[Effect of dietary modification-assisted multimodal therapy on chronic prostatitis]

Area of Science:

• Urology
• Nutritional Science
• Integrative Medicine

Background:

• Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) presents a complex management challenge.
• Multimodal therapy is a cornerstone in treating CP/CPPS, addressing various patient symptoms.
• The role of specific dietary interventions in CP/CPPS management requires further elucidation.

Purpose of the Study:

• To investigate the efficacy of dietary modification-assisted multimodal therapy in preventing and treating CP/CPPS.
• To compare the outcomes of a Mediterranean diet intervention with standard dietary habits in CP/CPPS patients.

Main Methods:

• A randomized controlled trial involving 132 CP/CPPS patients.
• The observation group followed a Mediterranean diet, while the control group maintained their usual diet.
• Both groups received multimodal therapy including lifestyle guidance, psychological counseling, medication, and physiotherapy over a 4-week follow-up period.
• The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used for assessment.

Main Results:

• Both groups showed significant improvements in quality of life, pain, urination discomfort, and total NIH-CPSI scores post-treatment.
• The Mediterranean diet group exhibited a trend towards greater symptom improvement compared to the control group.
• Therapeutic effectiveness rates were 87.1% in the observation group versus 79.7% in the control group, with no statistically significant difference.

Conclusions:

• Multimodal therapy is effective for managing diverse CP/CPPS presentations.
• Individualized dietary approaches are crucial due to regional and personal variations in dietary habits.
• Further research into scientifically guided dietary modifications is essential for optimizing CP/CPPS prevention and treatment.