Objective: To compare the effectiveness of melatonin and capsules containing starch (placebo) as an adjuvant therapy to control symptoms of chronic nonbacterial prostatitis patients.
Design: A double-blind block randomized clinical trial.
Study population: Male patients with chronic nonbacterial prostatitis.
Inclusion criteria: Age over 18 years; no prior history of other urinary system disorders such as urinary tract stones, neurogenic bladder and urinary infections; no history of underlying diseases such as cirrhosis, renal failure, diabetes, or hypertension; normal values of urine, fasting blood sugar (FBS) and creatinine; normal results of the first neurological examination of the perineal area, lower limbs, lower limb reflexes, and bulbocavernosus reflex; having weight between 50 to 100 kg; not usage of other medicines; no signs of psychological disorders; confirmed diagnosis of chronic prostatitis; creatinine equal to or lower than 1.2 mg; platelet count over 100000/mm3; non-sensitivity to anti-epileptic drugs, pregabalin, thiazolidinediones, or other anti-diabetic agents.
Exclusion criteria: Unwillingness to continue the study; major side-effects due to medical treatments.
Sample size: 116 cases.
Study intervention: Patients in control group will receive 2mg of terazosin tablets (Razak Company) plus 3mg of starch capsules (placebo). Patients in intervention group will receive 3mg of melatonin capsules daily for six weeks.
Study outcomes: Evaluation and comparison of pain relief, urinary symptoms and side-effects of medications between two groups, based on the scoring system introduced by the National Institute of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) and global response assessment (GRA) two, four and six weeks after intervention.