Nishimura T, Horiuchi K, Oki M, Terashima Y, Sugizawa Y, Tuboi N, Yoshida K, Akimoto M, Shi P C
Department of Urology, Nippon Medical School.
Hinyokika Kiyo. 1993 Oct;39(10):907-11.
A total of 25 patients with nonbacterial prostatitis and prostatodynia which were resistant to conventional drug therapy underwent 5 minutes course of transrectal ultrasonic therapy in association with application of 1% hydrocortisone acetate cream to the anterior rectal wall for consecutive 8 days. The efficacy of the treatment was evaluated only by comparison of symptom scores for subjective symptoms obtained before and after treatment. Excellent results, which were defined as more than 70% reduction of symptom scores after treatment, were obtained in 5 (27.8%) among 18 evaluable cases in which symptom scores before treatment were more than 4, good (40-69% reduction of scores) in 4 (22.2%), fair (10-39% reduction of scores) in 4 (22.2%) and poor (less than 10% reduction of scores) in 5 (27.8%). Because of good clinical efficacy and the absence of complication, transrectal ultrasonic therapy combined with hydrocortisone acetate cream application was thought to be useful for the treatment of nonbacterial prostatitis and prostatodynia cases which responded poorly to the conventional therapy.
共有25例对传统药物治疗耐药的非细菌性前列腺炎和前列腺痛患者接受了为期5分钟的经直肠超声治疗，并在直肠前壁连续8天涂抹1%醋酸氢化可的松乳膏。仅通过比较治疗前后主观症状的症状评分来评估治疗效果。在18例可评估病例中，治疗前症状评分超过4分，其中5例（27.8%）取得了优异效果，定义为治疗后症状评分降低超过70%；4例（22.2%）效果良好（评分降低40 - 69%）；4例（22.2%）效果中等（评分降低10 - 39%）；5例（27.8%）效果不佳（评分降低少于10%）。由于临床疗效良好且无并发症，经直肠超声治疗联合醋酸氢化可的松乳膏涂抹被认为对传统治疗反应不佳的非细菌性前列腺炎和前列腺痛病例有效。
