Acupuncture and Traditional Chinese Medicine for the Management of a 35-year-old Man with Chronic Prostatitis with Chronic Pelvic Pain Syndrome

Overview

Journal J Chiropr Med

Date 2014 Jan 8

PMID 24396319

Citations 8

Authors

Bahia A Ohlsen

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this case report is to describe the resolution of pain in a patient with chronic prostatitis and chronic pelvic pain syndrome after receiving a course of management using acupuncture and Chinese herbal medicine.

Clinical Features: A 35-year-old man presented with chronic prostatitis with chronic pelvic pain syndrome. He scored 38 out of a possible 43 on the National Institutes of Health/Chronic Prostatitis Symptom Index (NIH/CPSI) that rates pain, urinary symptoms, and quality of life impact, indicating severe symptoms. The patient had experienced recurrent episodes of nonbacterial prostatitis over a 3-year period, and this was the most severe.

Intervention And Outcome: After 8 acupuncture treatments over an 8-week period and daily use of Ba Zheng San and Yi Guan Jian, the patient scored his symptoms 9 on the NIH/CPSI. The patient was then put on a supportive anti-inflammatory regimen of green tea. He rated his symptoms 4 on the NIH/CPSI 4 months later, 2 on the NIH/CPSI 8 months later, and 0 on the NIH/CPSI 1 year later.

Conclusion: This case demonstrated that the patient experienced long-lasting relief from chronic prostatitis with chronic pelvic pain syndrome after a course of 8 treatments of acupuncture and Chinese herbs.

Citing Articles

Effects of Sitting and Supine Positions on Tongue Color as Measured by Tongue Image Analyzing System and Its Relation to Biometric Information.

Murakami A, Morita A, Watanabe Y, Ishikawa T, Nakaguchi T, Ochi S Evid Based Complement Alternat Med. 2024; 2024:1209853.

PMID: 38560511 PMC: 10981547. DOI: 10.1155/2024/1209853.

Efficacy of acupuncture combined with traditional Chinese medicine on chronic prostatitis: A protocol for systematic review and meta-analysis.

Zheng X, Yan Z, Wang W, Mao W, Wang Y, Zhao Y Medicine (Baltimore). 2021; 100(46):e27678.

PMID: 34797291 PMC: 8601303. DOI: 10.1097/MD.0000000000027678.

Complementary and Alternative (CAM) Treatment Options for Women with Pelvic pain.

Srinivasan M, Torres J, McGeary D, Nagpal A Curr Phys Med Rehabil Rep. 2021; 8(3):240-248.

PMID: 33585075 PMC: 7879565. DOI: 10.1007/s40141-020-00264-6.

Acupuncture combined with tamsulosin hydrochloride sustained-release capsule in the treatment of chronic prostatitis/chronic pelvic pain syndrome: A study protocol for a randomized controlled trial.

Wang J, Yang J, Deng S, Yu X, Bao B, Liu R Medicine (Baltimore). 2020; 99(12):e19540.

PMID: 32195959 PMC: 7220438. DOI: 10.1097/MD.0000000000019540.

Efficacy of acupuncture in the treatment of chronic prostatitis-chronic pelvic pain syndrome: a review of the literature.

Wazir J, Ullah R, Li S, Hossain M, Diallo M, Ullah Khan F Int Urol Nephrol. 2019; 51(12):2093-2106.

PMID: 31468287 DOI: 10.1007/s11255-019-02267-2.

References

Chen R, Nickel J . Acupuncture ameliorates symptoms in men with chronic prostatitis/chronic pelvic pain syndrome. Urology. 2003; 61(6):1156-9; discussion 1159. DOI: 10.1016/s0090-4295(03)00141-9. View

Kawakita K, Shinbara H, Imai K, Fukuda F, Yano T, Kuriyama K . How do acupuncture and moxibustion act? - Focusing on the progress in Japanese acupuncture research -. J Pharmacol Sci. 2006; 100(5):443-59. DOI: 10.1254/jphs.crj06004x. View

Khalili M, Mutton L, Gurel B, Hicks J, De Marzo A, Bieberich C . Loss of Nkx3.1 expression in bacterial prostatitis: a potential link between inflammation and neoplasia. Am J Pathol. 2010; 176(5):2259-68. PMC: 2861091. DOI: 10.2353/ajpath.2010.080747. View

Honjo H, Kamoi K, Naya Y, Ukimura O, Kojima M, Kitakoji H . Effects of acupuncture for chronic pelvic pain syndrome with intrapelvic venous congestion: preliminary results. Int J Urol. 2004; 11(8):607-12. DOI: 10.1111/j.1442-2042.2004.00868.x. View

Lee S, Liong M, Yuen K, Leong W, Chee C, Cheah P . Acupuncture versus sham acupuncture for chronic prostatitis/chronic pelvic pain. Am J Med. 2008; 121(1):79.e1-7. PMC: 4497585. DOI: 10.1016/j.amjmed.2007.07.033. View

Shoskes D, Zeitlin S, Shahed A, Rajfer J . Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial. Urology. 1999; 54(6):960-3. DOI: 10.1016/s0090-4295(99)00358-1. View

Penna G, Mondaini N, Amuchastegui S, Innocenti S, Carini M, Giubilei G . Seminal plasma cytokines and chemokines in prostate inflammation: interleukin 8 as a predictive biomarker in chronic prostatitis/chronic pelvic pain syndrome and benign prostatic hyperplasia. Eur Urol. 2006; 51(2):524-33. DOI: 10.1016/j.eururo.2006.07.016. View

Lee S, Lee B . Electroacupuncture relieves pain in men with chronic prostatitis/chronic pelvic pain syndrome: three-arm randomized trial. Urology. 2009; 73(5):1036-41. DOI: 10.1016/j.urology.2008.10.047. View

Nickel J, Downey J, Hunter D, Clark J . Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index. J Urol. 2001; 165(3):842-5. View

10.

Yang Z, Chen P, Yu H, Pi M, Luo W, Zhuo Y . Study strategies for acupuncture treatment of chronic nonbacterial prostatitis. Zhong Xi Yi Jie He Xue Bao. 2012; 10(3):293-7. DOI: 10.3736/jcim20120307. View

11.

Lee S, Lee B . Use of acupuncture as a treatment method for chronic prostatitis/chronic pelvic pain syndromes. Curr Urol Rep. 2011; 12(4):288-96. DOI: 10.1007/s11934-011-0186-0. View

12.

Hedelin H, Jonsson K, Lundh D . Pain associated with the chronic pelvic pain syndrome is strongly related to the ambient temperature. Scand J Urol Nephrol. 2012; 46(4):279-83. DOI: 10.3109/00365599.2012.669404. View

13.

Litwin M . A review of the development and validation of the National Institutes of Health Chronic Prostatitis Symptom Index. Urology. 2003; 60(6 Suppl):14-8; discussion 18-9. DOI: 10.1016/s0090-4295(02)02296-3. View

14.

Murphy A, Macejko A, Taylor A, Nadler R . Chronic prostatitis: management strategies. Drugs. 2009; 69(1):71-84. DOI: 10.2165/00003495-200969010-00005. View

15.

Schwartz E, Kim H, Wang J, Lee I, Klann E, Chung J . Persistent pain is dependent on spinal mitochondrial antioxidant levels. J Neurosci. 2009; 29(1):159-68. PMC: 2757011. DOI: 10.1523/JNEUROSCI.3792-08.2009. View

16.

Pontari M . Inflammation and anti-inflammatory therapy in chronic prostatitis. Urology. 2003; 60(6 Suppl):29-33; discussion 33-4. DOI: 10.1016/s0090-4295(02)02381-6. View

17.

Davis S, Binik Y, Carrier S . Sexual dysfunction and pelvic pain in men: a male sexual pain disorder?. J Sex Marital Ther. 2009; 35(3):182-205. DOI: 10.1080/00926230802716310. View

18.

Rosted P . Chronic prostatitis/chronic pelvic pain syndrome and acupuncture--a case report. Acupunct Med. 2007; 25(4):198-9. DOI: 10.1136/aim.25.4.198. View

19.

Kullisaar T, Turk S, Punab M, Mandar R . Oxidative stress--cause or consequence of male genital tract disorders?. Prostate. 2011; 72(9):977-83. DOI: 10.1002/pros.21502. View

20.

Carlsson C . Acupuncture mechanisms for clinically relevant long-term effects--reconsideration and a hypothesis. Acupunct Med. 2002; 20(2-3):82-99. DOI: 10.1136/aim.20.2-3.82. View