Abstract

BackgroundThe chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the commonest chronic inflammatory diseases in adult men, for which acupuncture has been used to relieve related symptoms. The present study aimed to evaluate the therapeutic effect of the long-needle acupuncture on CP/CPPS.MethodsA randomized traditional acupuncture-controlled single blind study was conducted on 77 patients who were randomized into long-needle acupuncture (LA) and traditional acupuncture (TA) groups. The patients received six sessions of acupuncture for 2 weeks and a follow-up was scheduled at week 24. The primary outcome was measured by the total National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) score at week 2. Four domains of the NIH-CPSI (urination, pain or discomfort, effects of symptoms, and quality of life) and the clinical efficacy score served as the secondary outcome.ResultsThe total NIH-CPSI score at week 2 and week 24 was significantly improved in the LA group compared with the TA group. LA significantly improved urination, pain or discomfort, the effects of symptoms, and the quality of life at week 2 and week 24 and patients undergoing LA treatment had a higher clinical efficacy score.ConclusionNeedling at the BL30 and BL35 using LA benefits patients with CP/CPPS.Trial registrationThe study was registered at the Chinese Clinical Trial Register (ChiCTR-ICR-15006138).

Highlights

  • The chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the commonest chronic inflammatory diseases in adult men, for which acupuncture has been used to relieve related symptoms

  • The chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the commonest chronic inflammatory diseases in male adults, the prevalence of which is estimated to range from 2% to 10% and the overall lifetime prevalence from 9% to 16% [1]

  • Seventy-seven patients were recruited in the study, 39 of whom received the long-needle treatment and 38 traditional acupuncture treatment

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Summary

Introduction

The chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the commonest chronic inflammatory diseases in adult men, for which acupuncture has been used to relieve related symptoms. The chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the commonest chronic inflammatory diseases in male adults, the prevalence of which is estimated to range from 2% to 10% and the overall lifetime prevalence from 9% to 16% [1]. A meta-analysis indicated that acupuncture results in statistical and clinical improvements in the voiding domain of the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) in CP/CPPS patients [10]. The observational studies and randomized controlled trials revealed that acupuncture reduced pain and improved the immune function in patients with CP/CPPS [11,12,13,14]. The efficacy of acupuncture is determined by the various parameters, e.g. the depth of the needles, the number of acupoints, and needle manipulation [15, 16], which need to be optimized to maximize its effectiveness

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