
TY  - JOUR
A1  - Yu-Fai Hon, Ryan 
A1  - Worman, Rachel 
A1  - Cowley, David 
A1  - Ivan Semicw, Adam 
T1  - Conservative management of Type III A/B chronic prostatitis/chronic pelvic pain syndrome: a systematic review
JF  - Australian and New Zealand Continence Journal
JO  - Australian and New Zealand Continence Journal
Y1  - 2024
VL  - 30
IS  - 4
SP  - 87
EP  - 104
KW  - 
UR  - https://doi.org/10.1071/CJ24030 
N2  - Background. Chronic prostatitis or chronic pelvic pain syndrome (CP/CPPS) is a debilitating condition and diagnosing and managing this condition is challenging. Objectives. A systematic review was conducted to: (i) investigate the effects of conservative management on people with Type III A/B CP/CPPS; (ii) review study enrolment criteria used to enrol participants with Type III A/B CP/CPPS; (iii) investigate the description of the diagnostic outcomes and corresponding interventions used across studies. Methods. Electronic databases were searched to September 2024. Outcomes assessed included pain, urinary symptoms and quality of life. Included studies were assessed using the Template for Intervention Description and Replication checklist, Joanna Briggs Institute critical appraisal checklist, and the Grading of Recommendation, Assessment, Development, and Evaluations guideline. Results and Discussion. Twenty studies were included. GRADE evidence quality was very-low for all studies. Electrical stimulation and non-electrotherapy intervention showed improvements in pain, urinary symptoms and quality of life. Electromagnetic therapy did not improve reported outcomes. Studies reporting adverse events were mild and transient. Enrolment criteria used to diagnose Type III A/B CP/CPPS were varied. Most interventions targeted the pelvic floor only despite patients&#x2019; reported pain locations and the outcomes of the diagnostic outcomes reported in each study. Conclusion. Preliminary findings suggests that electrical stimulation is a promising intervention for pain, urinary symptoms and QoL. Adjunct therapies including pelvic floor biofeedback and targeted manual therapy can be considered, if supported by examination findings. Interventions should be tailored based on patients&#x2019; clinical presentations and specific exam findings. 
ER  -

