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[Extracorporeal shock wave therapy in chronic prostatitis].

E V Kul'chavenya^1,2, S Yu Shevchenko^1,2,3, E V Brizhatyuk¹

¹Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.

Urologiia (Moscow, Russia : 1999)

|March 2, 2017

Summary

Extracorporeal shock wave therapy (ESWT) effectively treats chronic prostatitis category IIIb. This non-invasive treatment significantly reduced pain and urinary symptoms, improving quality of life for patients with chronic prostatitis.

Keywords:

chronic pelvic pain syndrome prostatitis shock wave therapy

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Area of Science:

Urology
Nephrology
Andrology

Background:

Chronic prostatitis is a common urologic condition associated with chronic pelvic pain syndrome.
Current treatment outcomes for chronic prostatitis are often unsatisfactory, impacting patient quality of life.

Purpose of the Study:

To evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) as a monotherapy for chronic prostatitis category IIIb.
To assess the impact of ESWT on pain, urinary symptoms, and quality of life in affected patients.

Main Methods:

An open pilot prospective study involved 27 patients with chronic prostatitis category IIIb.
Patients received ESWT twice weekly for 6 sessions using the Aries (Dornier) machine.
Treatment parameters included specific energy levels, frequency, pulse count, and total energy per procedure.

Main Results:

Immediately after ESWT, a positive trend was observed, with decreased pain and improved quality of life scores, though not statistically significant.
One month post-treatment, significant reductions in pain (from 9.1 to 3.2), urinary symptoms (from 4.2 to 2.7), and quality of life index (from 7.2 to 3.9) were noted.
The total NIH-CPSI score decreased from 20.5 to 18.0 immediately after treatment and further improved by the one-month follow-up.

Conclusions:

ESWT administered via the Aries (Dornier) machine demonstrates high effectiveness as a monotherapy for chronic prostatitis category IIIb.
The study indicates ESWT is a promising non-invasive treatment option for improving symptoms and quality of life in this patient group.