低能量體外震波針對慢性骨盆疼痛症候群之療效
蔡嘉駿1,2、劉家駒1,2,3、李香瑩1,2、耿俊閎1,4、李經家1,2、吳文正1,2、王起杰1
1高雄醫學大學附設中和紀念醫院 泌尿科
2高雄市立大同醫院 泌尿科
3衛生福利部 屏東醫院 泌尿科
4高雄市立小港醫院 泌尿科
The effect of low-intensity extracorporeal shock wave therapy for chronic pelvic pain syndrome
Chia-Chun Tsai1,2, Chia-Chu Liu1,2,3, Hsiang-Ying Lee1,2, Jiun-Hung Geng1,4, Ching-Chia Li1,2,Wen-Jeng Wu1,2 Chii-Jye Wang1,
1Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan;
2Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
3Department of Urology, Ministry of Health and Welfare Ping-Tung Hospital, Pingtung, Taiwan
4Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan
Purpose: To assess the safety and efficacy of the treatments performed with low-intensity extracorporeal shockwave therapy (LI-ESWT) on symptomatic chronic pelvic pain syndrome (CPPS) patients.
Materials and Methods: We design a prospective, blind and randomized controlled trial for patients with CPPS. All patients have once LI-ESWT per week for 4 weeks. Use questionnaire of pre-treatment and post-treatment to assess the safety and efficacy.
Results: The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) scores, especially CPSI pain domain, of enrolled patient were improved after 4 times LI-ESWT. More than half patients who got LI-ESWT had symptomatic improvement after fist treatment. There is a tendency to improve sexual quality after full therapeutic regimen. No patients have ecchymosis, intolerable pain or other complication during LI-ESWT.
Conclusions: We describe our experience of LI-ESWT for CPPS patients. In this pilot study, LI-ESWT can improve quality of life for CPPS patients without complications.