title: [Extracorporeal shock wave therapy in chronic prostatitis].
abstract: BACKGROUND
  Chronic prostatitis is a prevalent urologic disease, but treatment outcomes are not always satisfactory. As a rule, chronic prostatitis results in chronic pelvic pain syndrome, significantly reducing the patient's quality of life.
  
  
  METHODS
  Open pilot prospective non-comparative study was conducted to test the effectiveness of extracorporeal shock wave therapy (ESWT) using Aries (Dornier) machine in patients with chronic prostatitis (CP) of IIIb category. A total of 27 patients underwent ESWL as monotherapy, 2 times a week for a course of 6 sessions. Exposure settings: 5-6 energy level (by sensation), the frequency of 5 Hz, 2000 pulses per session; each patient received a total energy up to 12000 mJ. per procedure.
  
  
  RESULTS
  Treatment results were evaluated using NIH-CPSI (National Institute of Health Chronic Prostatitis Symptom Index) upon completing the 3 week course of 6 treatments and at 1 month after ESWT. Immediately after the ESWT course positive trend was not significant: pain index decreased from 9.1 to 7.9, urinary symptom score remained almost unchanged (4.2 at baseline, 4.1 after treatment), quality of life index also showed a slight improvement, dropping from 7.2 points to 6.0. Total NIH-CPSI score decreased from 20.5 to 18.0. One month post-treatment pain significantly decreased to 3.2 points, the urinary symptom score fell to 2.7 points, the average quality of life score was 3.9 points.
  
  
  CONCLUSIONS
  ESWT, performed on Aries (Dornier) machine, is highly effective as monotherapy in patients with category IIIb chronic prostatitis.
authors.affiliation: Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.|Novosibirsk State Medical University of Minzdrav of Russia.
authors.forename: E V
authors.initials: EV
authors.lastname: Kul'chavenya
authors.affiliation: Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.|Novosibirsk State Medical University of Minzdrav of Russia.|City Polyclinic 26, Novosibirsk.
authors.forename: S Yu
authors.initials: SY
authors.lastname: Shevchenko
authors.affiliation: Novosibirsk Tuberculosis Research Institute of Minzdrav of Russia.
authors.forename: E V
authors.initials: EV
authors.lastname: Brizhatyuk
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011472:Prostatitis / Q000601:surgery*; D013997:Time Factors; D059708:Ultrasonic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*
keywords: chronic pelvic pain syndrome; prostatitis; shock wave therapy