Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome

Purpose Chronic pelvic pain syndrome (CPPS) is treated by use of various protocols. We compared tamsulosin monotherapy with tamsulosin in combination with antibiotics or anti-inflammatory agents and evaluated the efficacy of these treatments in patients with CPPS. Methods Patients (n=107) who were y...

Full description

Bibliographic Details
Main Authors: Tae Hyo Kim, Ki Soo Lee, Jeong Ho Kim, Joon Yeop Jee, Young Eun Seo, Dong Won Choi, Yeul Geun Sung, Geun Soo Kong, Dong Woo Kim, Won Yeol Cho
Format: Article
Language:English
Published: Korean Continence Society 2011-06-01
Series:International Neurourology Journal
Subjects:
Online Access:http://www.einj.org/upload/pdf/inj-15-92.pdf
_version_ 1818508661294628864
author Tae Hyo Kim
Ki Soo Lee
Jeong Ho Kim
Joon Yeop Jee
Young Eun Seo
Dong Won Choi
Yeul Geun Sung
Geun Soo Kong
Dong Woo Kim
Won Yeol Cho
author_facet Tae Hyo Kim
Ki Soo Lee
Jeong Ho Kim
Joon Yeop Jee
Young Eun Seo
Dong Won Choi
Yeul Geun Sung
Geun Soo Kong
Dong Woo Kim
Won Yeol Cho
author_sort Tae Hyo Kim
collection DOAJ
description Purpose Chronic pelvic pain syndrome (CPPS) is treated by use of various protocols. We compared tamsulosin monotherapy with tamsulosin in combination with antibiotics or anti-inflammatory agents and evaluated the efficacy of these treatments in patients with CPPS. Methods Patients (n=107) who were younger than 55 years and diagnosed with CPPS were randomly assigned to treatment with tamsulosin at 0.2 mg (group A), tamsulosin at 0.2 mg plus anti-inflammatory drugs (group B) or tamsulosin at 0.2 mg plus antibiotics (group C) daily. We applied the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) and the International Prostate Symptom Score (IPSS) to evaluate 100 patients who were treated for 12 weeks (7 withdrew). Scores of the three groups were compared by analysis of variance and we also evaluated subscores, which included pain, voiding and quality of life (QoL). Results All three groups showed statistically significant decreases in NIH-CPSI score, IPSS and subscore scores (P<0.05). There were no statistically significant differences between the groups except for the QoL domain of the IPSS (group A vs. C; P<0.01). Conclusions Tamsulosin monotherapy for 12 weeks was effective for treating patients with CPPS, compared with combination therapy with antibiotics or anti-inflammatory drugs.
first_indexed 2024-12-10T22:35:07Z
format Article
id doaj.art-2fc78804a6894dc39aa281d7fd2ddfb9
institution Directory Open Access Journal
issn 2093-4777
2093-6931
language English
last_indexed 2024-12-10T22:35:07Z
publishDate 2011-06-01
publisher Korean Continence Society
record_format Article
series International Neurourology Journal
spelling doaj.art-2fc78804a6894dc39aa281d7fd2ddfb92022-12-22T01:30:56ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312011-06-01152929610.5213/inj.2011.15.2.9256Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain SyndromeTae Hyo Kim0Ki Soo Lee1Jeong Ho Kim2Joon Yeop Jee3Young Eun Seo4Dong Won Choi5Yeul Geun Sung6Geun Soo Kong7Dong Woo Kim8Won Yeol Cho9 Department of Urology, Dongnam Inst. Radiological & Medical Sciences, Busan, Korea. Department of Urology, Dongnam Inst. Radiological & Medical Sciences, Busan, Korea. Department of Urology, Dongnam Inst. Radiological & Medical Sciences, Busan, Korea. Department of Urology, Dongnam Inst. Radiological & Medical Sciences, Busan, Korea. Department of Urology, Dongnam Inst. Radiological & Medical Sciences, Busan, Korea. Department of Urology, Youngdo Hospital, Busan, Korea. Department of Urology, Maryknoll Hoapital, Busan, Korea. Department of Urology, Bumin Hospital, Busan, Korea. Department of Urology, Dong Rae Bong Seng Hospital, Busan, Korea. Department of Urology, Dongnam Inst. Radiological & Medical Sciences, Busan, Korea.Purpose Chronic pelvic pain syndrome (CPPS) is treated by use of various protocols. We compared tamsulosin monotherapy with tamsulosin in combination with antibiotics or anti-inflammatory agents and evaluated the efficacy of these treatments in patients with CPPS. Methods Patients (n=107) who were younger than 55 years and diagnosed with CPPS were randomly assigned to treatment with tamsulosin at 0.2 mg (group A), tamsulosin at 0.2 mg plus anti-inflammatory drugs (group B) or tamsulosin at 0.2 mg plus antibiotics (group C) daily. We applied the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) and the International Prostate Symptom Score (IPSS) to evaluate 100 patients who were treated for 12 weeks (7 withdrew). Scores of the three groups were compared by analysis of variance and we also evaluated subscores, which included pain, voiding and quality of life (QoL). Results All three groups showed statistically significant decreases in NIH-CPSI score, IPSS and subscore scores (P<0.05). There were no statistically significant differences between the groups except for the QoL domain of the IPSS (group A vs. C; P<0.01). Conclusions Tamsulosin monotherapy for 12 weeks was effective for treating patients with CPPS, compared with combination therapy with antibiotics or anti-inflammatory drugs.http://www.einj.org/upload/pdf/inj-15-92.pdfChronic Prostatitis with Chronic Pelvic Pain SyndromeTamsulosin
spellingShingle Tae Hyo Kim
Ki Soo Lee
Jeong Ho Kim
Joon Yeop Jee
Young Eun Seo
Dong Won Choi
Yeul Geun Sung
Geun Soo Kong
Dong Woo Kim
Won Yeol Cho
Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome
International Neurourology Journal
Chronic Prostatitis with Chronic Pelvic Pain Syndrome
Tamsulosin
title Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome
title_full Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome
title_fullStr Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome
title_full_unstemmed Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome
title_short Tamsulosin Monotherapy versus Combination Therapy with Antibiotics or Anti-Inflammatory Agents in the Treatment of Chronic Pelvic Pain Syndrome
title_sort tamsulosin monotherapy versus combination therapy with antibiotics or anti inflammatory agents in the treatment of chronic pelvic pain syndrome
topic Chronic Prostatitis with Chronic Pelvic Pain Syndrome
Tamsulosin
url http://www.einj.org/upload/pdf/inj-15-92.pdf
work_keys_str_mv AT taehyokim tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT kisoolee tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT jeonghokim tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT joonyeopjee tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT youngeunseo tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT dongwonchoi tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT yeulgeunsung tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT geunsookong tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT dongwookim tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome
AT wonyeolcho tamsulosinmonotherapyversuscombinationtherapywithantibioticsorantiinflammatoryagentsinthetreatmentofchronicpelvicpainsyndrome