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Research Paper | Urology | Iraq | Volume 12 Issue 10, October 2023
The Effects of Combining Perineal ESWT and Triple Therapy versus Perineal ?ESWT alone for the Treatment of Non-Inflammatory CPPS (Category III B)?
Osama Yhyia Al-Sudani [2] | Nibbras Al-Hamadani [2] | Bashar Al-Amiri [2] | Salam Salah Hameed [2] | Montadhar Hameed Nima [2] | Hayder A. Fawzi [5]
Abstract: Objective: To compare the additional effect of combination therapy of extracorporeal shockwave therapy (ESWT) and medical treatment on chronic prostatitis type IIIB chronic pelvic pain syndrome (CPPS) with the effect of perineal ESWT alone. Material and methods: A prospective single-blind comparative study that included 40 Cases collected from February 2022 ?to October 2022. Patients were divided into two groups each is 20 patients. The first group received a combination of ESWT, and the triple therapy of an alpha-blocker called group C, ?an anti-inflammatory agent, and a muscle relaxant. The second group treated with an ESWT alone was called group E. Results: ?Both groups showed improvement in all the National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) domains with more than a six-point ?decline in the NIH-CPSI total score in both groups. There are significantly superior results in ?the patients who were in group C and this ?improvement was statistically significant only after 6 months from starting treatment in ?the pain domain, urinary domain, and in the total score, p-values 0.002,0.002, 0.001 ?respectively?. Conclusion: Patients who were on a combination of ESWT and triple medication and patients who were on ?ESWT showed significant improvement in all items of the NIH-CPSI score during the treatment, with significantly superior results in the Patients who were on ?a combination of ESWT and triple medication.
Keywords: Pain, Extracorporeal Shock Wave Therapy, Prostatitis
Edition: Volume 12 Issue 10, October 2023,
Pages: 255 - 259