title: Consolidation therapy is necessary following successful biofeedback treatment for pubertal chronic prostatitis patients: a 3-year follow-up study.
abstract: OBJECTIVE
  To assess long-term effects of biofeedback training on pubertal chronic prostatitis (CP).
  
  
  METHODS
  Pubertal CP patients received 12-week intensive biofeedback training and were divided into two groups: group 1 received further monthly training ≥ 24 (26-36) months; group 2 received further monthly training <24 (13-23) months. National Institutes of Health-CP Symptom Index (NIH-CPSI) scores, maximum urinary flow rate (Qmax) and postvoid residual urine volume (PVR) were recorded monthly.
  
  
  RESULTS
  Total NIH-CPSI scores decreased significantly in group 1 (n = 10; mean age ± SD 16.5 ± 1.1 years) together with all subdomain scores (pain, urination, life impact). Total NIH-CPSI scores increased significantly in group 2 (n = 12; mean age ± SD 16.3 ± 1.2 years) at 30 and 36 months, and were significantly different from group 1 at these time points. Urination and life-impact scores increased significantly and Qmax decreased significantly in group 2 at 30 and 36 months. PVR was unchanged in either group.
  
  
  CONCLUSIONS
  Twelve-week intensive biofeedback training requires lengthy consolidation sessions to achieve long-term success. Further investigation should assess longer intervals between consolidation sessions, for improving patient compliance and outcome.
authors.affiliation: Department of Urology, Xiang Ya Hospital, Central South University, Changsha City, Hunan Province, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Wang
authors.forename: Lin
authors.initials: L
authors.lastname: Qi
authors.forename: Xiang Yang
authors.initials: XY
authors.lastname: Zhang
authors.forename: Yuan Qing
authors.initials: YQ
authors.lastname: Dai
authors.forename: Yuan
authors.initials: Y
authors.lastname: Li
mesh_terms: D000293:Adolescent; D001676:Biofeedback, Psychology; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009316:National Institutes of Health (U.S.); D011472:Prostatitis / Q000628:therapy*; D011627:Puberty; D014481:United States
keywords: Biofeedback; National Institutes of Health–Chronic Prostatitis Symptom Index (NIH–CPSI); chronic prostatitis; follow-up; puberty; urodynamics