Abstract

Purpose: To explore the clinical effect of traditional Chinese medicine retention enema combined with penis massage in the treatment of chronic prostatitis complicated with sexual dysfunction. Materials and methods: 200 patients with chronic prostatitis complicated with sexual dysfunction were randomly divided into two groups, 100 cases in each group. The combined treatment group was treated with traditional Chinese medicine retention enema combined with penis massage, and the control group was treated with traditional Chinese medicine retention enema alone. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Chronic Prostatitis Related Sexual Function Index (CPSFI), International Index of Erectile Function-5 (IIEF-5), Chinese Index of Sexual Function for Premature Ejaculation (CIPE), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) and Routine examination of prostatic secretions (EPS) were used to evaluate the clinical effect before and after treatment. Results: The effective rate of the combined treatment group was significantly higher than that of the simple traditional Chinese medicine enema group. The total effective rate was 90% in the combined treatment group and 67% in the control group. The combined treatment group was significantly higher than the control group, and the difference was statistically significant (P<0.05). The scores of NIH-CPSI, IIEF-5, CIPE-5, HAMA and HAMD in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: Traditional Chinese medicine retention enema combined with penile massage for chronic prostatitis combined with ED can significantly improve the symptoms associated with chronic prostatitis, and can also significantly improve the patient's sexual function.

Highlights

  • Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is one of the common diseases in male genitourinary system, which is mainly described by pain or discomfort in the pelvic region, lasting for more than 3 months

  • The CP/CPPS diagnosis is based on the following conditions: the National Institutes of Health (NIH) developed Chronic Prostatitis Syndrome Index (NIH-CPSI)> 10 points, white blood cells (WBCs) in prostatic fluid routine test> 10 / hp, reduced or disappeared lecithin bodies

  • A total of 200 male patients who suffered with CP/CPPS were included in the study

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Summary

Patients

From September 2018 to July 2019, a total of 200 patients with CP/CPPS were enrolled in our hospital and received our specific Chinese traditional medicine therapy. The CP/CPPS diagnosis is based on the following conditions: the National Institutes of Health (NIH) developed Chronic Prostatitis Syndrome Index (NIH-CPSI)> 10 points, white blood cells (WBCs) in prostatic fluid routine test> 10 / hp, reduced or disappeared lecithin bodies. The course of the disease should be more than 3 months. Patients with benign prostatic hyperplasia (BPH), acute bacterial prostatitis, uncontrolled diabetes mellitus, or poor general conditions were excluded from the study

Chinese Herbs Retention Enema
Penile Massage
Efficacy Judgment
Results
NIH-CPSI and I Efficacy Evaluation
Negative Emotion
Subjective Symptoms
Discussion
Conclusion
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