以低能量體外震波治療慢性攝護腺炎/慢性骨盆腔疼痛:單一醫院經驗
謝肇新、許兆畬、童敏哲、歐宴泉、戴浩平
陳祥來、黃鐘銘、翁瑋駿、黃立華、李毅彥、林益聖
童綜合醫院 外科部 泌尿科
Low intensity Extracorporeal Shockwave Therapy for the Treatment of Chronic Prostatitis and Chronic Pelvic Pain Syndrome: A Single-Hospital Experience
Siu-San Tse, Chao-Yu Shu, Min-Che Tung, Yen-Chuan Ou, Hao-Ping Tai,
Hsiang-Lai Chen, Zhon-Min Huang, Wei-Chun Weng, Li-Hua Huang, I-Yen Lee, Yi-Sheng Lin
Divisions of Urology, Department of Surgery,
Tungs’ Taichung Metro Harbor Hospital, Taichung, Taiwan
Purpose: We report our experience and outcome of Low intensity Extracorporeal Shockwave Therapy (LiESWT) in treating patient of Chronic Prostatitis and Chronic Pelvic Pain Syndrome (CP/CPPS).
Materials and Methods: A total of 12 patients who have been diagnosed with CP/CPPS were treated with LiESWT in our outpatient department. Patients were treated once weekly for four weeks but one patient did not complete the treatment. Data of NIH-Chronic Prostatitis Symptom Index (CPSI with pain, urination, QoL Domains), IPSS, IIEF, Visual Analogue Scale (VAS) of the eleven patients were collected before and after the shock wave, and the data were analysed.
Results: There are significant difference in the total CPSI, the three separate Domains of CPSI, the IPSS, and the VAS before and after the shock wave but only total CPSI, pain and QoL Domains, and VAS are statistically significant. Moreover, there is no complication noted in the patient we treated.
Conclusion: CP/CPPS present with a wide range of clinical manifestations and multidisciplinary treatment approach are needed. UPOINT system (Nickel et al) for the clinical phenotyping of Chronic pelvic pain has been established since 2009 and multimodal therapy is individualized according to the patient’s clinical phenotype. Triple threapy (3-As: Antibiotics, Anti-inflammatories and Alpha-blockers) were mostly used. Low intensity extracorporeal shockwave therapy (LiESWT) was first applied on CP/CPPS at 2009 in Europe and has just been used in Taiwan in these few years. We presented the preliminary result of our cases in managing with LiESWT and the results is encouraging without any obvious complication.