Korean J Urol.  2006 Nov;47(11):1191-1196. 10.4111/kju.2006.47.11.1191.

The Efficacy of Terazosin in the Management of Chronic Pelvic Pain Syndrome (CPPS): Comparison between Category IIIa and IIIb

Affiliations
  • 1Department of Urology, College of Medicine, Inje University, Busan, Korea.

Abstract

Purpose
To evaluate the efficacy of terazosin in chronic pelvic pain syndrome (CPPS) and compare the effect of terazosin between CPPS IIIa and IIIb. Materials end Methods: Between January 2004 and February 2005, CPPS patients, aged 45 or below, with a small size prostate (Results
The changes in the NIH-CPSI domains (pain, voiding symptom, quality of life, total) and Qmax of the T group were more significantly improved than those in the non T group (p<0.05). For category IIIa (n=71), the T group (n=42) showed significant improvements in all NIH-CPSI domains and the Qmax (p<0.05); whereas, the non-T group (n=29) only showed significant improvement in the pain and total scores in the NIH-CPSI domains (p<0.05). However, in a comparison between both category IIIa groups, there were no significant difference in the changes in the NIH-CPSI domains, with the exception of the Qmax (p>0.05). In category IIIb (n=56), the T group (n=29) showed significant improvements in all NIH-CPSI domains and the Qmax (p<0.05), but the non-T group (n=27) showed no significant improvement in the NIH-CPSI domains or the Qmax (p>0.05). Comparing both category IIIb groups, the T group showed a greater improvement in the pain score in the NIH-CPSI domains and the Qmax than the non-T group.
Conclusions
Terazosin was effective in all domains of the symptom score and in the Qmax for CPPS.

Keyword

Prostatitis; Pelvic pain; Syndrome; Terazosin

MeSH Terms

Humans
Massage
Pelvic Pain*
Prostate
Prostatitis
Quality of Life
Ultrasonography
Urinalysis

Reference

1. Nickel JC. Prostatitis: myths and realities. Urology. 1998. 51:362–366.
2. Cho IR. Evaluation and treatment of patients with prostatitis. Korean J Androl. 2005. 20:1–11.
3. Cho IR, Park SC, Park SS. The prevalence of the symptoms of the prostate syndrome patients under 50. Korean J Urol. 1998. 39:751–756.
4. Wenninger K, Heiman JR, Rothman I, Berghuis JP, Berger RE. Sickness impact of chronic nonbacterial prostatitis and its correlates. J Urol. 1996. 155:965–968.
5. Krieger JN, Nyberg L Jr, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA. 1999. 282:236–237.
6. Schaeffer AJ, Datta NS, Fowler JE Jr, Krieger JN, Litwin MS, Nadler RB, et al. Overview summary statement. Diagnosis and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Urology. 2002. 60:Suppl 6. 1–4.
7. Donker PJ, Ivanovici F, Noach EL. Analyses of the urethral pressure profile by means of electromyography and the administration of drugs. Br J Urol. 1972. 44:180–193.
8. Mehik A, Hellstrom P, Lukkarinen O, Sarpola A, Alfthan O. Increased intraprostatic pressure in patients with chronic prostatitis. Urol Res. 1999. 27:277–279.
9. Mehik A, Helstrom P, Nickel JC, Kilponen A, Leskinen M, Sarpola A, et al. The chronic prostatitis-chronic pelvic pain syndrome can be characterized by prostatic tissue pressure measurements. J Urol. 2002. 167:137–140.
10. Meares EM, Stamey TA. Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest Urol. 1968. 5:492–518.
11. Nickel JC, Pontari M, Moon T, Gittleman M, Malek G, Farrington J, et al. A randomized placebo controlled, multicenter study to evaluate the safety and efficacy of rofecoxib in the treatment of chronic nonbacterial prostatitis. J Urol. 2003. 169:1401–1405.
12. Datta NS. Role of alpha-blockers in the treatment of chronic prostatitis. Urology. 2002. 69:Suppl 6. 27–28.
13. Barbalias GA, Nikiforidis G, Liatsikos EN. Alpha-blockers for the treatment of chronic prostatitis in combination with antibiotics. J Urol. 1998. 159:883–887.
14. Barbalias GA. Why alpha-blockers in prostatitis? Eur Urol. 2003. 60:27–29.
15. de la Rosette JJ, Karthaus HF, van Kerrebroeck PE, de Boo T, Debruyne FM. Research in 'prostatitis syndrome': the use of alfuzocin (a new alpha 1-receptor-blocking agents) in patients mainly presenting with micturition complaints of an irritative nature and confirmed urodynamic abnormalities. Eur Urol. 1992. 22:222–227.
16. Mehik A, Alas P, Nickel JC, Sarpola A, Helstrom PJ. Alfuzosin treatment for chronic prostatitis-chronic pelvic pain syndrome: a prospective, randomized, double-blind, placebo-controlled, pilot study. Urology. 2003. 62:425–429.
17. Kim SJ, Ha JS, Lee SJ, Cho YH, Yoon MS. Clinical effect of tamsulosin in noninflammatory chronic pelvic pain syndrome. Korean J Urol. 2003. 44:120–123.
18. Nickel JC, Narayan P, McKay J, Doyle C. Treatment of chronic prostatitis/chronic pelvic pain syndrome with tamsulosin: a randomized double blind trial. J Urol. 2004. 171:1594–1597.
19. Alexander RB, Propert KJ, Schaeffer AJ, Landis JR, Nickel JC, O'leary MP, et al. Ciprofloxacin or tamsulosin in men with chronic prostatitis-chronic pelvic pain syndrome. Ann Intern Med. 2004. 141:581–589.
20. Neal DE Jr, Moon TD. Use of terazocin in prostatodynia and validation of a symptom score questionnaire. Urology. 1994. 43:460–465.
21. Gul O, Eroglu M, Ozok U. Use of terazosin in patients with chronic pelvic pain syndrome and evaluation by prostatitis symptom score index. Int Urol Nephrol. 2001. 32:433–436.
22. Cheah PY, Liong ML, Yuen KH, Teh CL, Khor T, Yang JR, et al. Terazosin therapy for chronic prostatitis/chronic pelvic pain syndrome: a randomized, placebo controlled trial. J Urol. 2003. 169:592–596.
Full Text Links
  • KJU
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr