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KMID : 1037120220400040678
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The World Journal of Men′s Health
2022 Volume.40 No. 4 p.678 ~ p.685
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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
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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
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Abstract
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Purpose: To 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 Methods: We 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.
Results: A 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.
Conclusions: MESWT can be an effective treatment modality in patients with CP/CPPS as it improves pain and QoL.
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KEYWORD
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Chronic pelvic pain syndrome, Low-intensity extracorporeal shock wave therapy, Multi-focal
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