Acupuncture for Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Randomized, Sham Acupuncture Controlled Trial

Qin, Zongshi; Zang, Zhiwei; Zhou, Kehua; Wu, Jiani; Zhou, Jing; Kwong, Joey S.W.; Liu, Zhishun

doi:10.1016/j.juro.2018.05.001

Cited by 43 publications

(45 citation statements)

References 28 publications

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“…Finally, a total of 11 studies [15][16][17][18][19][20][21][22][23][24][25] were included for quantity and quality analysis in this review. Five trials published in English were from Malaysia [15], Korea [16], Turkey [21,22], and China [25], and the remaining 6 [17-20, 23, 24] were all from China and published in Chinese. All 11 trials were single centre, RCTs.…”

Section: Resultsmentioning

confidence: 99%

“…All 11 trials were single centre, RCTs. e interventions included 2 trials of electroacupuncture (EA) [16,21], 1 trial of catgut embedding therapy [19], and 8 trials of manual acupuncture (MA) [15,17,18,20,[22][23][24][25], in which 2 trials used MA plus medicine [17,23] (see Table 2). In the control group, sham acupuncture included selection of nonacupoints (superficial and/or 10-15 mm to the left of each correct acupoint) and medication included Tamsulosin Hydrochloride, Prostate Tablets, Terazosin, indomethacin, ibuprofen, and levofloxacin.…”

Section: Resultsmentioning

confidence: 99%

“…Lower back pain near the needling was reported in sham electroacupuncture group in Lee 2009's study [16]. Qin, in 2018, revealed that hematoma occurred in 3 participants and 1 participant described sharp needling pain in acupuncture group; fatigue occurred in 1 participant in sham acupuncture group [25]. Zhao and Sun 2014 reported that 1 participant fainted during acupuncture treatment and 1 participant had hypotension after taking Tamsulosin [20].…”

Section: Discussionmentioning

confidence: 99%

“…Four of the 11 trials reported the occurrence of adverse events (ADs) in the acupuncture group [15,16,20,25], 2 trials reported no ADs [21,22], and the rest did not provide information related to ADs [17-19, 23, 24] (see Table 3 for details).…”

Section: Adverse Eventsmentioning

confidence: 99%

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Is Acupuncture Another Good Choice for Physicians in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome? Review of the Latest Literature

Dong

Yan

et al. 2020

Pain Research and Management

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This study aimed to evaluate the efficacy and safety of acupuncture for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). A search of PUBMED, EMBASE, Central Register of Controlled Trials (CENTRAL), Web of Science, Chinese Biomedicine Literature (CBM), China National Knowledge Infrastructure (CNKI), Wang-Fang Database, Chinese Scientific Journal Database (VIP), and other available resources was made for studies (up to February 2019). Searches were limited to studies published in English and Chinese. Only randomized controlled trials (RCTs) related to the efficacy and/or safety of acupuncture for CP/CPPS were included. Two investigators independently evaluated the quality of the studies. A total of 11 studies were included, involving 748 participants. The results revealed that compared with sham acupuncture (MD: −6.53 [95% CI: −8.08 to −4.97]) and medication (MD: −4.72 [95% CI: −7.87 to −1.56]), acupuncture could lower total NIH-CPSI score more effectively. However, there are no significant differences between acupuncture and sham acupuncture in terms of IPSS score. In terms of NIH-CPSI voiding domain subscore, no significant differences were found between acupuncture and medication. Compared with sham acupuncture (OR: 0.12 [95% CI: 0.04 to 0.40) and medication (OR: 3.71 [95% CI: 1.83 to 7.55]), the results showed favorable effects of acupuncture in improving the response rate. Acupuncture plus medication is better than the same medication in improving NIH-CPSI total score and NIH-CPSI pain domain subscore. In conclusion, the evidence suggests that acupuncture may be an effective intervention for patients with CP/CPPS. However, due to the heterogeneity of the methods and high risk of bias, we cannot draw definitive conclusions about the entity of the acupuncture’s effect on alleviating the symptoms of CP/CPPS. The adverse events of acupuncture are mild and rare.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Adverse Eventsmentioning

confidence: 99%

See 2 more Smart Citations

Is Acupuncture Another Good Choice for Physicians in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome? Review of the Latest Literature

Dong

Yan

et al. 2020

Pain Research and Management

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“…[ 9 – 12 ] The National Institutes of Health (NIH) Chronic Prostatitis Symptom Index (CPSI) [ 13 ] is a valid and easily self-administered outcome measure for men with chronic prostatitis. Our previous pilot study [ 14 ] showed that after 8 weeks of treatment, acupuncture was associated with a clinically significant decrease in the NIH-CPSI total score. However, in recent studies the change from baseline of the NIH-CPSI after acupuncture treatment has ranged widely, [ 15 – 21 ] and higher than the minimal clinically important difference of the NIH-CPSI is 4 points.…”

Section: Introductionmentioning

confidence: 99%

Comparison of 3 assessment modes of acupuncture effect on patients with chronic prostatitis/chronic pelvic pain syndrome

Zhou

Liu

et al. 2018

Medicine

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Molecular mechanism and promising treatments of chronic prostatitis/chronic pelvic pain syndrome: An exploratory bibliometric analysis and literature review of preclinical studies

Lao,

Guan,

Wang

et al. 2023

UroPrecision

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BackgroundAs one of the most common diseases in urology, a large number of preclinical studies have been accumulated to explore the etiological mechanism and potential intervention of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).MethodsIn this study, we systematically evaluated the current status of preclinical research on CP/CPPS through bibliometrics analysis using VOSviewer and Citespace. Characteristics of publication such as year, country/region, institution, author, journal, citation, and keywords were analyzed. Based on the bibliometrics analysis results of keywords, we summarized the possible mechanisms and promising treatments for CP/CPPS narratively.ResultsAccording to the results of this study, the most common mechanisms involved in CP/CPPS were as follows: disturbed immune and inflammation mediators, immune cell dysfunction, oxidative stress, dysregulated signaling pathways, apoptosis, gut microbiota, and testosterone metabolism. Chinese Traditional Medicine and extracorporeal shock wave therapy have important potential in the treatment of CP/CPPS.ConclusionFurther translational studies targeting the above mechanisms and validating the objective efficacy of potential treatments indicated by preclinical studies in clinical patients are needed in the future.

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Acupuncture for Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Randomized, Sham Acupuncture Controlled Trial

Abstract: Acupuncture showed clinical and long-lasting benefits compared with sham acupuncture for chronic prostatitis/chronic pelvic pain syndrome. Randomized controlled trials with larger sample sizes are needed in the future.

Cited by 43 publications

References 28 publications

Is Acupuncture Another Good Choice for Physicians in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome? Review of the Latest Literature

Is Acupuncture Another Good Choice for Physicians in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome? Review of the Latest Literature

Comparison of 3 assessment modes of acupuncture effect on patients with chronic prostatitis/chronic pelvic pain syndrome

Molecular mechanism and promising treatments of chronic prostatitis/chronic pelvic pain syndrome: An exploratory bibliometric analysis and literature review of preclinical studies

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