the current management of chronic prostatitis/chronic pelvic pain syndrome effective

ABSTRACT

To re-evaluate the efficacy of the current applied manage-merit of chronic prostatitis/CPPS. From September 2000 to December 2006, 1690 patients diagnosed as chronic prostatitis/chronic pelvic pain syndrome [CP/CPPS] were managed in this series, in Urology Department, Benha Faculty of Medicine and Al Noor Specialist Hospital KS.A. We have classified the patients into 3 groups according to presence of pus cells in expressed prostatic secretion or urine sample after massage [VB3] in Stamy's method, and according to NIH/CP classification, the three groups have been subdivided to A and B subgroup. The subgroup A received antibiotics and subgroup B received placebo, anti-inflammatories, plant extract or alpha-blockers. Evaluation of the result of management was done according to NIH-CPSI score. Data from the 3 groups were analyzed and compared. The improved patients were statistically analyzed according to the decrease by more than 25% NIH/CPSI score from the base line. The results of the present study have revealed that there was in significant difference between the improved percentages of patients in subgroup A1 [44.6%] received antibiotics in comparison to patients in subgroup Bl [43.2%] received placebo or other measures in the 1[st] group P>0.05. In the 2nd group there was significant improvement in subgroup B2 63.5% than group A[3] 24.5%, in the 3[rd] group there was significant increase in the percentage of the total improved patients but there was no significant difference between the improved patients of the two subgroups A[3], B[3]. We concluded from this study that the management of chronic prostatitis/chronic pelvic pain syndrome still a challenge for urolo-gists and there was no significant difference between the percentage of improved patients treated by antibiotics and other treated by placebo or other measures and further research is needed and more studies are required to confirm efficacy of therapies and trial of another measures: