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The Efficacy of Traditional Chinese Herbs Retention Enema Combined with Perineal Massage on Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)

Received: 18 March 2021     Accepted: 12 April 2021     Published: 26 April 2021
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Abstract

Purpose: To explore the clinical effect of traditional Chinese medicine retention enema combined with penis massage in the treatment of chronic prostatitis complicated with sexual dysfunction. Materials and methods: 200 patients with chronic prostatitis complicated with sexual dysfunction were randomly divided into two groups, 100 cases in each group. The combined treatment group was treated with traditional Chinese medicine retention enema combined with penis massage, and the control group was treated with traditional Chinese medicine retention enema alone. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Chronic Prostatitis Related Sexual Function Index (CPSFI), International Index of Erectile Function-5 (IIEF-5), Chinese Index of Sexual Function for Premature Ejaculation (CIPE), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) and Routine examination of prostatic secretions (EPS) were used to evaluate the clinical effect before and after treatment. Results: The effective rate of the combined treatment group was significantly higher than that of the simple traditional Chinese medicine enema group. The total effective rate was 90% in the combined treatment group and 67% in the control group. The combined treatment group was significantly higher than the control group, and the difference was statistically significant (P<0.05). The scores of NIH-CPSI, IIEF-5, CIPE-5, HAMA and HAMD in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: Traditional Chinese medicine retention enema combined with penile massage for chronic prostatitis combined with ED can significantly improve the symptoms associated with chronic prostatitis, and can also significantly improve the patient's sexual function.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 7, Issue 2)
DOI 10.11648/j.ijcems.20210702.12
Page(s) 44-49
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Chronic Prostatitis/Chronic Pelvic Pain Syndrome, Traditional Chinese Herbs Retention Enema, Perineal Massage, Treatment Outcome

References
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[2] Rees J, Abrahams M, Doble A, Cooper A, Prostatitis Expert Reference G. Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline. BJU Int. 2015; 116 (4): 509-25.
[3] Tran CN, Shoskes DA. Sexual dysfunction in chronic prostatitis/chronic pelvic pain syndrome. World J Urol. 2013; 31 (4): 741-6.
[4] Cui X, Naveed M, Baig M, Wang W, Mikrani R, Liu Z, et al. Therapeutic effects of Qianlie Tongli decoction on chronic prostatitis/chronic pelvic pain syndrome induced by peptide T2 in mice. J Pharm Pharmacol. 2020.
[5] Nickel JC, Shoskes DA, Wagenlehner FM. Management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): the studies, the evidence, and the impact. World J Urol. 2013; 31 (4): 747-53.
[6] McNaughton Collins M. The impact of chronic prostatitis/chronic pelvic pain syndrome on patients. World J Urol. 2003; 21 (2): 86-9.
[7] Anichkov NM, Kniaz'kin IV. [Chronic prostatitis: 1) etiology, pathogenesis, modeling, classification]. Adv Gerontol. 2003; 11: 84-92.
[8] Zaidi N, Thomas D, Chughtai B. Management of Chronic Prostatitis (CP). Curr Urol Rep. 2018; 19 (11): 88.
[9] Shoskes DA. The challenge of erectile dysfunction in the man with chronic prostatitis/chronic pelvic pain syndrome. Curr Urol Rep. 2012; 13 (4): 263-7.
[10] Shoskes DA, Prots D, Karns J, Horhn J, Shoskes AC. Greater endothelial dysfunction and arterial stiffness in men with chronic prostatitis/chronic pelvic pain syndrome--a possible link to cardiovascular disease. J Urol. 2011; 186 (3): 907-10.
[11] Zhang Y, Liu Y. [Study on treatment of blood stasis syndrome of chronic prostatitis using prostatitis decoction and its extract capsule]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1998; 18 (9): 534-6.
[12] Xiong XJ, Wang Z, Wang J. Innovative Strategy in Treating Angina Pectoris with Chinese Patent Medicines by Promoting Blood Circulation and Removing Blood Stasis: Experience from Combination Therapy in Chinese Medicine. Curr Vasc Pharmacol. 2015; 13 (4): 540-53.
[13] Liu W, Yang S, Fu M, Li J, Song Y, Wei B, et al. Chinese patent medicine for chronic obstructive pulmonary disease based on principles of tonifying Qi, promoting blood circulation by removing blood stasis, and resolving phlegm: a systematic review of randomized controlled trials. J Tradit Chin Med. 2015; 35 (1): 1-10.
[14] Wang Z, Yuan L, Wang Y, Yang B, Dong X, Gao Z. Efficacy and safety of Chinese herbal medicine for chronic prostatitis associated with damp-heat and blood-stasis syndromes: a meta-analysis and literature review. Patient Prefer Adherence. 2016; 10: 1889-902.
[15] Lu M, Wang TY, Tian XX, Shi XH, Fan GW, Zhang Y, et al. [Interaction of anti-thrombotic and anti-inflammatory activities of commonly used traditional Chinese medicine for promoting blood circulation and removing blood stasis revealed by network pharmacology analysis]. Yao Xue Xue Bao. 2015; 50 (9): 1135-41.
[16] Shafik A. Anal submucosal injection: a new route for drug administration. VI. Chronic prostatitis: a new modality of treatment with report of eleven cases. Urology. 1991; 37 (1): 61-4.
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    Zhiyong Wu, Yingfan Zhang, Qiaohao Hu, Feng Zhou, Yubao Wang, et al. (2021). The Efficacy of Traditional Chinese Herbs Retention Enema Combined with Perineal Massage on Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS). International Journal of Clinical and Experimental Medical Sciences, 7(2), 44-49. https://doi.org/10.11648/j.ijcems.20210702.12

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    ACS Style

    Zhiyong Wu; Yingfan Zhang; Qiaohao Hu; Feng Zhou; Yubao Wang, et al. The Efficacy of Traditional Chinese Herbs Retention Enema Combined with Perineal Massage on Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS). Int. J. Clin. Exp. Med. Sci. 2021, 7(2), 44-49. doi: 10.11648/j.ijcems.20210702.12

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    AMA Style

    Zhiyong Wu, Yingfan Zhang, Qiaohao Hu, Feng Zhou, Yubao Wang, et al. The Efficacy of Traditional Chinese Herbs Retention Enema Combined with Perineal Massage on Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS). Int J Clin Exp Med Sci. 2021;7(2):44-49. doi: 10.11648/j.ijcems.20210702.12

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  • @article{10.11648/j.ijcems.20210702.12,
      author = {Zhiyong Wu and Yingfan Zhang and Qiaohao Hu and Feng Zhou and Yubao Wang and Longwang Wang and Ruixiang Song},
      title = {The Efficacy of Traditional Chinese Herbs Retention Enema Combined with Perineal Massage on Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {7},
      number = {2},
      pages = {44-49},
      doi = {10.11648/j.ijcems.20210702.12},
      url = {https://doi.org/10.11648/j.ijcems.20210702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20210702.12},
      abstract = {Purpose: To explore the clinical effect of traditional Chinese medicine retention enema combined with penis massage in the treatment of chronic prostatitis complicated with sexual dysfunction. Materials and methods: 200 patients with chronic prostatitis complicated with sexual dysfunction were randomly divided into two groups, 100 cases in each group. The combined treatment group was treated with traditional Chinese medicine retention enema combined with penis massage, and the control group was treated with traditional Chinese medicine retention enema alone. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Chronic Prostatitis Related Sexual Function Index (CPSFI), International Index of Erectile Function-5 (IIEF-5), Chinese Index of Sexual Function for Premature Ejaculation (CIPE), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) and Routine examination of prostatic secretions (EPS) were used to evaluate the clinical effect before and after treatment. Results: The effective rate of the combined treatment group was significantly higher than that of the simple traditional Chinese medicine enema group. The total effective rate was 90% in the combined treatment group and 67% in the control group. The combined treatment group was significantly higher than the control group, and the difference was statistically significant (P<0.05). The scores of NIH-CPSI, IIEF-5, CIPE-5, HAMA and HAMD in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: Traditional Chinese medicine retention enema combined with penile massage for chronic prostatitis combined with ED can significantly improve the symptoms associated with chronic prostatitis, and can also significantly improve the patient's sexual function.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - The Efficacy of Traditional Chinese Herbs Retention Enema Combined with Perineal Massage on Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)
    AU  - Zhiyong Wu
    AU  - Yingfan Zhang
    AU  - Qiaohao Hu
    AU  - Feng Zhou
    AU  - Yubao Wang
    AU  - Longwang Wang
    AU  - Ruixiang Song
    Y1  - 2021/04/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcems.20210702.12
    DO  - 10.11648/j.ijcems.20210702.12
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 44
    EP  - 49
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20210702.12
    AB  - Purpose: To explore the clinical effect of traditional Chinese medicine retention enema combined with penis massage in the treatment of chronic prostatitis complicated with sexual dysfunction. Materials and methods: 200 patients with chronic prostatitis complicated with sexual dysfunction were randomly divided into two groups, 100 cases in each group. The combined treatment group was treated with traditional Chinese medicine retention enema combined with penis massage, and the control group was treated with traditional Chinese medicine retention enema alone. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Chronic Prostatitis Related Sexual Function Index (CPSFI), International Index of Erectile Function-5 (IIEF-5), Chinese Index of Sexual Function for Premature Ejaculation (CIPE), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) and Routine examination of prostatic secretions (EPS) were used to evaluate the clinical effect before and after treatment. Results: The effective rate of the combined treatment group was significantly higher than that of the simple traditional Chinese medicine enema group. The total effective rate was 90% in the combined treatment group and 67% in the control group. The combined treatment group was significantly higher than the control group, and the difference was statistically significant (P<0.05). The scores of NIH-CPSI, IIEF-5, CIPE-5, HAMA and HAMD in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: Traditional Chinese medicine retention enema combined with penile massage for chronic prostatitis combined with ED can significantly improve the symptoms associated with chronic prostatitis, and can also significantly improve the patient's sexual function.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Shanghai Yubao Outpatient Department, Jing'anZiyuan Administrative Mansion, Shanghai, China

  • Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

  • Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China

  • Department of Plastic and Reconstructive Surgery, Tongji Hospital, Tongji University, Shanghai, China

  • Shanghai Institute Of Planned Parenthood Research (SIPPR), Shanghai, China

  • Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, China

  • >Department of Urology, The First Affiliated Hospital of Naval Medical University, Shanghai, China

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