Effect of regimenal intervention by nutool (irrigation) in a case of chronic prostatitis/chronic pelvic pain syndrome

Abstract

Background
 ‘Nutool’ is one of the regimenal therapy used in Unani medicine since centuries in various inflammatory and painful conditions. Chronic prostatitis (Warm-e- Gudda Mazi Muzmin) is associated with ‘chronic pelvic pain syndrome’ (CP/CPPS), is a chronic pain condition of non-bacterial origin in men with mixture of other symptoms such as lower urinary tract voiding, ejaculatory ailments and negative impact on quality of life (QOL), which almost lacks uniform effective therapy in conventional medicine.
 Objectives
 The purpose of our case study was to assess the impact of nutool in CP/ CPPS refractory to standard therapies and collect data to warrant further research in this area. 
 Case study 
 A 30 yrs. old Asian male admitted with symptoms of pelvic pain and pain during ejaculation from 6 month in absence of lower urinary tract symptoms with negative thoughts, diagnosed as CP/ CPPS on the protocols of NIH. Nutool of anti-inflammatory Unani drugs was given as the main therapy, daily for two weeks. Thus we report our case experience with the integrated short, review of literature and validated assessment, based on 1) VAS, 2) NIH-CPSI which includes pain index, urinary, and QOL score.
 Results
 Results were validated over the pain on the basis of VAS (visual analogue scale) and NIH-CPSI (standard questionnaire of the national institute of health—chronic prostatitis symptom index) which showed significant improvement after 2 weeks of therapy.
 Conclusion 
 The preliminary findings, although limited, suggest the potential therapeutic role of Nutool in the treatment of CP/CPPS.