Pentosan polysulfate sodium therapy for men with chronic pelvic pain syndrome: a multicenter, randomized, placebo controlled study.

作者: J.CURTIS NICKEL , JOHN B. FORREST , KEVIN TOMERA , JOSE HERNANDEZ-GRAULAU , TIMOTHY D. MOON

DOI: 10.1097/01.JU.0000159198.83103.01

关键词: MedicinePlaceboPlacebo-controlled studySeverity of illnessInternal medicineRandomized controlled trialPentosan polysulfateSurgeryProstatitisTolerabilityPelvic pain

摘要: ABSTRACT Purpose: We evaluated the efficacy and tolerability of pentosan polysulfate sodium (PPS) for treatment men with chronic pelvic pain syndrome (CPPS), National Institutes Health (NIH) category III. Materials Methods: In a 16-week double-blind study 100 clinical diagnosis CPPS were randomized to receive 300 mg PPS or placebo 3 times daily. Clinical Global Improvement (CGI) was primary outcome measure. Additional measures NIH-Chronic Prostatitis Symptom Index (CPSI), Subjective Assessment Severity assessment tools. Results: Significantly more patients receiving experienced moderate marked improvement based on CGI (18 37% vs 8 18%, p = 0.04). However, mean scores not significantly different between group (1.0) groups (1.0 0.6, 0.107). All NIH-CPSI domains suggested positive effect total difference approached statistical significance (−5.9 22% −3.2 12%, 0.068). The showed greater in quality life domain than (−2.0 −1.0 0.031). Of 67% 80% those completed study. Diarrhea, nausea headache most common adverse events. Conclusions: Pentosan (900 daily) likely provide relief symptoms.

参考文章(19)
C. Lowell Parsons, George Benson, Stacy J. Childs, Philip Hanno, Grannum R. Sant, George Webster, A Quantitatively Controlled Method to Study Prospectively Interstitial Cystitis and Demonstrate the Efficacy of Pentosanpolysulfate Journal of Urology. ,vol. 150, pp. 845- 848 ,(1993) , 10.1016/S0022-5347(17)35629-X
T A Stamey, E M Meares, Bacteriologic localization patterns in bacterial prostatitis and urethritis. Investigative urology. ,vol. 5, pp. 492- 518 ,(1968)
S. Grant Mulholland, Grannum R. Sant, Phillip Hanno, David R. Staskin, Lowell Parsons, Pentosan polysulfate sodium for therapy of interstitial cystitis. A double-blind placebo-controlled clinical study. Urology. ,vol. 35, pp. 552- 558 ,(1990) , 10.1016/0090-4295(90)80116-5
J. Curtis Nickel, Joe Downey, Duncan Hunter, Janet Clark, PREVALENCE OF PROSTATITIS-LIKE SYMPTOMS IN A POPULATION BASED STUDY USING THE NATIONAL INSTITUTES OF HEALTH CHRONIC PROSTATITIS SYMPTOM INDEX The Journal of Urology. ,vol. 165, pp. 842- 845 ,(2001) , 10.1016/S0022-5347(05)66541-X
MARY McNAUGHTON COLLINS, RANDALL S. STAFFORD, MICHAEL P. O'LEARY, MICHAEL J. BARRY, How common is prostatitis? A national survey of physician visits. The Journal of Urology. ,vol. 159, pp. 1224- 1228 ,(1998) , 10.1016/S0022-5347(01)63564-X
Mark S. Litwin, Mary McNaughton-Collins, Floyd J. Fowler, J. Curtis Nickel, Elizabeth A. Calhoun, Michel A. Pontari, Richard B. Alexander, John T. Farrar, Michael P. O'Leary, THE NIH CHRONIC PROSTATITIS SYMPTOM INDEX (NIH-CPSI): DEVELOPMENT AND VALIDATION OF A NEW OUTCOMES MEASURE The Journal of Urology. pp. 31- ,(1999) , 10.1097/00005392-199904010-00125
Jane L. Miller, Ivan Rothman, Tamara G. Bavendam, Richard E. Berger, Prostatodynia and interstitial cystitis: one and the same? Urology. ,vol. 45, pp. 587- 590 ,(1995) , 10.1016/S0090-4295(99)80048-X
Rosebud O. Roberts, Michael M. Lieber, David G. Bostwick, Steven J. Jacobsen, A review of clinical and pathological prostatitis syndromes Urology. ,vol. 49, pp. 809- 821 ,(1997) , 10.1016/S0090-4295(97)00235-5