Mené M P, Ginsberg P C, Finkelstein L H, Manfrey S J, Belkoff L, Ogbolu F, Osborne D
Division of Urology, Philadelphia College of Osteopathic Medicine, PA 19131-1694, USA.
J Am Osteopath Assoc. 1997 Jan;97(1):25-30. doi: 10.7556/jaoa.1997.97.1.25.
Chronic nonbacterial prostatitis is an ill-understood and difficult-to-diagnose disease. Symptoms of chronic nonbacterial prostatitis are similar to those of chronic prostatitis and include low back pain, frequency, dysuria, perineal discomfort, and painful ejaculation. In view of uncertainty about etiology, treatment of chronic nonbacterial prostatitis remains speculative. Most treatment is aimed at relieving symptoms and not at curing the disease. Because of the troublesome nature of chronic nonbacterial prostatitis and the poor results obtained from traditional treatment methods, a new modality of transurethral microwave hyperthermia was investigated. Six patients were treated from January 1994 through June 1995 by use of transurethral microwave hyperthermia. These men were treated four times during a 2-week period. Their average symptom score decrease was 74.9% and was associated with minimal morbidity. Based on this result, it is concluded that transurethral microwave hyperthermia is a safe and effective treatment modality for chronic nonbacterial prostatitis.
慢性非细菌性前列腺炎是一种了解不足且难以诊断的疾病。慢性非细菌性前列腺炎的症状与慢性前列腺炎相似,包括腰痛、尿频、排尿困难、会阴部不适和射精疼痛。鉴于病因不明,慢性非细菌性前列腺炎的治疗仍具有推测性。大多数治疗旨在缓解症状而非治愈疾病。由于慢性非细菌性前列腺炎的棘手性质以及传统治疗方法效果不佳,人们对一种经尿道微波热疗的新方法进行了研究。从1994年1月至1995年6月,6例患者接受了经尿道微波热疗。这些男性在2周内接受了4次治疗。他们的平均症状评分下降了74.9%,且发病率极低。基于这一结果,得出结论:经尿道微波热疗是治疗慢性非细菌性前列腺炎的一种安全有效的治疗方式。