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Acupuncture relieves symptoms in CP/CPPS: A randomized, sham-controlled trial
Eur Urol Suppl 2014;13;e465 Print!
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Tugcu V. 1 , Sahin S. 1 , Tas S. 1 , Tasci A.I. 1 , Bicer M. 2 , Eren G.3 , Cek M. 4
1 Bakirkoy
Research and Training Hospital, Dept. of Urology, Istanbul, Turkey, 2 Bakirkoy Research and Training Hospital, Dept. of Physical
Treatment and Rehabilitation, Istanbul, Turkey, 3 Bakirkoy Research and Training Hospital, Dept. of Anesthesiology, Istanbul, Turkey,
4 Edirne
University, Dept. of Urology, Edirne, Turkey
INTRODUCTION & OBJECTIVES: There are multiple approaches to the management of chronic prostatitis/chronic pelvic pain syndrome
(CP/CPPS); and lately the data suggesting the ability of acupuncture treatment to decrease pain, positively impact quality of life and
potentially modulate inflammation has suggested it as potential therapeutic option for men with CP/CPPS.To determine whether
acupuncture is really an effective therapeutic modality for CP/CPPS compared to sham.
MATERIAL & METHODS: A randomized, sham-controlled study was designed to enroll 80 patients with CP/CPPS (category III B) in an
outpatient urology clinic. Patients were randomized to recieve acupuncture at 7 acupoints bilaterally and sham points adjacent to these
points. NIH chronic prostatitis symptom index (NIH-CPSI) was completed by each patient before and after the treatment.Mean values of
total CPSI score, pain subscore, urinary subscore and quality of life subscore after the treatment and on follow-up following the treatment
were compared.
RESULTS: 94.14% of acupuncture participants were NIH-CPSI responders (more than 50% decrease in total NIH-CPSI score from
baseline) compared to 64.3% of sham participants. Both groups experienced significant decreases in CPSI subscores of pain, urinary and
quality of life (QoL) throughout the whole follow-up period, however the declines remained significantly greater in the active acupuncture
group as compared to sham group.
CONCLUSIONS: This study assures evidence to encourage the use of acupuncture in treatment of men complaining of CP/CPPS
symptoms.