Dietary habits and lifestyle related to the effectiveness of l ow‐intensity extracorporeal shock wave therapy for chronic prostatitis/chronic pelvic pain syndrome‐like symptoms: Initial results

Abstract

To identify factors that could influence the treatment outcomes of low‐intensity extracorporeal shock wave therapy (Li‐ESWT) on chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)‐like symptoms and establish a predictive model based on these factors to precisely screen individuals who might be more suitable for Li‐ESWT. This study enrolled 84 patients with CP/CPPS‐like symptoms who received Li‐ESWT. Patients were divided into an effective group and an ineffective group based on the reduction of their National Institutes of Health Chronic Prostatitis Symptom Index (NIH‐CPSI). A nomogram was established based on logistic regression analyses. Then, receiver operating characteristic (ROC) curves, calibration curves and decision curve analysis (DCA) were used to evaluate the nomogram. Univariate and multivariate logistic regression analysis showed that a higher NIH‐CPSI score, a habit of holding urine, alcohol consumption, and urination soon after intercourse were independent predictors of Li‐ESWT efficacy (p < 0.05). The nomogram constructed based on these four indicators and the added age effectively predicted the probability of Li‐ESWT effectiveness for CP/CPPS‐like symptoms (0.809 [95% CI: 0.717–0.901]; Hosmer–Lemeshow: p = 0.936). This study established a predictive model for the efficacy of Li‐ESWT in treating CP/CPPS‐like symptoms patients and help improve the management of CP/CPPS‐like symptoms.

YouTube™ as a source of information on prostatitis: a quality and reliability analysis

“…With a wide range of clinical presentations, pelvic pain and lower urinary tract symptoms are the two main complaints of patients having prostatitis [9]. Its serious negative impact on patients' quality of life has been frequently documented [10][11][12]. Many doctors nd prostatitis problematic to treat effectively, and patients are not always satis ed with the treatments given and turn to other alternative solutions.…”

Comparing the effectiveness of extracorporeal shockwave therapy and myofascial release therapy in chronic pelvic pain syndrome: study protocol for a randomized controlled trial

“…The existing body of clinical research on CP/CPPS suggests that extracorporeal shockwave effectively reduces pain and urinary tract discomfort and improves patients’ quality of life, with good long-term outcomes [ 5 , 19 – 21 ]. To explain this result, Hung-Jen Wang [ 22 ] proposed the sequence of central pain processing, and the nociceptive effect at DRG was retrogradely attenuated, followed by the decrease of COX-2 and NGF expression in the prostate after Li-ESWT, which then provides long-term pain relief.…”