Evaluating Long Term Efficacy of ESWT on Symptomatic Improvement of Patients with Chronic Pelvic Pain Syndrom in Thi-Qar

  • Ali Abdulbaqi Ali IsnineI Assist. Prof, F1.C M.S Urology, Department of Surgery, Thi-Qar medical college, University of Thi-Qar, Iraq,
  • Harith Adel Jasim F1.C M.S Urology, department of urology, ThiQar Health Directorate
  • Hussein Ali Hamad
Keywords: CPPS, non-bacterial prostatitis, ESWT, long-term, treatment


The CPPS is nearly the commonest controversial topic in urology with the emerge of a new modality of management by shockwave therapy. The aim of the study to assess the long term efficacy of CPPS treatment by ESWT, where patients with non-bacterial type prostatitis.  The study was conducted on 120 CPPS patients where they were randomly dispersed into the  sham and treatment groups and evaluated at 8th, 24th, lastly on 36th  weeks. A treatment group of patients was managed by  ESWT  once a week for 6 weeks using LUBIS-ONE (mode A, level 5/5-10min.). While the second group (sham group), there was an application of the same protocol without firing probe. The pain visual analog scale was used for follow-up assessments. Patient Global Impression of Improvement (PGI-I) and "National Institutes of Health-developed Chronic Prostatitis Symptom Index" (NIH-CPSI). independent t-test was used for data comparison and analysis of variances. In this study, nine patients only cannot complete the protocol of the study, hundred eleven patients were evaluated (fifty-seven patients as a treatment group, while sham group was 54 patients). At the 24th  week of follow-up, the mean urinary score, pain score, NIH-CPSI score and between quality-of-life two groups were of non-significant statistical difference. While, ESWT therapy has been established as a non-invasive effective mode of therapy in CPPS in following-up for short-term, long-term efficacy was not supported by this study.


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