The role of ultrasonography in selecting chronic prostatitis patients for Keishibukuryogan(Japanese herbal medicine)
Akira Kimura, Kimura Urology and Skin Clinic, Japan
Background: Chronic prostatitis is associated with pelvic pain upon urination and/or ejaculation. In severe cases, patients have pain from such mundane acts as sitting.
Keishibukuryogan is one of the effective Kampo medicines to treat patients with static blood. I prescribed Keishibukuryogan, when chronic non-bacterial prostatitis patients were supposed to have static blood.
Patients and Methods: During April 2005 to March 2008, 147 patients with chronic pelvic pain lasting more than six months visited my clinic.
By the bacteriological examination of prostatic secretion, 138 cases were chronic non-bacterial prostatitis.
Patients underwent transabdominal ultrasonography.
In 62 cases, enlarged and twisted periprositatic vein were visualized.
They were diagnosed as having static blood, and Keishibukuryogan was prescribed, except two cases who had already prescribed Kampo medicines.
Among 76 cases without enlarged periprositatic vein, 35 cases with pain reinforced by sitting were diagnosed as having static blood, and Keishibukuryogan was prescribed.
Patients who improved and required no farther prescription were classified as success. No reccurence occurred during following six months.
Patients who claimed to feel better but ceased seeing me regularly before complete pain relief were classified as improvement.
Patients who continued to have the same symptoms were classified as failure.
Results:
Among 60 patients with enlarged periprositatic vein, 12 were classified as success, 29 as improvement, and 19 as failure.
Among 35 patients without enlarged periprositatic vein, 3 were classified as success, 11 as improvement, and 21 as failure.
Conclusion: By detecting enlarged periprositatic vein, ultrasonography was useful to choose patients to prescribe Keishibukuryogan.
