Electroacupuncture Relieves Pain in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Three-arm Randomized Trial

Lee, Sang-Hun; Lee, Byung-Cheol

doi:10.1016/j.urology.2008.10.047

Cited by 102 publications

(139 citation statements)

References 19 publications

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“…Similarly, symptom improvements, as assessed by the NIH-CPSI, were seen with a 5-week [94] and 6-week course [95] of acupuncture (on the bilateral BL33 region), with improvements in pain, voiding symptoms and QoL in non-inflammatory CP/CPPS. Randomised, sham-controlled studies (n = 39-89) support these results; a 10-week course of acupuncture proved almost twice as likely as sham treatment to improve CP/CPPS symptoms [96], while a three-arm trial showed that after 6 weeks of electro-acupuncture, the NIH-CPSI total score had decreased significantly vs the sham and advice and exercise groups alone (P < 0.001) [97]. A recent review of the evidence on the use of acupuncture in prostatitis concluded that the findings should encourage healthcare providers to use acupuncture to manage pain in CP/CPPS, in conjunction with standard treatment [98] Phytotherapy Three small RCTs were identified that evaluated phytotherapy in CP/CPPS [99][100][101].…”

Section: A-reductase Inhibitorsmentioning

confidence: 91%

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Rees

Abrahams

Doble³

et al. 2015

BJU International

226

193

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ObjectivesTo improve awareness and recognition of chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) among non-specialists and patients. To provide guidance to healthcare professionals treating patients with CBP and CP/CPPS, in both non-specialist and specialist settings. To promote efficient referral of care between nonspecialists and specialists and the involvement of the multidisciplinary team (MDT). Patients and MethodsThe guideline population were men with CBP or CP/CPPS (persistent or recurrent symptoms and no other urogenital pathology for ≥3 of the previous 6 months). Consensus recommendations for the guidelines were based on a search to identify literature on the diagnosis and management of CBP and CP/CPPS (published between 1999 and February 2014). A Delphi panel process was used where high-quality, published evidence was lacking. ResultsCBP and CP/CPPS can present with a wide range of clinical manifestations. The four main symptom domains are urogenital pain, lower urinary tract symptoms (LUTSvoiding or storage symptoms), psychological issues and sexual dysfunction. Patients should be managed according to their individual symptom pattern. Options for first-line treatment include antibiotics, a-adrenergic antagonists (if voiding LUTS are present) and simple analgesics. Repeated use of antibiotics, such as quinolones, should be avoided if there is no obvious symptomatic benefit from infection control or cultures do not support an infectious cause. Early use of treatments targeting neuropathic pain and/or referral to specialist services should be considered for patients who do not respond to initial measures. An MDT approach (urologists, pain specialists, nurse specialists, specialist physiotherapists, general practitioners, cognitive behavioural therapists/psychologists, and sexual health specialists) is recommended. Patients should be fully informed about the possible underlying causes and treatment options, including an explanation of the chronic pain cycle. ConclusionChronic prostatitis can present with a wide variety of signs and symptoms. Identification of individual symptom patterns and a symptom-based treatment approach are recommended. Further research is required to evaluate management options for CBP and CP/CPPS.

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Section: A-reductase Inhibitorsmentioning

confidence: 91%

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Rees

Abrahams

Doble³

et al. 2015

BJU International

226

193

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“…Promising studies showing the efficacy of acupuncture in managing pain in patients with CP/CPPS have recently been published. [3][4][5]19,20 The association of CP/CPPS with higher cytokine levels in the prostate gland as a marker for both severity of symptoms and response to treatment offers an additional strategy into possible management options. 9,10,21 Studies now show that oxidative stress plays an important role in CP/CPPS and management with antioxidant therapy, or other methods to lower global oxidative stress and cytokine levels, could be effective in alleviating pain in this population.…”

Section: Discussionmentioning

confidence: 99%

“…The effects of BL 32 (Ciliao) include stimulating the posterior ramus of the S2 nerve, thereby inhibiting segmental pain. 3,5 Recent studies reported that acupuncture of BL 33 (Zhongliao) reduced urinary incontinence and urgency in patients with overactive bladders and that acupuncture of CV 3 (Zhongji) led to increased stream velocity and decreased duration in healthy subjects. 30 Another study demonstrated the effectiveness of acupuncture of BL 32 for CP/CPPS caused by intrapelvic venous congestion.…”

Section: Tcm Approaches To Prostatitismentioning

confidence: 99%

“…[3][4][5] The NIH-funded Chronic Prostatitis Collaborative Research Network developed a questionnaire to evaluate intensity, frequency, and location of pain; voiding symptoms both irritative and obstructive; and impact on quality of life. This self-administered questionnaire, called the Chronic Prostatitis Symptom Index (CPSI), considered "psychometrically robust," evaluates valid clinical outcome measures and is useful in both clinical and research settings.…”

Section: Introductionmentioning

confidence: 99%

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Acupuncture and Traditional Chinese Medicine for the management of a 35-year-old man with chronic prostatitis with chronic pelvic pain syndrome

Ohlsen

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the resolution of pain in a patient with chronic prostatitis and chronic pelvic pain syndrome after receiving a course of management using acupuncture and Chinese herbal medicine. Clinical features: A 35-year-old man presented with chronic prostatitis with chronic pelvic pain syndrome. He scored 38 out of a possible 43 on the National Institutes of Health/Chronic Prostatitis Symptom Index (NIH/CPSI) that rates pain, urinary symptoms, and quality of life impact, indicating severe symptoms. The patient had experienced recurrent episodes of nonbacterial prostatitis over a 3-year period, and this was the most severe. Intervention and outcome: After 8 acupuncture treatments over an 8-week period and daily use of Ba Zheng San and Yi Guan Jian, the patient scored his symptoms 9 on the NIH/CPSI. The patient was then put on a supportive anti-inflammatory regimen of green tea. He rated his symptoms 4 on the NIH/CPSI 4 months later, 2 on the NIH/CPSI 8 months later, and 0 on the NIH/CPSI 1 year later. Conclusion: This case demonstrated that the patient experienced long-lasting relief from chronic prostatitis with chronic pelvic pain syndrome after a course of 8 treatments of acupuncture and Chinese herbs.

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“…Bei der Literatursuche (Stichwör-ter "acupuncture" und "chronic pelvic pain syndrome") zeigten sich nach Ausschluss von "case reports" und Veröffent-lichungen in einer anderen Sprache als Deutsch oder Englisch nur noch 6 Originalarbeiten [59,60,61,62,63,64] [60]) verwendet.…”

Section: Pudendale Nervenstimulationunclassified

Chronisches Schmerzsyndrom des Beckens

Walter

Sammer

Kessler

2012

Urologe

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Chronic pelvic pain syndrome (CPPS) is defined by the European Association of Urology guidelines as a non-malignant pain perceived in structures related to the pelvis of either women or men for at least 6 months without proven infection or other obvious pathology. It affects the quality of life of millions of people worldwide and has an impact similar to that reported for other chronic diseases, such as diabetes mellitus, Crohn's disease and congestive heart failure. The treatment of CPPS remains a challenge despite several established first line therapies because many patients are therapy refractory. Unconventional treatments, such as neurostimulation, neuromodulation and acupuncture may be highly successful for treating CPPS and have a favorable adverse event profile. Thus, these promising therapeutic alternatives should be considered more often in daily clinical practice. DOI: https://doi.org/10.1007/s00120-012-3037-9Other titles: Chronic pelvic pain syndrome: neurostimulation, neuromodulation and acupuncture "chronic pelvic pain syndrome", "neurostimulation", "neuromodulation", "acupuncture") und schlossen nur Originaloder Übersichtsarbeiten in deutscher oder englischer Sprache ein. Transkranielle Stimulation durch Strom oder MagnetfeldDie transkranielle Stimulation durch Strom ("transcranial direct current stimulation", tDCS) zur Behandlung des CPPS wurde bisher nur in einer Studie untersucht. Im Rahmen einer prospektiven, randomisierten, doppelt verblindeten Crossover-Studie wurden 7 therapierefraktäre CPPS-Patienten mit einem Durchschnittsalter von 38 Jahren eingeschlossen [19]. Die aktive Therapie wurde über einen Zeitraum von 2 Tagen für jeweils 20 min mittels direkter Stromapplikation von 1 mA durchgeführt. In der Sham-Gruppe wurde die Stimulation bereits nach 30 s wieder beendet. In der aktiven Therapiegruppe zeigte sich im Vergleich zur Sham-Gruppe auf einer visuellen Analogskala (VAS) eine signifikante Reduktion der Becken-und Gesamtschmerzsymptomatik. Nebenwirkungen wie Kopf-und Nackenschmerzen, Brennen und Schmerzen der Kopfhaut traten in beiden Gruppen gleichhäufig auf. Es kam zu keinem nebenwirkungsbedingten Studienabbruch.

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Electroacupuncture Relieves Pain in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Three-arm Randomized Trial

Cited by 102 publications

References 19 publications

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline

Acupuncture and Traditional Chinese Medicine for the management of a 35-year-old man with chronic prostatitis with chronic pelvic pain syndrome

Chronisches Schmerzsyndrom des Beckens

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