Serenoa repens associated with selenium and lycopene extract and bromelain and methylsulfonylmethane extract are able to improve the efficacy of levofloxacin in chronic bacterial prostatitis patients

  • Tommaso Cai | ktommy@libero.it Department of Urology, Santa Chiara Regional Hospital, Trento, Italy.
  • Daniele Tiscione Department of Urology, Santa Chiara Regional Hospital, Trento, Italy.
  • Luca Gallelli Department of Health Science, School of Medicine, University of Catanzaro, Catanzaro, Italy.
  • Paolo Verze Department of Urology, University of Naples, Federico II, Naples, Italy.
  • Alessandro Palmieri Department of Urology, University of Naples, Federico II, Naples, Italy.
  • Vincenzo Mirone Department of Urology, University of Naples, Federico II, Naples, Italy.
  • Riccardo Bartoletti Department of Urology, University of Pisa, Pisa, Italy.
  • Gianni Malossini Department of Urology, Santa Chiara Regional Hospital, Trento, Italy.

Abstract

Objective: To date, the management of patients with chronic bacterial prostatitis (CBP) is not satisfactory, especially in terms of symptoms relief. Here, we evaluated the efficacy and the safety of a combination of serenoa repens, selenium and lycopene extract + bromelain and methylsulfonylmethane extract associated with levofloxacin in patients with CBP. Materials and methods: All patients with clinical and instrumental diagnosis of CBP, admitted to a single Urological Institution from March to June 2015 were enrolled in this phase III study. All enrolled patients were randomized into two groups: Group A received levofloxacin 500 mg o.d. for 14 days associated with lycopene and methylsulfonylmethane; Group B received levofloxacin (500 mg o.d. for 14 days) only. Clinical and microbiological analyses were carried out at the time of admission (T0) and during the followups at 1 month (T1) and 6 months (T2) from the end of the treatment. NIH Chronic Prostatitis Symptom Index (CPSI), International Prostatic Symptom Score (IPSS) and Quality of Well-Being (QoL) questionnaires were used. The main outcome measures were the rate of microbiological cure and the improvement in questionnaire results from baseline at the end of the follow-ups period. Results: Forty patients were enrolled in Group A and 39 in Group B. During the follow-up (T1), we recorded a significant changes in terms of NIH-CPSI and IPSS in Group A (mean difference: 17.6 ± 2.65; 12.2 ± 2.33; p < 0.01; p < 0.05, respectively) and versus Group B at the intergroup analysis (mean difference: -9 ± 1.82; -8.33 ± 1.71; p < 0.05; p < 0.05, respectively). No differences were reported in terms of microbiological findings between the two groups. At the second follow-up visit (T2), questionnaire results demonstrated statistically significant differences between groups (p < 0.001). One patient in Group A (2.5%) and 7 patients (17.9%) in Group B showed a symptomatic and microbiological recurrence (p = 0.02). Conclusions: The combination of serenoa repens, selenium, lycopene + bromelain and methylsulfonylmethane extracts improved the clinical efficacy of levofloxacin in patients affected by CBP without the development of side effects.

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Published
2016-10-05
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Section
Original Papers - Andrological Sciences
Keywords:
Chronic bacterial prostatitis, Levofloxacin, Serenoa repens, Bromelain.
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How to Cite
Cai, T., Tiscione, D., Gallelli, L., Verze, P., Palmieri, A., Mirone, V., Bartoletti, R., & Malossini, G. (2016). Serenoa repens associated with selenium and lycopene extract and bromelain and methylsulfonylmethane extract are able to improve the efficacy of levofloxacin in chronic bacterial prostatitis patients. Archivio Italiano Di Urologia E Andrologia, 88(3), 177-182. https://doi.org/10.4081/aiua.2016.3.177

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