Comparing two different low‐intensity shockwave therapy frequency protocols for nonbacterial chronic prostatitis/chronic pelvic pain syndrome: A two‐arm, parallel‐group randomized controlled trial

Background Despite encouraging results, the optimal low‐intensity shockwave therapy (LiST) protocol in patients with chronic prostatitis/chronic pelvic pain syndrome (CPPS) remains unknown. We conducted a two‐arm, parallel‐group, randomized controlled trial aiming to compare the efficacy and safety...

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Veröffentlicht in:The Prostate 2021-06, Vol.81 (9), p.499-507
Hauptverfasser: Mykoniatis, Ioannis, Pyrgidis, Nikolaos, Kalyvianakis, Dimitrios, Zilotis, Filimon, Kapoteli, Paraskevi, Fournaraki, Agrippina, Hatzichristou, Dimitrios
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container_issue 9
container_start_page 499
container_title The Prostate
container_volume 81
creator Mykoniatis, Ioannis
Pyrgidis, Nikolaos
Kalyvianakis, Dimitrios
Zilotis, Filimon
Kapoteli, Paraskevi
Fournaraki, Agrippina
Hatzichristou, Dimitrios
description Background Despite encouraging results, the optimal low‐intensity shockwave therapy (LiST) protocol in patients with chronic prostatitis/chronic pelvic pain syndrome (CPPS) remains unknown. We conducted a two‐arm, parallel‐group, randomized controlled trial aiming to compare the efficacy and safety of six LiST sessions applied once or twice weekly. Methods Fifty patients with CP/CPPS type IIIb were randomly assigned to six LiST sessions once (Group A, n = 25) or twice weekly (Group B, n = 25). Both groups followed the same treatment protocol in terms of LiST application, impulses (5000/session), energy flux density (0.096 mJ/mm2) and frequency (5 Hz). Subsequently, all participants were evaluated at 1 and 3 months after completion of LiST protocol. Results At the follow‐up evaluations, LiST significantly improved the National Institutes of Health‐Chronic Prostatitis Symptom Index (NIH‐CPSI) total, pain and quality of life scores, as well as the International Index of Erectile Function–Erectile Domain (IIEF‐ED) in both groups (p 
doi_str_mv 10.1002/pros.24119
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We conducted a two‐arm, parallel‐group, randomized controlled trial aiming to compare the efficacy and safety of six LiST sessions applied once or twice weekly. Methods Fifty patients with CP/CPPS type IIIb were randomly assigned to six LiST sessions once (Group A, n = 25) or twice weekly (Group B, n = 25). Both groups followed the same treatment protocol in terms of LiST application, impulses (5000/session), energy flux density (0.096 mJ/mm2) and frequency (5 Hz). Subsequently, all participants were evaluated at 1 and 3 months after completion of LiST protocol. Results At the follow‐up evaluations, LiST significantly improved the National Institutes of Health‐Chronic Prostatitis Symptom Index (NIH‐CPSI) total, pain and quality of life scores, as well as the International Index of Erectile Function–Erectile Domain (IIEF‐ED) in both groups (p &lt; .001 for all measures). Comparing between the two groups, no significant differences were demonstrated in the NIH‐CPSI total, pain, urinary and quality of life scores, as well as in the International Prostate Symptom Score, IIEF–ED, and LiST‐induced pain at both follow‐up evaluations. Accordingly, no adverse events and no dropouts were observed in both groups. Conclusion Six sessions of LiST applied once weekly for 6 weeks or twice weekly for 3 weeks seem to be equally safe and effective in patients with CP/CPPS. Nevertheless, further studies are necessary, since LiST gradually gains its place for the management of CP/CPPS.</description><identifier>ISSN: 0270-4137</identifier><identifier>EISSN: 1097-0045</identifier><identifier>DOI: 10.1002/pros.24119</identifier><identifier>PMID: 33929052</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Adverse events ; Chronic pain ; chronic pelvic pain syndrome ; chronic prostatitis ; Clinical trials ; Extracorporeal Shockwave Therapy - methods ; Humans ; low‐intensity shockwave therapy ; Male ; Middle Aged ; Pain ; Pelvic Pain - therapy ; Prospective Studies ; Prostate ; Prostatitis ; Prostatitis - therapy ; Quality of Life ; randomized controlled trial ; Treatment Outcome</subject><ispartof>The Prostate, 2021-06, Vol.81 (9), p.499-507</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3579-4f70ee81dfdeaf198430503ef9ac453e09c58ce4cf5418fc6e23c1c835f871193</citedby><cites>FETCH-LOGICAL-c3579-4f70ee81dfdeaf198430503ef9ac453e09c58ce4cf5418fc6e23c1c835f871193</cites><orcidid>0000-0002-3869-2888</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpros.24119$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpros.24119$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33929052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mykoniatis, Ioannis</creatorcontrib><creatorcontrib>Pyrgidis, Nikolaos</creatorcontrib><creatorcontrib>Kalyvianakis, Dimitrios</creatorcontrib><creatorcontrib>Zilotis, Filimon</creatorcontrib><creatorcontrib>Kapoteli, Paraskevi</creatorcontrib><creatorcontrib>Fournaraki, Agrippina</creatorcontrib><creatorcontrib>Hatzichristou, Dimitrios</creatorcontrib><title>Comparing two different low‐intensity shockwave therapy frequency protocols for nonbacterial chronic prostatitis/chronic pelvic pain syndrome: A two‐arm, parallel‐group randomized controlled trial</title><title>The Prostate</title><addtitle>Prostate</addtitle><description>Background Despite encouraging results, the optimal low‐intensity shockwave therapy (LiST) protocol in patients with chronic prostatitis/chronic pelvic pain syndrome (CPPS) remains unknown. We conducted a two‐arm, parallel‐group, randomized controlled trial aiming to compare the efficacy and safety of six LiST sessions applied once or twice weekly. Methods Fifty patients with CP/CPPS type IIIb were randomly assigned to six LiST sessions once (Group A, n = 25) or twice weekly (Group B, n = 25). Both groups followed the same treatment protocol in terms of LiST application, impulses (5000/session), energy flux density (0.096 mJ/mm2) and frequency (5 Hz). Subsequently, all participants were evaluated at 1 and 3 months after completion of LiST protocol. Results At the follow‐up evaluations, LiST significantly improved the National Institutes of Health‐Chronic Prostatitis Symptom Index (NIH‐CPSI) total, pain and quality of life scores, as well as the International Index of Erectile Function–Erectile Domain (IIEF‐ED) in both groups (p &lt; .001 for all measures). Comparing between the two groups, no significant differences were demonstrated in the NIH‐CPSI total, pain, urinary and quality of life scores, as well as in the International Prostate Symptom Score, IIEF–ED, and LiST‐induced pain at both follow‐up evaluations. Accordingly, no adverse events and no dropouts were observed in both groups. Conclusion Six sessions of LiST applied once weekly for 6 weeks or twice weekly for 3 weeks seem to be equally safe and effective in patients with CP/CPPS. Nevertheless, further studies are necessary, since LiST gradually gains its place for the management of CP/CPPS.</description><subject>Adult</subject><subject>Adverse events</subject><subject>Chronic pain</subject><subject>chronic pelvic pain syndrome</subject><subject>chronic prostatitis</subject><subject>Clinical trials</subject><subject>Extracorporeal Shockwave Therapy - methods</subject><subject>Humans</subject><subject>low‐intensity shockwave therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pelvic Pain - therapy</subject><subject>Prospective Studies</subject><subject>Prostate</subject><subject>Prostatitis</subject><subject>Prostatitis - therapy</subject><subject>Quality of Life</subject><subject>randomized controlled trial</subject><subject>Treatment Outcome</subject><issn>0270-4137</issn><issn>1097-0045</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtuFDEQhi0EIkNgwwGQJTYI0Ykf7ek2u2jES4oUxGPdctzljIPbbmx3Rp1VjsC5OAYnwc2ELFiwKtn16a-__kLoKSVHlBB2PMaQjlhNqbyHVpTIpiKkFvfRirCGVDXlzQF6lNIlIQUn7CE64FwySQRboZ-bMIwqWn-B8y7g3hoDEXzGLux-3fywPoNPNs84bYP-tlNXgPMWohpnbCJ8n8DrGRcDOejgEjYhYh_8udIZolUO620M3uoFSVllm206vvsDd7UUZT1Os-9jGOA1PlmMlNEqDq9KLyrnwJX3RQzTiKPyfRjsNfRYB59jKN0e52XWY_TAKJfgyW09RF_fvvmyeV-dnr37sDk5rTQXjaxq0xCAlvamB2WobGtOBOFgpNK14ECkFq2GWhtR09boNTCuqW65MG1TMuaH6MVet-xUAki5G2zS4JzyEKbUMcFIK9l6zQr6_B_0MkzRF3cLxSVlrawL9XJP6RJSimC6MdpBxbmjpFsu3C3pdX8uXOBnt5LT-QD9Hfr3pAWge2BnHcz_keo-fjr7vBf9DdFYuro</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Mykoniatis, Ioannis</creator><creator>Pyrgidis, Nikolaos</creator><creator>Kalyvianakis, Dimitrios</creator><creator>Zilotis, Filimon</creator><creator>Kapoteli, Paraskevi</creator><creator>Fournaraki, Agrippina</creator><creator>Hatzichristou, Dimitrios</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3869-2888</orcidid></search><sort><creationdate>20210601</creationdate><title>Comparing two different low‐intensity shockwave therapy frequency protocols for nonbacterial chronic prostatitis/chronic pelvic pain syndrome: A two‐arm, parallel‐group randomized controlled trial</title><author>Mykoniatis, Ioannis ; Pyrgidis, Nikolaos ; Kalyvianakis, Dimitrios ; Zilotis, Filimon ; Kapoteli, Paraskevi ; Fournaraki, Agrippina ; Hatzichristou, Dimitrios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3579-4f70ee81dfdeaf198430503ef9ac453e09c58ce4cf5418fc6e23c1c835f871193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Adverse events</topic><topic>Chronic pain</topic><topic>chronic pelvic pain syndrome</topic><topic>chronic prostatitis</topic><topic>Clinical trials</topic><topic>Extracorporeal Shockwave Therapy - methods</topic><topic>Humans</topic><topic>low‐intensity shockwave therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Pelvic Pain - therapy</topic><topic>Prospective Studies</topic><topic>Prostate</topic><topic>Prostatitis</topic><topic>Prostatitis - therapy</topic><topic>Quality of Life</topic><topic>randomized controlled trial</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mykoniatis, Ioannis</creatorcontrib><creatorcontrib>Pyrgidis, Nikolaos</creatorcontrib><creatorcontrib>Kalyvianakis, Dimitrios</creatorcontrib><creatorcontrib>Zilotis, Filimon</creatorcontrib><creatorcontrib>Kapoteli, Paraskevi</creatorcontrib><creatorcontrib>Fournaraki, Agrippina</creatorcontrib><creatorcontrib>Hatzichristou, Dimitrios</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Prostate</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mykoniatis, Ioannis</au><au>Pyrgidis, Nikolaos</au><au>Kalyvianakis, Dimitrios</au><au>Zilotis, Filimon</au><au>Kapoteli, Paraskevi</au><au>Fournaraki, Agrippina</au><au>Hatzichristou, Dimitrios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparing two different low‐intensity shockwave therapy frequency protocols for nonbacterial chronic prostatitis/chronic pelvic pain syndrome: A two‐arm, parallel‐group randomized controlled trial</atitle><jtitle>The Prostate</jtitle><addtitle>Prostate</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>81</volume><issue>9</issue><spage>499</spage><epage>507</epage><pages>499-507</pages><issn>0270-4137</issn><eissn>1097-0045</eissn><abstract>Background Despite encouraging results, the optimal low‐intensity shockwave therapy (LiST) protocol in patients with chronic prostatitis/chronic pelvic pain syndrome (CPPS) remains unknown. We conducted a two‐arm, parallel‐group, randomized controlled trial aiming to compare the efficacy and safety of six LiST sessions applied once or twice weekly. Methods Fifty patients with CP/CPPS type IIIb were randomly assigned to six LiST sessions once (Group A, n = 25) or twice weekly (Group B, n = 25). Both groups followed the same treatment protocol in terms of LiST application, impulses (5000/session), energy flux density (0.096 mJ/mm2) and frequency (5 Hz). Subsequently, all participants were evaluated at 1 and 3 months after completion of LiST protocol. Results At the follow‐up evaluations, LiST significantly improved the National Institutes of Health‐Chronic Prostatitis Symptom Index (NIH‐CPSI) total, pain and quality of life scores, as well as the International Index of Erectile Function–Erectile Domain (IIEF‐ED) in both groups (p &lt; .001 for all measures). Comparing between the two groups, no significant differences were demonstrated in the NIH‐CPSI total, pain, urinary and quality of life scores, as well as in the International Prostate Symptom Score, IIEF–ED, and LiST‐induced pain at both follow‐up evaluations. Accordingly, no adverse events and no dropouts were observed in both groups. Conclusion Six sessions of LiST applied once weekly for 6 weeks or twice weekly for 3 weeks seem to be equally safe and effective in patients with CP/CPPS. Nevertheless, further studies are necessary, since LiST gradually gains its place for the management of CP/CPPS.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33929052</pmid><doi>10.1002/pros.24119</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3869-2888</orcidid></addata></record>
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subjects Adult
Adverse events
Chronic pain
chronic pelvic pain syndrome
chronic prostatitis
Clinical trials
Extracorporeal Shockwave Therapy - methods
Humans
low‐intensity shockwave therapy
Male
Middle Aged
Pain
Pelvic Pain - therapy
Prospective Studies
Prostate
Prostatitis
Prostatitis - therapy
Quality of Life
randomized controlled trial
Treatment Outcome
title Comparing two different low‐intensity shockwave therapy frequency protocols for nonbacterial chronic prostatitis/chronic pelvic pain syndrome: A two‐arm, parallel‐group randomized controlled trial
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