Introduction and Objectives:
Abacterial Chronic Prostatitis is a challenging illness in our day to day urology practice. Patients undergo several types of treatments and many of them are not relieved of their pain. We have recently started a clinical trial using Bipolar Radiofrequency Thermal Treatment (Direx–Initia’s Tempro device) to treat Abacterial Chronic Prostatitis with our patients both young and old (27 to 72 years).We are here reporting our initial results with patients that have completed at least a three months follow up.
Material and Methods
We used the Tempro system (from Direx-Initia) with a treatment protocol of 55 degrees Celsius for 50 minutes, medium heating rate. All patients had tried different drugs, such as Ciproxin ,Tamsulosine and NSAID, without success.We utilized the NIH Symptoms Score in order to evaluate quantitatively patient improvements.
Table 1. Patients demographics
| Characteristics | Value |
| Numbers of the patients | 41 |
| Mean age (range) | 42.6 ± 11.4 (28 – 72) |
| Mean prostate size (cc) | 25.3 ± 6.1 |
| NIH classification (%) | |
| Category II | 13 (31.8%) |
| Category IIIA | 14 (34.1%) |
| Category IIIB | 14 (34.1%) |
| Most bothersome symptoms | |
| Pelvic pain (%) | 14 (34.1%) |
| Perineal and/or perianal pain (%) | 12 (29.2%) |
| Orchalgia (%) | 7 (17.1%) |
| Urinary Symptoms (%) | 8 (19.6%) |
NIH : National Institutes of Health, CPSI : Chronic Prostatitis Symptom index
Results
The results after 3 months are as follows;
Table 2. Comparison of Chronic Prostatitis Symptom index scores between pretreatment (baseline) and TEMPRO after 3 months (post TEMPRO) CPSI score
| Baseline CPSI score | Post-TEMPRO CPSI score | p value | |
| Mean Total score | 23.4 ± 7.3 | 16.5 ± 4.9 | 0.072 |
| Mean pain domain score | 11.2 ± 5.4 | 6.5 ± 3.8 | 0.034 |
| Mean Urination domain score | 5.7 ± 3.3 | 5.2 ± 2.3 | 0.872 |
| Mean Quality of life domain score | 6.6 ± 2.4 | 4.6 ± 1.6 | 0.138 |
