دورية أكاديمية
Efficacy of Palmitoylethanolamide, Epilobium and Calendula suppositories for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome type III.
| العنوان: | Efficacy of Palmitoylethanolamide, Epilobium and Calendula suppositories for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome type III. |
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| المؤلفون: | Morgia G; Unit of Urology, Mediterranean Oncological Institute (IOM), University of Catania. giuseppe.morgia@unict.it., Lo Giudice A; Unit of Urology, Mediterranean Oncological Institute (IOM), University of Catania. arturologiudice@gmail.com., Carrino M; Unit of Urology, Cardarelli Hospital, Naples. giuseppe.morgia@unict.it., Voce S; Unit of Urology, Ravenna Hospital. giuseppe.morgia@unict.it., Cocci A; Department of Urology, University of Florence. coccio.andrea@gmail.com., Reale G; Unit of Urology, Ravenna Hospital. giuseppe.morgia@unict.it., Minervini A; Department of Urology, University of Florence. giuseppe.morgia@unict.it., Cimino S; Department of Urology, University of Catania. ciminonello@hotmail.com., Russo GI; Department of Urology, University of Catania. giorgioivan1987@gmail.com., Zingone F; Unit of Urology, Mediterranean Oncological Institute (IOM), University of Catania. giuseppe.morgia@unict.it. |
| المصدر: | Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica [Arch Ital Urol Androl] 2024 Jun 27; Vol. 96 (2), pp. 12582. Date of Electronic Publication: 2024 Jun 27. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: PagePress Country of Publication: Italy NLM ID: 9308247 Publication Model: Electronic Cited Medium: Internet ISSN: 2282-4197 (Electronic) Linking ISSN: 11243562 NLM ISO Abbreviation: Arch Ital Urol Androl Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Pavia, Italy : PagePress Original Publication: Milano : Masson, c1993- |
| مواضيع طبية MeSH: | Prostatitis*/drug therapy , Amides*/administration & dosage , Amides*/therapeutic use , Palmitic Acids*/administration & dosage , Palmitic Acids*/therapeutic use , Ethanolamines*/administration & dosage , Ethanolamines*/therapeutic use , Plant Extracts*/administration & dosage , Plant Extracts*/therapeutic use , Epilobium* , Calendula*, Humans ; Male ; Middle Aged ; Adult ; Suppositories ; Aged ; Treatment Outcome ; Young Adult ; Adolescent ; Chronic Disease ; Pelvic Pain/drug therapy ; Pelvic Pain/etiology |
| مستخلص: | Objective: The management of chronic prostatitis/ chronic pelvic pain syndrome type III (CP/CPPS) has been always considered complex due to several biopsychological factors underlying the disease. In this clinical study, we aimed to evaluate the efficacy of the treatment with Palmitoylethanolamide, Epilobium and Calendula extract in patients with CP/CPPS III. Materials and Methods: From June 2023 to July 2023, we enrolled 45 consecutive patients affected by CP/CPPS type III in three different institution. We included patients aged between 18 and 75 years with symptoms of pelvic pain for 3 months or more before the study, a total National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) score ≥ 12 point and diagnosed with NIH category III, according to 4-glass test Meares-Stamey test. Patients were then allocated to receive rectal suppositories of PEA, Epilobium and Calendula, 1 suppository/ die for 1 month. All patients have been tested with standard urinalysis in order to assess urinary leukocytes (U-WBC). The primary endpoint of the study was the reduction of NIHCPSI. The secondary outcomes were the change of peak flow, post-void residual (PVR), IIEF-5, VAS score, PSA and decrease of U-WBC. Results: A total of 45 patients concluded the study protocol. At baseline, the median age of all the patients included in the cohort was 49 years, the median PSA was 2.81 ng/ml, the median NIH-CPSI was 18.55, the median IIEF-5 was 18.27, the median U-WBC was 485.3/mmc, the median VAS score was 6.49, the median PVR was 26.5 ml and the median peak flow was 16.3 ml/s. After 1 month of therapy we observed a statistically significant improvement of NIH-CPSI, U-WBC, PSA, IIEF-5, peak flow, PVR and VAS. Conclusions: In this observational study, we showed the clinical efficacy of the treatment with PEA, Epilobium and Calendula, 1 suppository/die for 1 month, in patients with CP/CPPS III. The benefits of this treatment could be related to the reduction of inflammatory cells in the urine that could imply a reduction of inflammatory cytokines. These results should be confirmed in further studies with greater sample size. |
| المشرفين على المادة: | 0 (Suppositories) 0 (Amides) 0 (Palmitic Acids) 6R8T1UDM3V (palmidrol) 0 (Ethanolamines) 0 (Plant Extracts) |
| تواريخ الأحداث: | Date Created: 20240627 Date Completed: 20240627 Latest Revision: 20240627 |
| رمز التحديث: | 20240627 |
| DOI: | 10.4081/aiua.2024.12582 |
| PMID: | 38934521 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2282-4197 |
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| DOI: | 10.4081/aiua.2024.12582 |