Volume 25, Issue 8 pp. 710-715
Original Article: Clinical Investigation

Psychotherapy combined with drug therapy in patients with category III chronic prostatitis/chronic pelvic pain syndrome: A randomized controlled trial

Jianxin Wang

Corresponding Author

Jianxin Wang

Department of Urology, Taizhou First People's Hospital, Taizhou, China

Department of Urology, Binzhou Medical University Hospital, Binzhou, China

Correspondence: Jianxin Wang M.D., Department of Urology, Taizhou First People's Hospital, No. 218 Hengjie Road, Taizhou 318020, China. Email: [email protected]Search for more papers by this author
Kuixiang Liang

Kuixiang Liang

Department of Obstetrics, Binzhou Medical University Hospital, Binzhou, China

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Huijing Sun

Huijing Sun

Department of Nursing, Binzhou Polytechnical College, Binzhou, China

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Lianpeng Li

Lianpeng Li

Department of Urology, Binzhou Central Hospital, Binzhou, China

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Hongcai Wang

Hongcai Wang

Department of Neurology, Binzhou Medical University Hospital, Binzhou, China

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Jingyuan Cao

Jingyuan Cao

Department of Urology, Taizhou First People's Hospital, Taizhou, China

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First published: 03 June 2018
Citations: 17

Abstract

Objectives

To explore the efficacy of psychotherapy combined with drug therapy in patients with category III chronic prostatitis/chronic pelvic pain syndrome.

Methods

A total of 156 patients with category III chronic prostatitis/chronic pelvic pain syndrome were randomly divided into two groups: the control group of 78 patients receiving routine medication; and the intervention group of 78 patients receiving psychological intervention therapy combined with routine medications. Treatment courses were for 3 months. The end-points were the response rate of the National Institutes of Health Chronic Prostatitis Symptom Index, International Index of Erectile Function-5, Self-Rating Anxiety Scale, Self-Rating Depression Scale and expressed prostatic secretion-white blood cells.

Results

After 3 months, the average scores of the National Institutes of Health Chronic Prostatitis Symptom Index decreased to 10.1 ± 5.0 in the control group compared with 14.1 ± 4.9 in the intervention group; thus, significant differences were observed between the two groups in the study (P < 0.001). The average scores of the International Index of Erectile Function-5 were improved in the two groups, but compared with the control group, a more marked improvement was detected in the psychological intervention group, and there was a significant difference between the two groups (P < 0.001). There was significant difference between the two groups in terms of the Self-Rating Anxiety Scale and Self-Rating Depression Scale scores (P < 0.001). Expressed prostatic secretion-white blood cell counts significantly decreased to 4.4 ± 3.5 in the control group compared with 9.8 ± 3.4 in the intervention group (P < 0.001).

Conclusions

Psychological intervention therapy can effectively improve the psychological status and sexual function in patients with category III chronic prostatitis/chronic pelvic pain syndrome than the routine medication.

Conflict of interest

None declared.

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