With the in-depth study of extracorporeal shock wave therapy, people began to discover its effects of relieving pain, promoting vascular regeneration and improving local blood circulation, and gradually applied it to treat skeletal muscle diseases and ischemic cardiovascular diseases. In urology, which is the most treated by extracorporeal shockwave therapy, low-intensityextracorporealshockwavetherapy (LIST) has also been applied to treat various male diseases such as chronic prostatitis/chronic pelvic pain syndrome in recent years, and has shown clear therapeutic effects and good It is safe, non-invasive, simple and easy to use and its potential curative effect makes it a new option for treating male diseases. 1. It sounds like a boon for patients with chronic prostatitis! So what exactly is shockwave? The first to discover and use in vitro shock waves in the field of medicine is Germany, and the inspiration for this comes from the early 1960s the Federal German airline Daunier aerial discovery of science and technology personnel: the aircraft through the rain clouds at high speed, can produce a shock wave, the wave can make the aircraft internal devices damaged, but the shell is intact. In 1980, German urologists used high-energy shock waves for the first time to break up urinary stones in the kidneys, saving patients from surgery. This move was hailed as a milestone in the treatment of kidney stones. Shock wave is a kind of sound wave with mechanical properties that causes the medium to gather energy through vibration, high-speed motion, etc. It can cause a jump in the physical properties of the medium such as pressure, temperature and density. Some scholars will be divided into three different energy density shock wave: higher than 0.6mJ/mm2 for high energy shock wave; close to 0.28mJ/mm2 for medium energy shock wave; lower than 0.08mJ/mm2 for low energy shock wave. Since high-intensity shock waves possess certain tissue and mechanical destructive power, high-intensity shock wave therapy is mainly used for lithotripsy; medium-intensity shock waves have been proven to have anti-inflammatory effects and are widely used for the treatment of non-healing fractures, tendonitis and bursitis; low-energy shock waves may have angiogenic properties and are used for the treatment of chronic wounds, peripheral neuropathy, and ischemic tissue of the heart. Later, it was gradually used in the treatment of chronic prostatitis, and achieved better results. 2, extracorporeal shock waves are generally used as a non-invasive presence for lithotripsy treatment, how can you treat chronic prostatitis? In recent years, extracorporeal shock wave therapy has also begun to be used in the treatment of various male diseases such as chronic prostatitis/chronic pelvic pain syndrome and male erectile dysfunction. The mechanism of action is clear from clinical studies as follows: (1), the cavitation of extracorporeal shock waves can cause the crushing of emboli in the prostate ducts and the reduction or disappearance of perineal distension and pain; (2), the effect of mechanical stress through shock waves can cause physical changes in the tissue cells of the lesion, accelerating capillary circulation, thus accelerating the absorption of inflammatory substances and reducing interstitial edema in the prostate; (3), it can also cause pericellular Free radical changes, and the release of pain-inhibiting substances; closed nociceptive nerve receptors, so that the sensitivity of neurons decreased. The above effects of shockwave make the prostate ducts open, the pressure in the prostate ducts decreases, the prostate microcirculation accelerates, the interstitial edema of the prostate is reduced, the pressure on the prostate part of the urethra is reduced, and the urinary symptoms improve. The urology experts have proven after years of clinical practice that low energy shockwave has clear clinical effects and good tolerability in the treatment of aseptic type of prostatitis with urinary frequency and urgency perineal discomfort with prostate calcification/medication that cannot improve the symptoms. 3. different types of low energy shockwave Storz MedispecRenova MTS MedicalHaibin medical equipment Dornier4. indications for low energy shockwave treatment of prostatitis? Type III prostatitis, or non-bacterial chronic pelvic pain syndrome, which is mainly characterized by long-term, recurrent painful discomfort in the pelvic region lasting for more than three months. It may be accompanied by a variety of urinary and sexual symptoms without a history of urinary tract infection and negative bacterial culture results. Prior to treatment, the patient is required to empty the bladder and the treatment head of the shock wave therapy machine is brought into contact with the perineum to treat the prostate area. Observe the patient for pain in the perineal area during the treatment. 5. Is there any side effect of low energy shockwave therapy? The focus shockwave is a “double-edged sword” that promotes tissue reconstruction by first damaging the lesion. The higher the treatment energy, the longer the reconstruction time, the worse the effect, and the greater the side effects. Conventional focused shock waves are basically high energy shock wave machines, all of which can cause non-treatment site damage, unwanted side effects and more contraindications during treatment. Low-energy shock wave energy flow density can make cell membrane damage without causing organelle damage, short cell repair time of the treatment energy, so there will be no non-treatment site damage, unwanted side effects and more contraindications in the treatment. Because the dispersive shock wave uses a compressed air power source, it does not interfere with other medical electronics as piezoelectric, hydroelectric, or electromagnetic shock wave machines do, and is safe even for patients with implanted electronics such as pacemakers or insulin pumps. The energy of low-energy shock waves is only about 13% of that of high-intensity shock waves and has essentially no damaging effect on tissue. In fact, when we do the treatment, we have a set of treatment methods, such as: how hard to hit, what part of the body to hit, how long it usually takes, and so on. In addition, the process of use will also be adjusted according to the patient’s condition. This is a good way to get the most out of your life. The actual fact is that there is no significant side effects found in clinical studies and animal experiments on whether the prostate will be injured. There have been no reports of treatment-related pain or any other adverse events while receiving treatment or afterwards. There are no side effects or traumatic effects on the “prostate” when shockwave treatment is performed according to medical advice. The vast majority of patients report no pain during the shock wave procedure. 6. Is low-energy shock wave therapy routinely performed in China? In which hospitals can I receive low energy shock wave treatment? Low energy shock wave equipment has just been introduced in China, and there are only a few hospitals that have introduced this equipment. It is understood that this new treatment can be done in Beijing, Shanghai, Guangzhou and other major cities in the tertiary hospitals. The actual low energy shockwave treatment program has been carried out in our hospital, and its safe and non-invasive, easy to operate and potential cure will definitely become a new choice for the treatment of chronic prostatitis, which is believed to bring more gospel to chronic prostatitis patients.