■慢性盆腔疼痛综合征(CPPS)是一种复杂的疾病,通常难以治疗,有时可能需要多学科团队。在广泛的治疗选择中,有体外冲击波疗法(ESWT)。然而,它在CPPS中的作用仍然存在争议。我们研究的目的是评估男性CPPS患者会阴ESWT的疗效和安全性。
■在这个单中心招募了14名年龄在21至85岁之间的患者,2018年10月至2020年10月的单臂前瞻性试验。ESWT每周递送至会阴长达8周。通过国际勃起功能指数进行评估,国际前列腺症状评分,国王的健康问卷,美国国立卫生研究院-慢性前列腺炎症状指数,视觉模拟量表,镇痛问卷,和UPOINT(泌尿症状[U],心理社会功能障碍[P],器官特异性症状[O],感染相关症状[I],神经/全身状况[N],骨骼肌压痛[T])表型系统。在治疗开始和结束之前以及在长达20周的随访预约的常规时间点评估参数。
■13名患者完成了研究。视觉模拟评分疼痛评分有所改善,UPOINT上的嫩度域,国王的健康问卷,和美国国立卫生研究院-慢性前列腺炎症状指数评分。在勃起功能方面,观察到国际勃起功能指数在勃起功能领域的改善。根据国际前列腺症状评分评估,下尿路症状也有显着改善。治疗后和随访期间均未报告不良事件。
■ESWT改善了男性CPPS患者的疼痛和生活质量。在CPPS的医疗设备中,它可以是一种安全有效的治疗方式。
UNASSIGNED: Chronic pelvic pain syndrome (CPPS) is a complex condition that is often difficult to treat and may sometimes require a multidisciplinary team. Among the wide array of treatment options is extracorporeal shockwave therapy (ESWT). However, its role in CPPS remains controversial. The purpose of our
study is to assess the efficacy and safety of ESWT of the perineum in male patients with CPPS.
UNASSIGNED: Fourteen patients aged between 21 and 85 years were recruited in this single-center, single-arm prospective
trial from October 2018 to October 2020. ESWT was delivered to the perineum weekly for up to 8 weeks. Assessment was done via International Index for Erectile Function, International Prostate Symptom Score, King\'s Health Questionnaire, National Institutes of Health - Chronic Prostatitis Symptom Index, Visual Analogue Scale, Analgesic Questionnaire, and UPOINT (urinary symptoms [U], psychosocial dysfunction [P], organ-specific symptoms [O], infection-related symptoms [I], neurological/systemic conditions [N], tenderness of skeletal muscles [T]) phenotype system. The parameters are assessed before the start and end of treatment as well as at regular time points on follow-up appointments up to 20 weeks.
UNASSIGNED: Thirteen patients completed the
study. There was improvement in the Visual Analogue Scale pain score, Tenderness domain on UPOINT, King\'s Health Questionnaire, and National Institutes of Health - Chronic Prostatitis Symptom Index scores. In terms of erectile function, improvement in the erectile function domain of International Index for Erectile Function was observed. There was also significant improvement in lower urinary tract symptoms assessed on International Prostate Symptom Score. There were no adverse events reported post treatment and during the follow-up period.
UNASSIGNED: ESWT improved pain and quality of life of male patients with CPPS. It can be a safe and effective treatment modality in the armamentarium of CPPS.