Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men
Introduction. Chronic prostatitis / Chronic pelvic pain syndrome (CP / CPPS) is an extremely common condition for which no effective treatment has been found yet. Focused shockwave therapy (fSWT) is a safe method of physical intervention that could potentially be effective in CP / CPPS treating.Obje...
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Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
2022-10-01
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| Series: | Вестник урологии |
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| Online Access: | https://www.urovest.ru/jour/article/view/578 |
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| author | I. A. Labetov G. V. Kovalev O. V. Volkova A. S. Shulgin D. D. Shkarupa |
| author_facet | I. A. Labetov G. V. Kovalev O. V. Volkova A. S. Shulgin D. D. Shkarupa |
| author_sort | I. A. Labetov |
| collection | DOAJ |
| description | Introduction. Chronic prostatitis / Chronic pelvic pain syndrome (CP / CPPS) is an extremely common condition for which no effective treatment has been found yet. Focused shockwave therapy (fSWT) is a safe method of physical intervention that could potentially be effective in CP / CPPS treating.Objective. To evaluate the efficacy and quality of life of patients after treatment of CP / CPPS with fSWT.Materials and methods. A prospective cohort study included 48 patients diagnosed with CP / CPPS. The patients attended the clinic three times a week for 4 weeks (12 sessions). Each time, patients received fSWT therapy sessions by “Chronic pelvic pain” protocol. One month after the last therapy session, the men completed the validated NIH-CPSI, IPSS, and QoL questionnaires.Results. The mean age of the patients was 40 ± 9 years. After the course of therapy, the score of Domain I “Pain” from 10.0 ± 4.7 to 6.3 ± 1.9 (p < 0.001). At the same time, no statistically significant decrease was obtained in Domain II 'Urination' scores ((5,88 ± 2,40 vs 5,42 ± 1,64; p = 0,11). By the end of therapy for Domains III and IV, the scores had changed from 4.42 ± 0.90 and 4.04 ± 1.27 to 4.48 ± 1.01 and 3.08 ± 1.22, respectively (p < 0,001). It is noted that the mean IPSS questionnaire score showed no statistically significant change over the treatment period (17,2 ± 4,8 vs 17,8 ± 4,8; p = 0,074)). QoL changed from 4.48 ± 0.99 to 2.46 ± 1.03 (p < 0.001).Conclusion. The study demonstrated the efficacy of fSWT as a standalone method in the treatment of CP / CPPS. |
| format | Article |
| id | doaj-art-ee867256f2fe4f0fb6e3d805066605a0 |
| institution | Kabale University |
| issn | 2308-6424 |
| language | Russian |
| publishDate | 2022-10-01 |
| publisher | Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education |
| record_format | Article |
| series | Вестник урологии |
| spelling | doaj-art-ee867256f2fe4f0fb6e3d805066605a02025-08-20T03:43:33ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242022-10-01103283510.21886/2308-6424-2022-10-3-28-35383Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in menI. A. Labetov0G. V. Kovalev1O. V. Volkova2A. S. Shulgin3D. D. Shkarupa4St. Petersburg State University – Pirogov Clinic of Advanced Medical TechnologiesSt. Petersburg State University – Pirogov Clinic of Advanced Medical Technologies; JSC «North-West Center for Evidence-Based Medicine»St. Petersburg State University – Pirogov Clinic of Advanced Medical TechnologiesSt. Petersburg State University – Pirogov Clinic of Advanced Medical Technologies; JSC «North-West Center for Evidence-Based Medicine»St. Petersburg State University – Pirogov Clinic of Advanced Medical Technologies; JSC «North-West Center for Evidence-Based Medicine»Introduction. Chronic prostatitis / Chronic pelvic pain syndrome (CP / CPPS) is an extremely common condition for which no effective treatment has been found yet. Focused shockwave therapy (fSWT) is a safe method of physical intervention that could potentially be effective in CP / CPPS treating.Objective. To evaluate the efficacy and quality of life of patients after treatment of CP / CPPS with fSWT.Materials and methods. A prospective cohort study included 48 patients diagnosed with CP / CPPS. The patients attended the clinic three times a week for 4 weeks (12 sessions). Each time, patients received fSWT therapy sessions by “Chronic pelvic pain” protocol. One month after the last therapy session, the men completed the validated NIH-CPSI, IPSS, and QoL questionnaires.Results. The mean age of the patients was 40 ± 9 years. After the course of therapy, the score of Domain I “Pain” from 10.0 ± 4.7 to 6.3 ± 1.9 (p < 0.001). At the same time, no statistically significant decrease was obtained in Domain II 'Urination' scores ((5,88 ± 2,40 vs 5,42 ± 1,64; p = 0,11). By the end of therapy for Domains III and IV, the scores had changed from 4.42 ± 0.90 and 4.04 ± 1.27 to 4.48 ± 1.01 and 3.08 ± 1.22, respectively (p < 0,001). It is noted that the mean IPSS questionnaire score showed no statistically significant change over the treatment period (17,2 ± 4,8 vs 17,8 ± 4,8; p = 0,074)). QoL changed from 4.48 ± 0.99 to 2.46 ± 1.03 (p < 0.001).Conclusion. The study demonstrated the efficacy of fSWT as a standalone method in the treatment of CP / CPPS.https://www.urovest.ru/jour/article/view/578chronic pelvic pain syndromechronic prostatitisshock-wave therapypelvic pain |
| spellingShingle | I. A. Labetov G. V. Kovalev O. V. Volkova A. S. Shulgin D. D. Shkarupa Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men Вестник урологии chronic pelvic pain syndrome chronic prostatitis shock-wave therapy pelvic pain |
| title | Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men |
| title_full | Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men |
| title_fullStr | Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men |
| title_full_unstemmed | Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men |
| title_short | Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men |
| title_sort | efficacy of focused shock wave therapy in the treatment of chronic prostatitis chronic pelvic pain syndrome in men |
| topic | chronic pelvic pain syndrome chronic prostatitis shock-wave therapy pelvic pain |
| url | https://www.urovest.ru/jour/article/view/578 |
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