Electroacupuncture relieves pain in men with chronic prostatitis/chronic pelvic pain syndrome: three-arm randomized trial
- PMID: 19394499
- DOI: 10.1016/j.urology.2008.10.047
Electroacupuncture relieves pain in men with chronic prostatitis/chronic pelvic pain syndrome: three-arm randomized trial
Abstract
Objectives: To investigate the clinical effect of electroacupuncture (EA) for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
Methods: We recruited 63 participants meeting the U.S. National Institutes of Health (NIH) consensus criteria for CP/CPPS. After the inclusion/exclusion criteria were applied, 39 men were randomized to 3 treatment groups: group 1, advice and exercise plus 12 sessions of EA; group 2, advice and exercise plus 12 sessions of sham EA (SEA); and group 3, advice and exercise alone (A&E) for 6 weeks. A total of 6 acupuncture points were used to stimulate the sacral nerve and release the piriformis muscle using an electrical pulse generator. Symptoms related to CP/CPPS were assessed using the NIH-Chronic Prostatitis Symptom Index (NIH-CPSI). Prostaglandin E(2) and beta-endorphin levels in postmassage urine samples were measured using an enzyme-linked immunosorbent assay.
Results: At 6 weeks, the NIH-CPSI total score had decreased significantly in the EA group compared with the SEA and A&E groups (P < .001). On a subscale analysis of the NIH-CPSI, the EA group showed significant decreases in pain-related symptoms compared with the SEA and A&E groups (P < .01). All 12 EA participants experienced at least a 6-point decrease in the NIH-CPSI total score compared with 2 of 12 SEA participants (16.7%) and 3 of 12 A&E participants (25.0%; P < .0001). The mean prostaglandin E(2) level in the postmassage urine samples had significantly decreased in the EA group (P = .023). In contrast, it had increased in the other 2 groups.
Conclusions: In a 3-arm randomized trial investigating the clinical effects of EA on CP/CPPS, EA therapy proved to have independent therapeutic effects, particularly for pain relief superior to SEA or A&E therapy.
Similar articles
-
Failure of a monotherapy strategy for difficult chronic prostatitis/chronic pelvic pain syndrome.J Urol. 2004 Aug;172(2):551-4. doi: 10.1097/01.ju.0000131592.98562.16. J Urol. 2004. PMID: 15247727
-
Treatment of chronic prostatitis/chronic pelvic pain syndrome with tamsulosin: a randomized double blind trial.J Urol. 2004 Apr;171(4):1594-7. doi: 10.1097/01.ju.0000117811.40279.19. J Urol. 2004. PMID: 15017228 Clinical Trial.
-
Two-year experience with the german-translated version of the NIH-CPSI in patients with CP/CPPS.Urology. 2004 Jun;63(6):1027-30. doi: 10.1016/j.urology.2004.02.002. Urology. 2004. PMID: 15183940
-
Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome.Cochrane Database Syst Rev. 2018 Jan 26;1(1):CD012551. doi: 10.1002/14651858.CD012551.pub2. Cochrane Database Syst Rev. 2018. Update in: Cochrane Database Syst Rev. 2018 May 12;5:CD012551. doi: 10.1002/14651858.CD012551.pub3. PMID: 29372565 Free PMC article. Updated. Review.
-
Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome.Cochrane Database Syst Rev. 2018 May 12;5(5):CD012551. doi: 10.1002/14651858.CD012551.pub3. Cochrane Database Syst Rev. 2018. PMID: 29757454 Free PMC article. Review.
Cited by
-
Research Trends of Acupuncture Therapy on Chronic Pelvic Pain Syndrome from 2000 to 2022: A Bibliometric Analysis.J Pain Res. 2023 Nov 30;16:4049-4069. doi: 10.2147/JPR.S434333. eCollection 2023. J Pain Res. 2023. PMID: 38054110 Free PMC article. Review.
-
The Role of Acupuncture and Its Related Mechanism in Treating Chronic Prostatitis/Chronic Pelvic Pain Syndrome.Int J Gen Med. 2023 Sep 6;16:4039-4050. doi: 10.2147/IJGM.S417066. eCollection 2023. Int J Gen Med. 2023. PMID: 37700742 Free PMC article. Review.
-
Acupuncture for Chronic Prostatitis or Chronic Pelvic Pain Syndrome: An Updated Systematic Review and Meta-Analysis.Pain Res Manag. 2023 Mar 14;2023:7754876. doi: 10.1155/2023/7754876. eCollection 2023. Pain Res Manag. 2023. PMID: 36960418 Free PMC article. Review.
-
Acupuncture for Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A GRADE-assessed Systematic Review and Meta-analysis.Eur Urol Open Sci. 2022 Oct 26;46:55-67. doi: 10.1016/j.euros.2022.10.005. eCollection 2022 Dec. Eur Urol Open Sci. 2022. PMID: 36506258 Free PMC article.
-
Effects of Electroacupuncture with Different Waveforms on Chronic Prostatitis/Chronic Pelvic Pain Syndromes: A Randomized Controlled Trial.Contrast Media Mol Imaging. 2022 Jul 13;2022:6866000. doi: 10.1155/2022/6866000. eCollection 2022. Contrast Media Mol Imaging. 2022. Retraction in: Contrast Media Mol Imaging. 2023 Jul 19;2023:9838623. doi: 10.1155/2023/9838623. PMID: 35935300 Free PMC article. Retracted. Clinical Trial.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous