Smith Institute for Urology, Hofstra North Shore LIJ School of Medicine, Lake Success, New York, NY, USA.
World J Urol. 2013 Aug;31(4):761-6. doi: 10.1007/s00345-013-1097-0. Epub 2013 Jun 6.
Standard medical therapy for Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) including such agents as nonsteriodal anti-inflammatories, alpha-blockers, antimicrobial therapy, and 5a-reductase inhibitors has not been uniformly effective. The purpose of this review is to focus on the role of alternative therapies available for the management of CP/CPPS.
We performed a systematic review of the literature for articles published in PubMed up to 2012 pertaining to commonly employed alternative therapies.
The evidence for alternative therapies such as diet and lifestyle modifications, phytotherapy, acupuncture, myofascial physical therapy, and stress management/cognitive behavioral therapy is reviewed.
CP/CPPS often requires a multimodal approach and alternative therapies should be considered as adjuncts in the treatment of refractory CP/CPPS patients.
慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)的标准医学治疗包括非甾体抗炎药、α-受体阻滞剂、抗菌治疗和 5α-还原酶抑制剂等药物,但并非对所有患者均有效。本文旨在探讨 CP/CPPS 治疗中可供选择的替代疗法。
我们对 PubMed 截至 2012 年发表的与常用替代疗法相关的文献进行了系统回顾。
本文对饮食和生活方式改变、植物药治疗、针灸、肌筋膜物理疗法和应激管理/认知行为疗法等替代疗法的证据进行了综述。
CP/CPPS 通常需要多模式治疗,对于难治性 CP/CPPS 患者,替代疗法可作为辅助治疗手段。