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Efficacy of low-intensity shockwave therapy frequency given once versus twice weekly for chronic pelvic pain syndrome

Efficacy of low-intensity shockwave therapy frequency given once versus twice weekly for chronic pelvic pain syndrome Efficacy of low-intensity shockwave therapy frequency given once versus twice weekly for chronic pelvic pain syndrome
Efficacy of low-intensity shockwave therapy frequency given once versus twice weekly for chronic pelvic pain syndrome Efficacy of low-intensity shockwave therapy frequency given once versus twice weekly for chronic pelvic pain syndrome

Given the lack of studies involving the ideal low‐intensity shockwave therapy (LiST) procedure in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), this randomized controlled, parallel-group, two-arm study aimed to compare the safety and efficacy of 6 LiST sittings used once or twice per week for the treatment of CP/CPPS.

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Key take away

The use of 6 sessions of low‐intensity shockwave therapy used once per week for 6 weeks or 2 times per week for 3 weeks was found to have comparable efficacy and safety for the treatment of chronic prostatitis/chronic pelvic pain syndrome. 

Background

Given the lack of studies involving the ideal low‐intensity shockwave therapy (LiST) procedure in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), this randomized controlled, parallel-group, two-arm study aimed to compare the safety and efficacy of 6 LiST sittings used once or twice per week for the treatment of CP/CPPS.

Method

A total of 50 patients with CPPS type IIIb were randomly assigned to two groups: Group A (25 patients) with 6 LiST sessions once weekly or; Group B (25 patients) with 6 LiST sessions twice-weekly (Group B, n = 25).

Similar therapy practices concerning the application of LiST, impulses (5000 per session), energy flux density (0.096 mJ/mm2), and frequency were used. Assessments were done at follow-up of 1 month and 3 months.

Result

In both groups, LiST considerably improved National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), pain and quality of life scores, along with International Index of Erectile Function-Erectile Domain at the follow-up. No profound differences were witnessed between both groups at follow-up. There were no adverse events and dropouts.

Conclusion

Six sittings of LiST used once or twice a week seem to have similar outcomes concerning its safety and efficacy in CP/CPPS patients. Future studies are important, as LiST slowly gains its place for CP/CPPS management.

Source:

The Prostate

Article:

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

Authors:

Ioannis Mykoniatis et al.

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