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Urology

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Question:

How is tx of CPP?

Author: H K



Answer:

1- Life style and diet changes avoiding spicy foods, caffeine and alcohol 2- Alpha adrenergic antagonist a recent multicenter, randomized study showed the beneficial effect of silodosin when compared to placebo 3- 5-alpha reductase inhibitor Dutasteride reduced prostatitis symptom scores compared to placebo in men enrolled in the REDUCE study ( > 58% improvement) 4- Antibiotic therapy :Use in the first presentation mainly Quinolones ( ciprofloxacine ) for 4 weeks at least (placebo, eradicate organisms, antiinflammatory) 5- Anti -inflammatory agents and Immune Modulators used as adjunctive therapy 6- Floor physiotherapy as adjunctive therapy 7-Psychotherapy (CBT...) 8-TUMT 9--Extracorporeal shock wave therapy and last neuro tx


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H K
H K