Clinical Efficacy of Multi-Focal Low-Intensity Extracorporeal Shockwave Therapy in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Prospective-Randomized, Double Blind, Placebo-Controlled Study

• Published in: The world journal of men's health Vol. 40; no. 4; pp. 678 - 685
• Main Authors: Kim, Kang Sup, Choi, Yong Sun, Bae, Woong Jin, Cho, Hyuk Jin, Ha, U-Syn, Hong, Sung-Hoo, Lee, Ji Youl, Han, Chang Hee, Kim, Sae Woong
• Format: Journal Article
• Language: English
• Published: Busan Korean Society for Sexual Medicine and Andrology 01.10.2022
• Subjects: Antibiotics; chronic pelvic pain syndrome; Double-blind studies; Leukocytes; Lithotripsy; low-intensity extracorporeal shock wave therapy; multi-focal; Original; Pain; Penis; Prostate; Questionnaires; Statistical analysis; Urine; Urogenital system
• ISSN: 2287-4208; 2287-4690
• DOI: 10.5534/wjmh.210078

PurposeTo assess the safety and effect of the multifocal low-intensity extracorporeal shockwave therapy (MESWT) in the treatment of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).Materials and MethodsWe randomly separated 30 patients with CP/CPPS into a MESWT and placebo group of same number using prospective-randomized, double-blind design. The participants' National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) total and subdomain scores, International Prostate Symptom Score (IPSS), International Index of Erectile Function-5 (IIEF-5), and visual analogue scale (VAS) were assessed and compared at baseline and at finishing immediately and 4 weeks after procedure and also were compared between MESWT and placebo group.ResultsA total of 30 participants were randomized a MESWT or placebo group. Twenty of thirty participants completed this trial. NIH-CPSI total and subdomain scores, IPSS, IIEF-5, and VAS had significantly ameliorated compared with baseline in the MESWT group at 4 weeks assessment. Furthermore, comparison of the results from MESWT and placebo groups represented statistically significant differences in NIH-CPSI total and subdomain scores, IPSS, IIEF-5, and VAS. No side effects or events were occurred in both groups of the participants during study periods.ConclusionsMESWT can be an effective treatment modality in patients with CP/CPPS as it improves pain and QoL.