The method of treatment of chronic prostatitis and erectile dysfunction by electrical stimulation
(57) Abstract:The invention relates to medicine, physiotherapy. Exercise effects by using a multi-channel stimulator with 6 pairs of electrodes simultaneously. Electrodes placed on the patient's body at 6 procedural fields in pairs. Procedural fields: the bosom of the sacrum, cervical Wernigerode spine paravertebral, nijaguna-verkhnebayandysky spine, paravertebral, crotch-waist, inside-front of the thighs to the right and to the left. Then set the mode of operation of the pacemaker. The exposure time is 10 - 15 minutes Method increases the effectiveness of the treatment. 1 Il., table 1. The invention relates to medicine, namely to physical therapy for treatment of chronic electrical stimulation of the prostate, urological diseases and disorders in the area of sexual pathology.There is a method of treatment of diseases of the bladder with medication with the simultaneous effect of through electrodes on the segments of the spinal cord in the region of the sacrum and the suprapubic area sinusoidal modulated current at a frequency of 50-80 Hz current of 5-10 mA for 10-15 min (ed. mon. USSR N 971349 on CL MKI A 61 N 1/32, 1982 guideline bodies by a smooth increase of the current intensity of the electrical pulses from 0.5 to 10 mA at a frequency of 40-60 Hz, the depth of modulation of 80-100%, pulse duration 10-60 and session length 5-20 min (ed. mon. USSR N 1091905 on CL MKI A 61 B 5/05, 1984).Closest to the claimed technical solution is a method of treating prostatitis with electrotherapy, described in the article "electrical Stimulation of the muscles of the bladder and perineum in men" (reference "Technique and methods of physiotherapeutic procedures", edited by C. M. Bogoliubov, "Medicine", 1983, page 106).The disadvantage of this method is that it is designed to work on single-channel device type Epipoles" and does not allow to treat chronic prostatitis and weak potency in men because of the specific features of these diseases.Meanwhile, medical statistics show that these conditions affected the order of 40-60% of the male population of the planet.Tasked to develop a simple, painless and effective method of treatment of chronic prostatitis and sexual dysfunction in men by multichannel electrical stimulation of local groups of muscles and prostate cancer low-frequency pulsed bipolar current.This task is solved in that electrostimulation the rate as follows. The first pair of electrodes is fixed above the fold (the cathode) and the sacrum (anode) (L1-S5), the second pair of electrodes fixed in the neck Wernigerode spine at a distance of 2 cm from it paravertebral third pair is fixed in nijaguna and verkhnepashino spine (T8-L1) at a distance of 2.5 cm from it paravertebral fourth pair is fixed in the crotch area (cathode) and the back (anode), the fifth and sixth pairs of electrodes pairs are fixed on the internal front surface of the hips to the right and to the left. The electrodes are connected to 1-6 channels of multi-channel electrical stimulator, such as Bioritm-040, while the 2nd, 3rd, 5th and 6th channels operate in the above-threshold stimulation, moderate "make-break" duration 8 C. the exposure Time increases from 10 to 30 min as procedures. 4th channel operates in the manual adjustment mode with a fixed frequency of 100 Hz and an exposure time of 5 min, then the mode is changed to manual with a fixed frequency of 30 Hz and act for 10 minutes, then switch the mode of stimulation "make-break" period 8, the exposure duration 10 minutes of the 1st channel include simultaneously with the transfer of the 4-th channel in the mode of stimulation, i.e. in the last 10 melinescu 8 C.In Fig. 1 shows the location of the treatment fields.The proposed method for the treatment of chronic prostatitis and erectile dysfunction is as follows.The patient is placed in a horizontal position lying on your back or sitting in a chair and his body is fixed electrodes 6 and procedural fields.1st treatment field, the one electrode (cathode) size 7x15 cm is fixed above the fold, the second electrode (anode) of size 10 x 10 cm recorded in the region of the sacrum (L1-S5).2nd procedural field: two electrode size h see fixed in the neck Wernigerode spine at a distance of 2 cm from it paravertebral.3rd procedural field: two electrode size h see fix in nijaguna and verkhnepashino spine (T8-L1) at a distance of 2.5 cm from it paravertebral.4th procedural field: one electrode (cathode) 6x6 cm tightly fixed in the crotch area, the second electrode (anode) is the lumbar electrode, in which is injected a second contact.5th and 6th procedural fields: two electrode size h cm fixed on the internal front surface of the hips to the right and to the left.1st standard 8-channel stimulator of Bioritm-040. Connection mode channels mixed.4th channel operates in the manual adjustment mode, the fixed frequency of 100 Hz, the exposure time is 5 min, then include a fixed frequency of 30 Hz, the exposure time 10 min; then include the mode of stimulation "make-break" period of 8 s, the exposure time is 10 minutes1st channel is connected only in the case when the 4-th channel is switched to the mode of stimulation, to avoid stratification of the pulses from the 1st channel on a continuous electric field of 4-th channel, operating in the manual adjustment mode. Thus, the 1st channel include in the last 10 min treatment time in the above-threshold stimulation, moderate, "parcel-pause duration 8 C.2-nd, 3-th, 5-th and 6-th channels are above-threshold stimulation moderate, "make-break" period of 8 s, the exposure time is 15 minutesThe treatment consists of 15-20 procedures carried out daily.Under favorable clinical effect of re-treatment course appointed after 3-4 months.The proposed method was applied in the treatment of 25 patients. Comparative results of treatment approach and in a known manner (see prototype) (20 patients) in the table. the form of remission or decaying exacerbation, accompanied by pain syndrome, dioreticakimi disorders, disorders and erectile ejaculating functions. Tested local tenderness in the crotch area, delay urination, lack of sexual arousal. The majority of patients were disease duration more than 5 years. In 38% of patients erection was reduced, and 15% were completely impotent.As a result of treatment carried out by the proposed method, all patients had improvement, including the complete disappearance of pain in 87%, delay urination disappeared in 90%, 68% increased potency. The marked improvement in the General condition of patients, disappeared fatigue, irritability, increased tone, being in most cases was good.During clinical studies it was found that multichannel electrical stimulation for chronic prostatitis causes the patient a complex clinically significant effects: analgesic, anti-inflammatory and anti-edema effects. Narrow dynamogeny effect of electrical stimulation with a frequency of 30 Hz and the proposed mode of stimulation help to cleanse the glandular tubules. During stimulation that promotes adaptation trophic effect calling the rapid recovery of the energy in the body.Electrostimulation neck area helps to relieve mental tension of the body.Electrical stimulation of the anterior-lateral surfaces of the hips, sacrum and perineum increases the sensitivity of the erogenous zones.The result of applying the proposed method of treatment is to reduce pain, dizuriceskih symptoms, up to their complete elimination, normalization of erectile, copulative and ejaculatory function, increased potency, especially when neuroreceptors form of impotence, two patients were eliminated this complication, as secondary infertility.Negative dynamics in the studied indicators under the influence of the procedures carried out by the above method, were observed which corresponded to the data of clinical examination and subjective feelings of patients.The proposed method is very effective, as it increases metabolism, helps reverse the inflammatory process, the regeneration of the damaged cells, improve the secretory function of the prostate gland.However, you can help even those patients who are affected potency by electrical stimulation of local groups of muscles and prostate cancer low-frequency pulsed bipolar current characterized in that the electro-stimulation effects of exercise no less than 6 pairs of electrodes simultaneously, which is placed on the patient's body so that the first pair of electrodes is fixed above the fold (the cathode) and the sacrum (anode) (L1- S5), the second pair of electrodes fixed in the neck Wernigerode spine at a distance of 2 cm from it paravertebral third pair is fixed in nijaguna and verkhnepashino spine (Th8- L1) at a distance of 2.5 cm from it paravertebral fourth pair is fixed in the crotch area (cathode) and the back (anode), the fifth and sixth pairs of electrodes pairs are fixed on the internal front surface of the hips to the right and to the left, then the electrodes are connected to 1 - 6 channels multi-channel stimulator, while the 2nd, 3rd, 5th and 6th channels operate in the above-threshold stimulation moderate, "parcel-pause duration 8 C and reaction time of 10 to 30 min with increasing as procedures the 4th channel is operating in adjustment mode with a fixed frequency of 100 Hz and an exposure time of 5 min, then the mode is changed to manual with a fixed frequency of 30 Hz and impact 10 min, after which include stimulation mode "make-ablation, and he also works in the mode of stimulation over threshold, moderate "make-break" duration 8 C.
SUBSTANCE: method involves applying transscleral diaphanoscopic examination method for adjusting intraocular neoplasm localization and size. Rectangular scleral pocket is built 2/3 times as large as sclera thickness which base is turned from the limb. Several electrodes manufactured from a metal of platinum group are introduced into intraocular neoplasm structure via the built scleral pocket. Next to it, intraocular neoplasm electrochemical destruction is carried out in changing electrodes polarity with current intensity of 100 mA during 1-10 min, and the electrodes are removed. Superficial scleral flap is returned to its place and fixed with interrupted sutures. 0.1-2% aqueous solution of khlorin as photosensitizer, selected from group containing photolon, radachlorine or photoditazine, is intravenously introduced at a dose of 0.8-1.1 mg/kg. Visual control of intraocular neoplasm cells is carried out by applying fluorescence and fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, transpupillary laser radiation of 661-666 nm large wavelength is applied at a dose of 30-120 J/cm2. the operation is ended with placing sutures on conjunctiva. Platinum, iridium or rhodium are used as the metals of platinum group. The number of electrodes is equal to 4-8. 0.1-1% khlorin solution, selected from group containing photolon, radachlorine or photoditazine, is additionally repeatedly intravenously introduced in 2-3 days at a dose of 0.8-1.1 mg/kg. Visual control of intraocular neoplasm cells is carried out by applying fluorescence and fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, repeated laser irradiation of the intraocular neoplasm is carried out with radiation dose of 30-45 J/cm2.
EFFECT: complete destruction of neoplasm; excluded tumor recurrence; reduced risk of tumor cells dissemination.
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