Chronic Prostatitis / Chronic Pelvic Pain Syndrome (CP / CPPS)
Chronic pelvic pain syndrome (CPPS) or chronic prostatitis (CP) is a common disease in urology and gynecology. CPPS is a multifactorial disorder where pain may originate in any of the urogynecological, gastrointestinal, pelvic musculoskeletal, or nervous systems. It has adverse effects on the patient’s quality of life. It is increasing in prevalence, affecting about 15% of the adult male population. Chronic non-bacterial prostatitis is the main etiology of chronic pelvic pain syndrome.
CPPS is diagnosed if pelvic pain persists for more than three months with no infection present. CPPS causes pain in the perianal region; it also causes a problem with voiding. The pathophysiology of CP/CPPS has not yet been fully explained. Neuropathy, inflammation, pelvic floor muscle dysfunction, and neurobehavioral disorder are the most common hypothesized etiologies.
Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a heterogeneous syndrome that is often challenging to treat. Low Intensity Shock Wave (LiSW) has emerged as a potential therapy and several sham controlled studies have shown efficacy. It has been used successfully in the treatment of certain chronic conditions such as diabetic wounds, tendinitis, plantar fasciitis, and epicondylitis, etc.
Recently, electrohydraulic shock wave has been investigated in CPPS due to its anti-inflammatory, analgesic, and anti-spastic effects. The previous studies showed that LiSW Urogold100 electrohydraulic shock wave therapy is an effective modality and is safe for the treatment of CPPS. The prostate gland is part of the male reproductive system. It sits just below the bladder and around the urethra. CP/CPPS is the most common form of pain of the gland. It is also known as nonbacterial prostatitis. Symptoms such as pain and trouble urinating may come and go.
The exact cause of CPPS is not known. It may be caused by an infection that comes back again and again. It may be due to inflammation of the gland. Muscle spasms in the pelvis may be a cause. Some people do not have symptoms. Or they may have symptoms but come and go. Symptoms can include pain in the genital and pelvic area; trouble peeing or pain when urinating. A patient may also feel pain during or after ejaculation.
How is Chronic Prostatitis/Chronic Pelvic Pain Syndrome diagnosed:
First, a clinical assessment. At Premier Shockwave Clinic we have qualified professionals to make sure you are getting the best care. Your urine, blood, and semen may be tested for bacteria or certain chemicals. In some cases, you may need other tests.
There are studies to support shockwave therapy as a treatment for CP/CPPS. Cleveland Clinic Authors: Daniel Shoskes*, and Brandon Mooney, from Cleveland, OH studied the efficacy and safety of LiSW in CP/CPPS patients with clinical phenotyping to better understand who may best respond.
LiSW with the Urogold 100 improved symptoms of CP/CPPS in most patients. All responders had pelvic floor spasm, and shock wave therapy is well established in the treatment of pain from trigger points. While small numbers preclude meaningful subgroup analysis, there was no impact on urinary symptoms. The authors concluded that once/week low intensity shock wave improved the symptoms of CP/CPPS in most patients without side effects.
In my personal experience using LiSW is the best option to treat CP/CPPS, using a perineal approach, treating the prostate and the pelvic floor.
In women, chronic pelvic pain syndrome (CPPS) is defined as pain located in the pelvic area that lasts over six months and is severe enough to limit functioning, unrelated to menstrual cycle, pregnancy, local trauma, or pelvic operations. This syndrome is one of the diseases shared by urology and gynecology. Its frequency is between 3% and 10%, and it is more frequent among women.