A method of treating acute and chronic prostatitis

 

(57) Abstract:

The invention relates to medicine, in particular to urology, and can be used in the treatment of acute and chronic prostatitis. It is proposed to run the blockade of the rear and front paraproctitis space of suprapubic access balanced anti-inflammatory mixture: 0.5% solution metronidazole - 100 ml, chloramphenicol 1 g, hydrocortisone - 0.125 g, contrical - 30 000 units and lidocaine 10% solution of 4 ml Method allows to quickly arrest the inflammatory process, to lengthen the duration of remission in chronic prostatitis. 2 Il.

The invention relates to medicine, in particular to urology.

There is a method of treatment of a prostatitis the procaine blocks [1] To position the patient on his side with toned belly and his knees or in a position to perineotomy the belly and his thighs after disinfection of the skin of the perineum between the coccyx and the anus strictly in the midline is injected under the supervision of a finger urologist from the rectum needle. Then the needle advancing to a depth of 7-10 cm on the anterior surface of the sacrum, introducing to 120 ml of 0.25% solution of novocaine and 200 000 IU of penicillin. This biochromatic direct introduction into the prostate gland therapeutic compounds [3] In the knee-elbow position or supine with bent and adjusted to stomach legs after disinfection of the skin through the crotch alternately injected injection needle in the lateral lobe of the prostate. Skin puncture and further movement of the needle to produce 1.5-2 cm lies lateral to the midline of the perineum ahead from the anus under the control of the finger of the left hand, inserted into the rectum. Under local anesthesia with 0.5% solution of novocaine needle is injected to a depth of 1.5-2 cm in the parenchyma of the prostate and inject it 25 mg of hydrocortisone in 1 ml of 0.5% solution of novocaine. Before injection, and within 2-3 days after the patient is given antibiotics to prevent secondary infection. If necessary the procedure is repeated in 7-10 days, but not more than 3-4 times.

In addition, there is a method of treatment of prostatitis paraproteinemia procaine blocks [2] the Patient in urology chair in the Trendelenburg position after disinfection of the skin is WCOL needle to a point located on one transverse finger anteriorly and laterally from the anus under the control inserted into the rectum of a finger. In paraproctitis fibre impose up to 120 ml of 0.25% solution of novocaine with dissolved penicillin /200 000 IU/ streptomycin /250 000 IU/. The blockade is performed on both sides of the anus. The intervals between the individual blocks are 3-4 days. Duration and threatening complication of acute ulcer of the front wall of the rectum, about which patient the operation was performed the imposition of double-barreled rear unnatural passage.

The objective of the invention is to provide a method for achieving direct technical result of infiltration of all paraproctitis space optimal etio-pathogenetic evidence-based therapeutic mixture and thereby achieve a positive effect of inflammation and restore the function of the prostate with minimal risk of complications.

The invention consists in that in the treatment of acute and chronic prostatitis is injected therapeutic mixture around all departments of the prostate. The distinguishing feature of the claimed method is that it is consistently blockade rear and front paraproctitis space integrated anti-inflammatory mixture /0.5% solution of metronidazole 100 ml, chloramphenicol 1 g, hydrocortisone 0.125 g, contrical 30 000 units of lidocaine 10% solution 4 ml/ two respective accesses perineal and suprapubic, while the use of such a balanced mixture causes rapid relief vospalitelnaya and tissues.

First carry out a blockade of the specified mixture back paraproctitis space known from the above perineal access. Then every other day for acute and 2 days in the chronic form of prostatitis perform the blockade front paraproctitis space /Fig. 1/. In the horizontal position of the patient on his back in the suprapubic area 2-3 cm above the symphysis in the midline of the abdomen infiltrate the skin in the subcutaneous tissue in 5-10 ml of 0.2% solution of lidocaine. Then a long needle /Fig. 2/ under the constant introduction of this anesthetic change the direction of movement of the needle to the corner 135-150oto the front surface of the anterior abdominal wall 2, sliding on the posterior surface of the symphysis 3 to sensation in the patient pain "shot" in the penis 4. This provides verification of nerve endings periprostatic plexus and accordingly the front paraproctitis space. Then to the anterior surface of the prostate gland 5 is inserted about 1/3 the number prepared to blockade solution. Then turn needle 30oin the sagittal plane to the right and to the left of the projection of the lateral lobes of the prostate gland impose equal to the number of remaining rastvoryayutsya accordingly, these blockades involving all departments of the prostate. While acute prostatitis, as a rule, after two blockades comes subsidence of the inflammatory process. Chronic prostatitis with an interval of 2 days perform 4 the siege /2 cycle described blockades/.

Clinical examples

1. The patient that is 55 years old, came to the clinic with fever and severe pain in the perineum. Diagnosed after examination of acute follicular prostatitis. The following two paraphrastically blockades led to the relief of inflammation and normalization of the General condition.

2. Patient W. 38 years old, suffered from chronic parenchymatous prostatitis for 11 years. Run 4 blocks of this scheme has led to remission of chronic inflammation.

Bibliography

1. Warsaw S. T. Outpatient urology. Tashkent: Medicine, 1987. S. 56.

2. Zolotarev And. And. Paraphrastically novocaine-Antibiotika blockade in the treatment of prostatitis// Urol. and Nepal. 1959. N 5. S. 20-21.

3. Ilyin I. I. Nongonococcal urethritis in men. M: Medicine, 1991. S. 245.

4. Tkachuk Century. N. Gorbachev A., Golanski L. I. Chronic prostatitis. L. Medicine, 1989. S. 173.

A method of treating acute and chronic prostatitis, which consists in performing paraproct the military funds characterized in that, in order to accelerate relief of the inflammatory process, lengthening the time of remission in chronic process and reduce treatment time provide additional blockade front paraproctitis space suprapubic access therapeutic mixture containing metronidazole (0.5% solution 100 ml), chloramphenicol (1 g), hydrocortisone (0.125 g), contrical (30 000 units), lidocaine (10% solution 4 ml).

 

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