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Radial Shock Wave Therapy in Chronic Pelvic Pain Syndrome (CPPS)

K. M. Nikolaevich

Source: Urology, 2013. Vol. 6

Russia

Remarkable release of symptoms

study-22

All 15 patients in the first group showed significant improvement of pain and quality of life in comparison to the control group, which experienced less significant improvements.

Abstract

Objective:

To investigate the effectiveness of extracorporeal shock wave therapy (ESWT) in comparison to pharmacological treatment in patients for symptoms alleviation in chronic pelvic pain syndrome (CPPS).

Patients and Methods:

Thirty patients suffering from CPPS for at least 3 months were investigated in two groups. Both groups were treated once per week for a 6 months period. Group 2 was established as control group. The investigation was designed as controlled, randomized study. 

ESWT was administered using a perineal approach with standard radial ESWT device. In the first group, patients were treated by ESWT once a week for 4 weeks by a defined protocol. The second group received the pharmacological treatment. Standardized follow-up was performed 1, 2, 4 and 12 wk after the treatment.

Results:

All patients completed outpatient treatments and follow-ups. All 15 patients in the first group showed significant improvement of pain and quality of life in comparison to the control group, which experienced less significant improvements. Perineal ESWT was easy and safe to perform and was without any side-effects.

Conclusions:

The study revealed perineal ESWT as a safe and effective therapy option for CPPS with more significant effects in comparison to pharmacological treatment. ESWT is interesting because of its easy and inexpensive application, the lack of any side-effects.

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