Nikitin О. D., Pasechnikov S. P., Golovko S. V., Hrytsai V. S., Samchuk P. O., Yasynetskyi M. O.
EVALUATION OF SEXUAL AND REPRODUCTIVE FUNCTION IN PATIENTS WITH CHRONIC PROSTATITIS/CHRONIC PELVIC PAIN SYNDROME
Show/Download
About the author:
Nikitin О. D., Pasechnikov S. P., Golovko S. V., Hrytsai V. S., Samchuk P. O., Yasynetskyi M. O.
Heading:
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Scientific article
Annotation:
In recent years, researchers have paid considerable attention to the study of chronic pelvic pain syndrome and its impact on male infertility. Although the exact mechanisms of this relationship are not yet fully understood, it is known that CPPS negatively affects sperm counts. Possible causes include inflammatory processes in the male genitalia, metabolic syndrome, chronic inflammatory bowel disease, human papillomavirus (HPV) infection, and autoimmune disorders. The authors of the article evaluated the quality of life and spermogram results before treatment and after 6 months of therapy in 42 patients diagnosed with chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS). The combination therapy included drugs based on L-arginine, L-glutamine, L-carnitine, Vitamins C and E, and Serenoa repens extract. The results of the study show that in the group of patients, oligozoospermia of various degrees was observed with a high degree of confidence before treatment. After 6 months of treatment, normozoospermia was observed, and patients experienced significant pain relief, as well as a significant improvement in erectile and reproductive function. The proportion of patients with severe dysfunction decreased from 28.6% to 7.1%. Improvement in the SHIM score correlates with an overall reduction in pain and improved quality of life, which other instruments, including the NIH-CPSI, have also noted.
Tags:
Bibliography:
- Graziani A, Grande G, Martin M, Ferraioli G, Colonnello E, Iafrate M, et al. Chronic Prostatitis/Chronic Pain Pelvic Syndrome and Male Infertility. Life. 2023;13(8):1700. DOI: https://doi.org/10.3390/life13081700.
- Chen L, Zhang M, Liang C. Chronic Prostatitis and Pelvic Pain Syndrome: Another Autoimmune Disease? Arch Immunol Ther Exp (Warsz). 2021;69(1):24. DOI: 10.1007/s00005-021-00628-3.
- Fu W, Zhou Z, Liu S, Li Q, Yao J, Li W, et al. The Effect of Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) on Semen Parameters in Human Males: A Systematic Review and Meta-Analysis. PLoS ONE 2014;9(4):e94991. DOI: https://doi.org/10.1371/journal.pone.0094991.
- Ihsan AU, Khan FU, Khongorzul P, Ahmad KA, Naveed M, Yasmeen S, et al. Role of oxidative stress in pathology of chronic prostatitis/chronic pelvic pain syndrome and male infertility and antioxidants function in ameliorating oxidative stress. Biomed Pharmacother. 2018;106:714-723. DOI: 10.1016/j.biopha.2018.06.139.
- Berg E, Houska P, Nesheim N, Schuppe HC, Pilatz A, Fijak M, et al. Chronic Prostatitis/Chronic Pelvic Pain Syndrome Leads to Impaired Semen Parameters, Increased Sperm DNA Fragmentation and Unfavorable Changes of Sperm Protamine mRNA Ratio. Int J Mol Sci. 2021;22(15):7854. DOI: 10.3390/ijms22157854.
- Franz J, Kieselbach K, Lahmann C, Gratzke C, Miernik A. Chronic Primary Pelvic Pain Syndrome in Men. Dtsch Arztebl Int. 2023;120(29- 30):508-518. DOI: 10.3238/arztebl.m2023.0036.
- European Association of Urology. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam. Amsterdam: European Association of Urology; 2022.
- Lee DH, Yu YD. Multi-pharmacological treatment for young subfertile males with chronic prostatitis/chronic pelvic pain syndrome. Investig Clin Urol. 2024;65(6):567-578. DOI: 10.4111/icu.20240191.
- Sandler MD, Ledesma B, Thomas J, Ben-Ezra L, Lokeshwar SD, Paz LA, et al. Biopsychosocial approach to male chronic pelvic pain syndrome: recent treatments and trials. Sex Med Rev. 2023;12(1):59-66. DOI: 10.1093/sxmrev/qead038.
- Franco JVA, Turk T, Jung JH, Xiao YT, Iakhno S, Garrote V, et al. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome. Cochrane Database of Systematic Reviews. 2018;5:CD012551. DOI: 10.1002/14651858.CD012551.pub3.
- Guu SJ, Geng JH, Chao IT, Lin HT, Lee YC, Juan YS, et al. Efficacy of Low-Intensity Extracorporeal Shock Wave Therapy on Men With Chronic Pelvic Pain Syndrome Refractory to 3-As Therapy. Am J Mens Health. 2018;12(2):441-452. DOI: 10.1177/1557988317736585.
- Breser ML, Salazar FC, Rivero VE, Motrich RD. Immunological Mechanisms Underlying Chronic Pelvic Pain and Prostate Inflammation in Chronic Pelvic Pain Syndrome. Frontiers in Immunology. 2017;8:898. DOI: https://doi.org/10.3389/fimmu.2017.00898.
- UroToday Research Group. Trends in Experimental Autoimmune Prostatitis: Insights into Pathogenesis, Therapeutic Strategies, and Redefinition. UroToday; 2023.
Publication of the article:
«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 441-450 pages, index UDC 616.65-002.2-06.616.697