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Treatment of Abacterial Prostato-Vesiculitis with Nimesulide

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Summary

The efficacy and tolerability of nimesulide were assessed in the treatment of patients with prostato-vesiculitis. In a noncomparative investigation, 30 patients received oral nimesulide 100mg twice daily for three 10-day cycles. Micturition-related symptoms were resolved in 20 patients and clear amelioration of inflammatory signs was observed with transrectal ultrasound in 16 patients. Abnormal sperm forms decreased from 57 to 49% (p < 0.001). In a comparative investigation, 40 patients received nimesulide 200mg twice daily or ketoprofen 100mg twice daily via the rectal route. Patients and physicians expressed an overall opinion on efficacy in favour of nimesulide. In a pharmacokinetic study of healthy volunteers who received oral nimesulide 100mg as a single dose, the mean maximum nimesulide concentration (0.58 ±0.13 mg/L) in seminal fluid was achieved after 2 hours while the maximum seminal fluid: blood plasma ratio 0.32 ± 0.02 was observed after 4 hours.

These data suggest that nimesulide is an effective NSAID in the treatment of abacterial prostato-vesiculitis and also demonstrate that this drug has a favourable disposition within the genital tract.

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References

  • Baker HWG, Straffon WGE, McGowan MP, Burger HG, de-Kretser DM, et al. A controlled trial of the use of erythromycin for men with asthenospermia. International Journal of Andrology 7: 383–388, 1984

    Article  PubMed  CAS  Google Scholar 

  • Canale D, Mais V, Turchi P, Andreini F, Melis GB, et al. Ultrasound monitoring of testis and prostate maturation in hypogonadotropic hypogonadal males requiring gonadotropin-releasing hormone treatment. Fertility and Sterility 53: 537–540, 1990

    PubMed  CAS  Google Scholar 

  • Capsoni F, Venegoni E, Minonzio F, Ongari AM, Maresca V, et al. Inhibition of neutrophil oxidative metabolism by nimesulide. Agents and Actions 21: 121–129, 1987

    Article  PubMed  CAS  Google Scholar 

  • Castoldi D, Monzani V, Tofanetti O. Simultaneous determination of nimesulide and hydroxy-nimesulide in human plasma and urine by high-performance liquid chromatography. Journal of Chromatography 425: 413–418, 1988

    Article  PubMed  CAS  Google Scholar 

  • Comhaire FH, Rowe PJ, Farley TMM. The effect of doxycycline in infertile couples with male accessory gland infection: a double-blind prospective study. International Journal of Andrology 9: 91–98, 1986

    Article  PubMed  CAS  Google Scholar 

  • Frajese G, Mencacci-Amalfitano M, Magnani A, Murgiano S, Masini C, et al. Nonsteroidal anti-inflammatory drugs in the treatment of male infertility. In Menchini-Fabris et al. (Eds) Therapy in Andrology, pp. 169–178, Excerpta Medica, Amsterdam, 1982

    Google Scholar 

  • Gandini R, Montalto C, Castoldi D, Monzani V, Nava ML, et al. First dose and steadystate pharmacokinetics of nimesulide and its 4-hydroxy metabolite in healthy volunteers. Farmaco 46: 1071–1079, 1991

    PubMed  CAS  Google Scholar 

  • Grant TJ, Moore GGI, Swingle KF. Antiinflammatory activity of 4-nitro-2-phenoxy-methane-sulphonanilide. Federation Proceedings 34: 759–762, 1975

    Google Scholar 

  • Knuth UA, Kuhne J, Crosby J, Bals-Pratsch M, Kellyand RW, et al. Indomethacin and oxaprozin lower seminal prostaglandin levels but do not influence sperm motion characteristics and serum hormones of young healthy men in a placebo-controlled double-blind trial. Journal of Andrology 10: 108–119, 1989

    PubMed  CAS  Google Scholar 

  • Menchini-Fabris GF, Carletti C, Paoli R, Sarteschi M. Testo-at-lante di ecografia in andrologia. Rima Edizioni, Florence, 1989

    Google Scholar 

  • Menchini-Fabris GF, Voliani S, Canale D, Olivieri L. Sperm analysis in the infertile male. In Paulson et al. (Eds) Andrology: male fertility and sterility, pp. 341–357, Academic Press, Orlando, 1986

    Google Scholar 

  • Nahoum CRD. Inflammation and infection. In Bain et al. (Eds) Treatment of male infertility, pp. 5–32, Springer Verlag, Berlin, 1982

    Chapter  Google Scholar 

  • Pfandner K. Nimesulide and antibiotics in the treatment of acute urinary tract infections. Arzneimittel Forschung/Drug Research 34: 77–79, 1984

    CAS  Google Scholar 

  • Swingle KF, Moore GGI, Grant TJ. 4-nitro-2-phenoxy-methane-sulfonanilide (R-805): a chemically novel antiinflammatory agent. Archives Internationales de Pharmacodynamie et de Thérapie 221: 132–139, 1976

    PubMed  CAS  Google Scholar 

  • Ward A, Brogden RN. Nimesulide: a preliminary review of its pharmacological properties and therapeutic efficacy in inflammation and pain states. Drugs 36: 732–753, 1988.

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization. Laboratory manual for the examination of human semen and semen-cervical mucus interaction. 1st ed., Press Concern, Singapore, 1980

  • World Health Organization. Laboratory manual for the examination of human semen and semen-cervical mucus interaction. 2nd ed., Cambridge University Press, Cambridge, 1987

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Canale, D., Turchi, P., Giorgi, P.M. et al. Treatment of Abacterial Prostato-Vesiculitis with Nimesulide. Drugs 46 (Suppl 1), 147–150 (1993). https://doi.org/10.2165/00003495-199300461-00034

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