Experience of the use of extracorporeal shock wave therapy in the treatment of category III B chronic prostatitis
- Authors: Kernesyuk M.N1, Prouza O.1
-
Affiliations:
- Issue: No 6 (2013)
- Pages: 36-39
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/280014
- ID: 280014
Cite item
Open Access
Access granted
Abstract
The randomized controlled study was aimed to the evaluation of the efficacy of extracorporeal shock wave therapy (ESWT) compared with drug treatment in patients with chronic prostatitis category IIIB. The study included 30 patients with category IIIB chronic prostatitis (CP IIIB), divided into two groups of 15 subjects. In group 1, prostate ESWT was used as monotherapy, in the group 2 - only drug treatment. The impact was carried on the perineal region using standard radial ESWT device. The procedure was performed 1 time per week for 4 weeks according to the accepted protocol. All patients completed the treatment at outpatient settings. Control examinations of 30 patients were performed at 1, 2, 4 and 12 weeks after treatment. Efficacy was evaluated using the NIH-CPSI score. All patients in group 1 had a statistically significant reduction in pain intensity and improvement of quality of life compared with group 2. The study showed that prostate ESWT is a simple and effective method of treatment of CP IIIB not accompanied by the development of side effects.
Full Text
References
- Shoskes D.A., Berger R., Elmi A. et al. Muscle tenderness in men with chronic prostatitid / chronic pelvic pain syndrome: the chronic prostatitid cohort study. J Urol. 2008; 179: 556-560.
- Marszalek M., Berger I., Madersbacher S. Low-energy extracorporeal shock wave therapy for chronic pelvic pain syndrome: finally, the magic bullet? Eur. Urol. 2009; 56: 425-426.
- Krieger J.N., Nyber L.J., Nickel J.C. NIH consensus definition and classification of prostatitis. JAMA 1999; 282: 236-237.
- Nickel J.C. Classification and diagnosis of prostatitis: a gold standard? Andrologia. 2003; 35: 160-167.
- Krieger J.N., Egan K.J., Ross S.O. et al. Chronic pelvic pain represents the most prominent urogenital symptoms of chronic prostatitis. Urology. 1996; 48: 715-721.
- Pontari M.A. Chronic prostatitis/chronic pelvic pain szndrome. Urol. Clin. North Am. 2008; 35: 81-89.
- Porpert K.J., Alexander R.B., Nickel C.J. et al. The Chronic Prostatitis Collaborative Research Network. Design of a multicenter randomized clinical trial for chronic prostatitis/chronic pelvic pain syndrome. Urology. 2002; 59: 870-876.
- Nickel J.C., Downey J., Ardern D. et al. Failure of monotherapy strategy for difficult chronic prostatitis / chronic pelvic pain syndrome. J Urol. 2004; 174: 551-554.
- Anothaisintawee T., Attia J., Nickel J.C. et al. Management of chronic prostatitis / chronic pelvic pain syndrome: a systematic review and network meta-analysis. Journal of the American Medical Association. 2011; 305: 78-86.
- Fall M., Baranowski A. et al. EAU guidelines on chronic pelvic pain. Eur. Urol. 2010; 57: 35-48.
- Fukumoto Z., Ito A., Uwatoku T. et al. Extracorporeal cardiac shock wave therapy ameliorates myocardial ischemia in patients with severe coronary artery disease. Coron Artery Dis. 2006; 17: 63-70.
- Zimmermann R., Cumpanas A., Hoeltl L. et al. Extracorporeal shock-wave therapy for treating chronic pelvic pain syndrome: a feasibility study and the first clinical results. Br. J Urol. Int. 2008; 102: 976-980.
- Zimmermann R., Cumpas A., Miclea F. et al. Extracorporeal shock wave therapy for the treatment of chronic pelvic pain syndrome in males: a randomized, double-blind, placebo-controlled study. Eur. Urol. 2009; 56: 418-424.
- Malaz D.S., Pressman M.M., Assili A. et al. Extracorporeal shockwave therapy versus placebo for the treatment of chronic proximal plantar fasciitis: results of a randomized, placebo-controlled, double-blinded, nulticenter interventional trial. J Foor Ankle Surg. 2006; 45: 196-210.
- Rompe J.D., Meuer A., Nafe B. et al. Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local anesthesia in the treatment of chronic plantar fasciitis. J Orthod. Res. 2005; 23: 931-941.
- Gollwitzer H., Diehl P., von Korff A. et al. Extracorporeal shock wave therapy for chronic painful heel syndrome: a prospective, double blind, randomized trial assessing the efficacy of a new electomagnetic shock wave device. J Foot Ankle Surg. 2007; 46: 348-357.
- Vahdatpour B., Alizadeh F., Moayednia A. et al. Efficacy of Extracorporeal Shock Wave Therapy for the Treatment of Chronic Pelvic Pain Syndrome: A Randomized, Controlled Trial. Urology 2013. 6 p.
- Litwin M.S., McNaughton-Collins M., Flowler F.J. et al. The NIH Chronic Prostatitis Index [NIH-CPSI]: Development and validation of a new outcome measure. J Urol 1999; 162: 369-375.
Supplementary files
