 57188590328
Dmitrij B. Nikityuk – 0000-0002-2259-1222
Sergej V. Morozov – 0000-0001-6816-3058, Scopus Author ID: 19836606400
Irina V. Borodulina – 0000-0001-7526-1553
Tatyana A. Teterina – 0000-0002-6116-264X
Alexey B. Danilov – 0000-0003-2958-4479
Oleg N. Dreval – 0000-0002-8944-9837 125993
Dmitrij A. Chagava – 0000-0001-8657-4360
Zhean M. Salmasi – 0000-0001-8524-0019
Ekaterina S. Korshunova – 0000-0003-1492-934X
Elena A. Katunina – 0000-0001-5805-486X
Gevorg R. Kasyan – 0000-0001-7919-2217
Michail Yu. Gvozdev – 0000-0001-8684-9336
Emil D. Isagulyan – 0000-0003-1191-9357
Aleksandr G. Kulikov – 0000- 0002-1468-3308
Dmitrij V. Romanov – 0000-0002-1822-8973
Alina A. Reutova – 0000-0001-5558-6545
Aleksander S. Rumiantsev – 0000-0002-1548-5456
Aleksandr A. Popov – 0000-0003-3692-2421
Konstantin V. Puchkov – 0000–0001–5081–510X
Anton A. Fedorov – 0000-0002-7674-5258
Vladimir N. Komancev – 0000-0003-2646-9790
Evgeniya V. Ekusheva – 0000-0002-3638-6094
Vladislav B. Vojtenkov – 0000-0003-0448-7402
Sergej G. Nikolaev – 0000-0002-6672-1623
Vitalij S. Groshilin – 0000-0001-9927-8798
Pavel G. Genov – 0000-0002-5629-9860
Viktoriya V. Romih – 0000-0003-3342-7281
Aleksej V. Zaharchenko –
Pavel V. Shornikov – 0000-0002-2358-6302
Mikhail V. Sinkin – 0000-0001-5026-0060
Oganes E. Dilanyan – 0000-0002-3447-9684
Sergey B. Ivozchikov – 0000-0001-9951-1246
Daniil R. Markaryan – 0000-0003-2711-2400
Michail A. Danilov – 0000-0001-9439-9873
Andrey I. Shchyogolev – 0000-0003-1563-2126
Olga Yu. Malinina – 0000-0002-5352-2350
Vladislav A. Marchenko – 0000-0003-0485-4364
Elena S. Silant'eva – 0000-0002-7667-3231
Sergey P. Kanaev – 0000-0002-3096-1123
Elena M. Troshina – 0000-0002-6863-5868
Viktorya V. Davletshina – 0000-0002-1988-1608, Scopus Author ID: 57655563000
Evgeniya S. Pimenova – 0000-0001-7206-5987
Vladimir N. Kashnikov – 0000-0002-5385-7898
Aleksandr Yu. Titov – 0000-0002-1636-8075
Denis V. Aleshin – 0000-0001-8863-2229
Svetlana V. Belousova – 0000-0003-1475-2599, Scopus Author ID: 26667552100
Maksim A. Nekrasov – 0000-0002-5767-0123
Anna V. Maslyukova – 0009-0007-3513-4868
Nadezhda L. Cherepahina –
Marina V. Ipatova –
Sergey I. Achkasov – 0000-0001-9294-5447, Scopus Author ID: 6603349645
Corresponding author: Oksana Yu. Fomenko, oksana671@yandex.ru

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