Chronic prostatitis with non-neurogenic detrusor sphincter dyssynergia: diagnosis and treatment

• Published in: Zhonghua nan ke xue Vol. 16; no. 2; p. 146
• Main Authors: Zu, Xiong-Bing, Ye, Zhang-Qun, Zhou, Si-Wei, Qi, Lin, Yang, Zhong-Qing
• Format: Journal Article
• Language: Chinese
• Published: China 01.02.2010
• Subjects: Adolescent; Adult; Ataxia - complications; Ataxia - diagnosis; Ataxia - therapy; Biofeedback, Psychology; Chronic Disease; Humans; Male; Middle Aged; Prostatitis - complications; Prostatitis - diagnosis; Prostatitis - therapy; Urinary Bladder Diseases - complications; Urinary Bladder Diseases - diagnosis; Urinary Bladder Diseases - therapy; Urodynamics; Young Adult
• ISSN: 1009-3591

To investigate the features of chronic prostatitis with non-neurogenic detrusor sphincter dyssynergia (NNDSD) and the effects of pelvic floor biofeedback in the treatment of the disease. We included in this study 113 male patients, aged 15 - 48 (mean 36) years and diagnosed as having chronic prostatitis for 1 -2 (mean 1.2) years based on such typical symptoms as frequent micturition, urgent micturition, voiding pain, difficult void, etc, that lasted over 3 months, and the score > or = 1 on the first and second parts of NIH-CPSI. Urethritis, interstitial cystitis, urethral stricture and neurogenic bladder were excluded. All the patients underwent urodynamic examinations for the uroflow curve, Q(max), Pdet. max and MUCP. Biofeedback was carried out for those with non-neurogenic detrusor sphincter dyssynergia, and the effects were evaluated at 10 weeks. Twenty-one (18.6%) of the 113 cases were found to be NNDSD. Biofeedback treatment achieved obvious decreases in Q(max) (8.2 +/- 4.1), Pdet. max (125.1 +/- 75.3),