AB058. Therapeutic efficacy of trans-rectal triple physiotherapy combined with pharmacotherapy in comparison with pharmacotherapy alone in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)

BACKGROUND: To evaluate the therapeutic effect of the combination of trans-rectal triple physiotherapy plus pharmacotherapy in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and to compare this combinatorial effect with the effect of pharmacotherapy alone retrospectively. METHODS: A total of 73 patients with CP/CPPS were divided into two groups: the first group was treated with drugs, and the second group received a combination of the same drugs and trans-rectal triple physiotherapy. All the patients were evaluated by the NIH-CPSI, HADS, PVR and Qmax, before and after therapy. RESULTS: At the termination of therapy, significant improvements in NIH-CPSI total and subscale scores, PRV and HADS were observed in both groups, with better outcomes with the second group. Patients in the first group did not exhibit an improvement in Qmax, while the second group showed a significant increase. CONCLUSIONS: The combination of trans-rectal triple physiotherapy and pharmacotherapy may be an effective therapeutic strategy for patients with CP/CPPS. Thus, there is a need for more prospective, randomized, controlled studies to confirm our results.