Shock Wave Therapy in the Treatment of Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Concomitant Erectile Dysfunction


Л. І. Красилюк
Ф. І. Костєв
О. В. Руденко


The objective: evaluation of the effectiveness of shock-wave therapy (SWT) in the complex treatment of men with a non-inflammatory form of chronic pelvic pain syndrome (CPPS) (category IIIB by NIH), complicated by erectile dysfunction.

Materials and methods. 27 patients were examined with a non-inflammatory form of chronic prostatitis/chronic pelvic pain syndrome (category IIIB accordingto NIH), complicated by erectile dysfunction inage from 28 to 45 years. The patients were divided in to two groups: the main group – men who, during the month in addition to the standard treatment, used low-dose shock-wave therapy (SWT) for the perineum area (14 people) using the BTL-6000 SWT TOPLINE device in the mode: frequency – 8 Hz, pressure – 2-3 bar and the control group – men, who were used during the month standard therapy (13 people). Standard therapy for ChP / CPS included: non-steroidal anti-inflammatory drugs, alphablockers, antidepressants or anti-epileptic drugs in standard dosages and regimens.

Results. Patients of the main group showed significant changes after treatment and 2 months after treatment the following indicators: the score on the NIH-CPSI scale decreased by 19,07% and 62,88%; the score according to the ICEF-5 questionnaire increased by 24,54% and 35,79%; the score on the IPSS scale decreased by 10,26% and 43,89%; the volume of the prostate gland decreased by 17,82% and 31,47%, respectively. Patients of the control group showed significant changes after treatment and 2 months after treatment only on the following indicators: the score on the NIH-CPSI scale decreased by 15,16% and 42,83%; the score ont he IPSS scale decreased by 18,68% and 27,21%, respectively; the volume of the prostate gland after therapy and 2 months after treatment decreased by 9,92% and 14,49%. Thus, 2 months after treatment in patients of both groups the manifestations of pain syndrome became slightly pronounced; only in patients of the main group, a violation of erectile function was not detected. A significant decrease in the volume of the prostate gland was observed in patients of the main group.

Conclusion. When using SWT, there was not a single case of significant adverse effect or adverse event. The use of SWT in the complex treatment of men with non-inflammatory form of ChP/CPS complicated by erectile dysfunction is an effective, non-invasive and safe method of physiotherapy.


How to Cite
Красилюк, Л. І., Костєв, Ф. І., & Руденко, О. В. (2019). Shock Wave Therapy in the Treatment of Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Concomitant Erectile Dysfunction. Health of Man, (2), 50–54.
For practicing physicians
Author Biographies

Л. І. Красилюк, Odessa National Medical University

Leonid I. Krasilyuk,

Department of Nephrology and Urology

Ф. І. Костєв, Odessa National Medical University

Fedir I. Kostev,

Head of Department of Nephrology and Urology

О. В. Руденко, Odessa National Medical University

Oleksandr V. Rudenko,

Department of Nephrology and Urology 


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