Low-energy extracorporeal shock wave therapy for the treatment of male bladder overactivity with pelvic pain:a clinical efficacy analysis
Objective:To investigate the clinical efficacy of low-energy extracorporeal shock wave therapy in treating male bladder overactivity with pelvic pain by mapping the pelvic floor pain.Methods:A total of 92 male patients with bladder overactivity and pelvic pain admitted to the Urology Comprehensive Treatment Area of the First Affiliated Hospital of Xinjiang Medical University from June 2022 to May 2023 were collected.They were divided into two groups based on the treatment method:Group 1(study group)received low-energy ESWT for mapping the pain points and shock wave intervention(n=49);Group 2(control group)received low-energy ESWT on the perineal and bladder areas(n=43).The follow-up data before and after treatment were evaluated for both groups,including scores from questionnaires such as overactive bladder symptom score(OABSS),numeric rating scale(NRS)for pain,impact on quality of life,and Hamilton anxiety rating scale(HAMA).Results:Compared with before treatment,the control group showed significant improvement in OABSS score,NRS score,impact on quality of life,and HAMA score(P＜0.05),with NRS score improvement being particularly significant.The study group had lower OABSS score,NRS score,and impact on quality of life compared to the control group(P＜0.05),while there was no significant difference in HAMA score between the two groups(P＞0.05).Conclusion:Low-energy ESWT can significantly improve lower urinary tract symptoms and pain symptoms in male patients with bladder overactivity and pelvic pain.Moreover,shock wave therapy targeting the pain points identified in the pain map is more effective than directly applying shock waves to the perineal and bladder areas.
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