Short and long-term effectiveness of external shock wave therapy for chronic pelvic pain syndrome in men

Introduction Chronic pelvic pain syndrome (CPPS) is a frequent urological diagnosis that affects men’s quality of life. Extracorporeal shockwave therapy (ESWT) recent treatment option for patients with CPPS. We evaluated ESWT’s short and long – term efficacy in managing CPPS.Methods This prospective self-controlled study included 75 diagnosed CPPS at our tertiary clinic between January 2017-June 2019. Patients were referred ESWT received four sessions one week apart. The National Institute Health Prostatitis Symptom Index (NIH CPSI) questionnaire was used to assess patients’ symptom severity before starting 0, 12 26 weeks after completing ESWT. Demographics, clinical data complications also recorded.Results Patients’ mean age 37.9 ± 8.6 years, duration symptoms 5 4.5 years. Compared pre-treatment scores, all exhibited improvements across NIH CPSI domains directly (week 0 post-treatment), difference improvement 9.26 5.7, 5.2 3.4, 1.19 2.18 2.88 2.46 points the total, pain, urinary symptoms, quality-of-life scores respectively. At ESWT, 80.9% reported improvements, 8.07 7.56, 4.55 4.6, 0.76 2.48, 2.85 2.78 Again, none developed any treatment-related complications. 82.4% 8.29 7.7%, 4.92 4.69, 0.75 2.96, 2.5 3.0 None complications.Conclusions safe effective modality CPPS, short-term symptom, scores; long-term scores.