EVALUATION OF EFFICACY OF EXTRACORPOREAL SHOCK WAVE THERAPY IN COMPLEX TREATMENT OF PATIENTS WITH CHRONIC NON-BACTERIAL PROSTATITIS / CHRONIC PELVIC PAIN SYNDROME

Abstract

The aim: Study of hemodynamics of the prostate and evaluation of the effectiveness of extracorporeal shock wave therapy (ESWT) in the complex treatment of patients with chronic prostatitis with non-inflammatory chronic pelvic pain syndrome (NCPPS), (NIH III B). Materials and methods: There were 63 patients with NCPPS aged 29 to 45 years, with a disease duration of more than 3 years and low efficacy of treatment against the background of standard therapy. All patients received standard therapy according to the clinical protocol. The main group (33 men – group II), against the background of standard therapy, received a course of ESWT, followed by a comparative assessment of clinical results regarding to the group of patients (30 men – group I) who received only standard therapy after the course, and after 3 and 6 months after treatment. Results: According to the results of transrectal ultrasonography in Doppler mode, a marked decrease in volumetric blood flow in the prostate gland of patients was observed. The use of ESWT against the background of standard treatment contributed to a longer and more stable clinical effect, with a significant improvement in hemodynamic parameters in the prostate unlike the results in the group of patients receiving only standard therapy. Conclusions: Significant disorders of prostate hemodynamics were found in patients with NCPPS. Use on the background of standard treatment of ESWT in these patients is pathogenetically justified with a lasting and stable clinical effect.