Effectiveness of Acupuncture on Chronic Prostatitis–Chronic Pelvic Pain Syndrome Category IIIB Patients: A Prospective, Randomized, Nonblinded, Clinical Trial

Küçük, Eyüp Veli; Suçeken, Ferhat Yakup; Bindayı, Ahmet; Boylu, Uğur; Önol, Fikret Fatih; Gümüş, Eyüp

doi:10.1016/j.urology.2014.11.004

Cited by 40 publications

(61 citation statements)

References 17 publications

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“…Three studies with 245 participants found that acupuncture may have reduced prostatitis symptoms compared with medical treatment, measured by NIH‐CPSI score at 6‐ to 8‐week follow‐up (MD −4.09, 95% CI −6.87 to −1.30; I 2 = 70%). Heterogeneity was predominantly attributable to one study , which included participants with CP/CPPS using criteria that differed from those recommended by the Research Consensus.…”

Section: Resultsmentioning

confidence: 99%

“…), we excluded the results from this study and found greater consistency (MD −6.05, 95% CI −7.87 to −4.24; 78 participants; two studies; I 2 = 0%, moderate QoE). Two of these studies reported that no adverse event in either arm (low QoE). Two studies reported that acupuncture probably resulted in little or no difference compared with medical therapy, measured by IPSS at 6 weeks (MD −2.70, 95% CI −6.00 to 0.60, moderate QoE).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Non‐pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review

et al. 2019

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Based on the findings of moderate to high-quality evidence, this review found that some non-pharmacological interventions such as acupuncture and extracorporeal shockwave therapy are likely to result in a decrease in prostatitis symptoms and may not be associated with a greater incidence of adverse event. The QoE for most other comparisons was predominantly low. Future clinical trials should include a full report of their methods including adequate masking, consistent assessment of all patient-important outcomes including potential treatment-related adverse events and appropriate sample sizes. This article is protected by copyright. All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Non‐pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review

et al. 2019

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“…Ten patients had improvement in their pain, but 19% of their patients dropped out of the study due to side effects (12). Furthermore, stimulation of sacral nerves via an acupuncture technique has shown benefit by reducing CPSI in patients with CPPS in two separate studies (13,14). Chen et al notes a reduction in CPSI of 50% in 11 of 12 patients undergoing a 6-session acupuncture therapy with a median follow up time of 33 weeks.…”

Section: Discussionmentioning

confidence: 99%

Utility of trigger point injection as an adjunct to physical therapy in men with chronic prostatitis/chronic pelvic pain syndrome

Tadros

Shah

Shoskes

2017

Transl. Androl. Urol.

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BackgroundChronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is often associated with pelvic floor muscle spasm. While pelvic floor physical therapy (PFPT) is effective, some men are unable to resolve their symptoms and have residual trigger points (TPs). TP injection has been used for treatment in several neuromuscular pain syndromes. The objective of this study was to examine the efficacy and side effects of TP injection in men with CP/CPPS and pelvic floor spasm refractory to PT.MethodsUsing an IRB approved Men’s Health Registry we reviewed the records of all men with a diagnosis of CP/CPPS who received at least 1 TP injection. Patients were phenotyped with UPOINT (all had the “T” domain for tenderness of muscle) and symptoms measured with the NIH Chronic Prostatitis Symptom Index (CPSI). Response was measured by a 5-point Global Response Assessment (GRA) and change in CPSI (paired t-test). For pelvic TPs, a pudendal block was done in lithotomy position and then each TP was identified transrectally by palpation. A nerve block needle was passed through the perineum into the TP confirmed by palpation. Between 0.5–1 cc was injected into each TP of a local anesthetic mixture (30:70 of 2% lidocaine and 0.25% bupivacaine). For anterior TPs, an ultrasound guided ilioinguinal block was done first and then each TP injected by direct palpation through the abdominal skin. Men were offered up to three sets of injections separated by 6 weeks each.ResultsWe identified 37 patients who had a total of 68 procedures. Three men had no follow-up after their first injection and were included for side effects but not included for outcome. The indication was failure to progress on PT in 33, recurrent symptoms in 1 and refusal to do PT in 3. Mean age was 43.7 years (range 21–70 years) and median UPOINT domains was 3 (range 1–5). Initial CPSI was pain 13.7±3.4, urinary 5.3±2.2, quality of life 9.8±2.1 and total 28.8±6.0. 16 men had 1 injection, 11 had 2 and 10 had 3. All had pelvic TPs injected and 9 also had anterior TPs. By GRA, 12 had significant improvement (35.3%), 10 had some improvement (29.4%), 11 had no change (32.3%) and 1 was worse (2.9%). Mean CPSI dropped from 28.8±6.0 to 21.8±7.2 (P<0.0001). 18 men had a drop of 6 or more points in CPSI (53%). Of note, none of 3 men who were noncompliant with PT had benefit. 3 men had temporary numbness in the lateral thigh after the injection (4.4%) and 1 had difficulty weight bearing on 1 leg for about 30 minutes.ConclusionsTP injection in CP/CPPS patients as an adjunct to PT is well tolerated and leads to symptom improvement in about half. Durability and long term results are yet to be determined.

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“…Aged 50-80 years old; (b) diagnosed with BPH for more than 3 months; (c) abstain from medication for BPH for more than 2 weeks before the start of treatment; (d) IPSS within moderate and severe range (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) for moderate, 20-35 for severe); (e) stable vitals; and (f ) voluntarily participation of the study.…”

Section: Inclusion Criteria (A)mentioning

confidence: 99%

Effect of Depth of Electroacupuncture on the IPSS of Patients with Benign Prostatic Hyperplasia

Yuan

Wei

et al. 2019

Evidence-Based Complementary and Alternative Medicine

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is study aimed to evaluate the efficacy of electroacupuncture (EA) on Ciliao (BL 32) and Zhongliao (BL 33) acupoints at different depths for the treatment of benign prostatic hyperplasia (BPH) through a single-blind randomized controlled trial. All 120 patients diagnosed with BPH were randomly allocated to an experimental group (deep insertion group, DI group, n � 60) and control group (shallow insertion group, SI group, n � 60) 3 times a week for 4 weeks. e observed results included the International Prostate Symptom Score (IPSS), Quality of Life score (QOL), maximum urine flow rate (Qmax), and postvoid residual urine volume (PVR). After treatment, at both depths, the BPH symptoms of patients were improved by EA. ere were significant differences between the IPSS, QOL, and the effective rate of the experimental group and the control group (P < 0.05). Although the observed PVR and Qmax were better than those before treatment, there was no statistical significance between two groups (P > 0.05). us, EA with deep insertion can effectively improve the patients' urinary symptoms and quality of life, and it will be suitable for clinical application.

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Effectiveness of Acupuncture on Chronic Prostatitis–Chronic Pelvic Pain Syndrome Category IIIB Patients: A Prospective, Randomized, Nonblinded, Clinical Trial

Cited by 40 publications

References 17 publications

Non‐pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review

Non‐pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review

Utility of trigger point injection as an adjunct to physical therapy in men with chronic prostatitis/chronic pelvic pain syndrome

Effect of Depth of Electroacupuncture on the IPSS of Patients with Benign Prostatic Hyperplasia

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