The method of treatment of chronic uretroprostatit and device for its implementation

 

(57) Abstract:

The invention relates to medicine, physiotherapy and can be used for the treatment of uretroprostatit. In the rectum enter rectal electrode. In the urethra catheter is made in the form of a tube of insulating material. On a cone-shaped distal end of the catheter is made a hole and is inflatable balloon connected by a thin tube with a tip to the syringe. Below inflatable balloon is a mesh sleeve with tapered holes. In the cavity of the catheter to the drainage tube spiral wound stainless steel, which serves as an electrode for electrophoresis and electro-stimulation. The proximal end of the catheter end tip of the syringe. Carry out electrophoresis of proteolytic enzymes and vibratory massage of the prostate rectal electrode. Conduct electrical stimulation of smooth muscle complex gland and active suction stagnant secretions of the glandular lobules urethral catheter. Carry out electrophoresis of drugs through the rectal and urethral electrodes. All procedures performed on the background of hyperthermia conducted with rectal electrode. The method allows to increase effektivnosti methods and devices used for the treatment of uretroprostatit.

There is a method of treatment of a prostatitis, when simultaneously act on the prostate transurethral prostate stimulation and helium-neon radiation through tissue of the perineum - infrared laser radiation [1].

The use of hyperthermia in the treatment of chronic uretroprostatit it is known from [2], electromassage [3], microwave therapy [4]. Some of physiotherapeutic devices used for heating electromagnetic radiation of high and ultra-high frequencies [5], however, the difficulty of dosing and poorly understood influence on the genetic apparatus genitals makes junk these methods in the treatment of patients of childbearing age.

Numerous devices for the treatment of chronic prostatitis in the form of a rectal probe, which is held electrophoresis and inductothermy [6], as well as a device in the form of connection of the ultrasonic urethral and rectal probes, which are connected to one system of control and power, carrying out electrical stimulation of the prostate during phonophoresis [7].

The disadvantage of many existing methods and devices for chronic prostatitis which, in fact, almost always occurs as a result of chronic urethritis. In this regard, the treatment must be both the urethra and prostate.

In addition, the disadvantage of these and many other physiotherapeutic devices is that they do not take into account the specifics of the anatomy and pathogenesis of the disease. They are that part covered by the inflammation of the glandular areas of the prostate, filled with thick, viscous secret (the product of the functional activity of glandular formations), and the excretory ducts of the crushed infiltration (inflammation) and clogged slomavshiesya the epithelial cells, leukocytes, mucus.

The known device for the treatment of chronic prostatitis, which have the ability to evacuate stagnant secretions from the prostate gland. One device made in the form of a catheter [8], which is injected in the posterior part of the urethra and connected to a source of vacuum for evacuating the dead secret, and other device - electrode-catheter [9] which also can provide electrical stimulation to which it is connected to the pacemaker.

Closest to the claimed method is a method of treating chronic cases ducts of the prostate gland and ejaculatory tract, and then produce the active suction stagnant secretions of the glandular lobes of the prostate.

The prototype of the proposed device for the treatment of chronic uretroprostatit selected device [9] , which contains a tube of insulating material, attached to the cylinder of conductive material with holes on the side surface, and a conductor connected to the cylinder and passing inside the tube, the head has at least a few holes connected with the internal channel of the tube. The tube is provided with an inflatable balloon and an additional channel connected to the internal cavity of the container.

Undoubtedly, these inventions [9, 10] are the progress in treatment of chronic prostatitis and promote the recovery of some patients. However, the suction stagnant secret of the sealed ductless gland requires a sufficiently high vacuum, which is traumatic in itself and can cause minor bleeding, moreover, that in this case, as the author points out, destroyed and microabscess in the tissue of the gland. Electrical stimulation immediately after the suction of mucus, causing intense spastic contractions extensive smooth muscle structures jelly is x2">

In addition, this method of treatment is also focused only on the treatment of chronic prostatitis, which in reality is almost always occurs as a result of chronic urethritis. Therefore, treatment must be simultaneous in two parts.

The goal of treatment of chronic prostatitis should be the elimination of pathogenic (or become one) microflora, which was earlier in the urogenital tracts, as well as agents that were there from the outside and with the weakening of tissue immunity caused inflammation, which has become chronic. Especially important is also antibacterial treatment, as currently dealing with resistant forms of bacteria and infection that is resistant to antibiotic therapy (chlamydia, Mycoplasma, cytomegalovirus, trichomoniasis, bacterial vaginosis). This method can not solve this problem.

In addition, the device prototype catheter is fixed in the urethra with the bladder, which is located below the suction head, which also serves as the electrode for electrical stimulation. Given that the length of the urethra all patients are different, there is no certainty that it is always exactly the suction goyh necessary to carry out the suction thickened secret.

The proposed invention solves the problem, expansion of the simultaneous effects of various physical factors on the urethra and the prostate, to make these impacts are less traumatic, which in turn will enhance therapeutic effect, will reduce the amount of medication, and accelerate the healing process.

This technical result is achieved in this way.

In the proposed method of treatment of chronic uretroprostatit, which is that in the urethra catheter, through which conduct electrical stimulation of smooth muscle complex gland and active suction stagnant secretions of the glandular lobes of the prostate, according salemaa to the invention in the rectum enter rectal electrode, and before electrical stimulation exercise electrophoresis proteolytic enzymes and vibratory massage of the prostate rectal electrode, and after sucking stagnant secret carry out electrophoresis of drugs through the rectal and urethral electrodes, with all treatments carried out on the background of hyperthermia performed with rectal electrode.

In the device for the treatment of chronic uretroprostatit, containing the tera in the urethra, according to the claimed invention at the distal tapered end of the catheter is made the hole with which it is interconnected drainage insulating tube passing through the cavity of the catheter and having the tip of the syringe, the drainage tube is wound spiral, serving as the electrode for electrophoresis and electro-stimulation, the catheter is inserted mesh sleeve with cone-shaped holes for medicinal substance, and an inflatable balloon located at the distal end of the catheter and the tube is connected to the tip of the syringe.

Deep heating of the prostate during the procedure, the electrode heater inserted into the rectum, increases blood flow, improves the permeability of cell membranes to drugs, increased hormonal gland function, local tissue immunity, a dampening effect on the microflora of inflammation revealed the excretory ducts of the glands. On such prepared background is vibromassage the same electrode, which facilitates the opening and emptying stagnant detachable and clogged ductless glands and their evacuation. Under the influence of vibromassage increases muscle tone and increases the sensitivity of the nerve is ESA through the urethral electrode medicinal substance, improving the allocation of stagnant detachable (e.g., proteolytic enzymes), exercise, electrical stimulation of the smooth muscle of complex cancer. Holding suction using a vacuum now will be less traumatic and more effective. At the end of the procedure after the exhausting stale secret urethral electrode on the background of ongoing local hyperthermia can be entered in the gland by electrophoresis needed an antibiotic. Electrophoresis of the prostate can be performed and rectal electrode, positioning the passive electrode above the pubic area. Best electrophoresis can be performed between the urethral and rectal electrode. This is especially important when so often encountered in patients with prostatitis chlamydia infection. Otherwise no suction secret, no stimulation will not be able to eliminate the infection, breeding deep in the glandular epithelium. In cases where you are unable to cope with the infection, usually after a few months with recurrence of the disease. Hope that the concentrations of antibiotics, administered per os, may be sufficient to eliminate chlamydia are intracellular, very doubtful. antibioticotherapy able to significantly improve the success of the cure chlamydia.

In the device for the treatment of chronic prostatitis due to drainage tube with a hole at the distal end of the catheter when the penetration of the latter into the bladder is allocated a drop of urine, which suggests that the end of the catheter is already in the bladder and through the tip to inflate the introduction of sterile isotonic cylinder, locking the catheter in the bladder neck. When this mesh sleeve with holes accurately located in the posterior urethra at the level of the opening in her excretory ducts of the prostate gland and salvavidas ducts. Through these holes the medicinal solution is poured into the cavity of the urethra and does not drain into the bladder. This electrode is held electrophoresis and the same electrode is the electrical stimulation of the prostate. On the background of hyperthermia amount of medicinal substance, which is transferred to the heated tissue, significantly more than without it. Suction stagnant detachable prostate electrostimulation much better and less traumatic for hyperthermia after electrophoresis of proteolytic enzymes and vibromassage.

The treatment method carried out thereby.

The catheter is inserted through the urethra into the mo is twistie in the bladder neck.

Then in the rectum enter the electrode-heater, heat the prostate massages. Carry out electrophoresis of proteolytic enzymes through the urethral electrode, the stimulation of smooth muscle complex gland, the suction of mucus through the urethral catheter and finish the procedure by electrophoresis of the selected antibiotic.

The drawing shows the inventive device in the section.

Device for the treatment of uretroprostatit is a catheter made in the form of a tube 1 of insulating material, at the distal conical end 2 of which is made a hole 3, with which is connected the drain of the insulating tube 4 with the tip 5 of the syringe. At this distal end is located an inflatable balloon 6, connected by a thin tube 7 with a tip 8 of the syringe. Below inflatable balloon 6 is a mesh sleeve 9 with a conical holes 10. In the cavity of the catheter to the drainage tube 4 is wound helix 11 of stainless steel, which serves as an electrode for electrophoresis and electro-stimulation and has pin 12 at the proximal end of the catheter for connecting the pole of the electrophoresis or electro-stimulation. The proximal end of the catheter for the device smeared with glycerine and enter through the urethra into the bladder. That its end is in the bladder, evidenced by the appearance of drops of urine, which derives itself, or by the suction of the syringe through the tip 5. Then inflate the balloon 6 through the tip 8 isotonic, tighten the device and close the opening of the urethra in the bladder. This is necessary so that the drug solution, which is inserted into the urethra for electrophoresis, through the tip 13 and the taper hole 10 mesh sleeve 9, is not flowed into the bladder during the procedure. After that, the electrode 11 is connected to the device for electrophoresis, and the second electrode is disposed on the lower back. The second electrode may be a rectal electrode-heater, which can be active, and urethral - neutral. You can also change the active electrode for electrical stimulation of the prostate. The sleeve 9 with a conical hole 10 is located in the posterior urethra in the region of the excretory ducts of the prostate gland and seminal tract. After heating the prostate rectal electrode-heater massages the same electrode, followed by electrophoresis through active urethral electrode proteolytic enzymes, thinning clogged the excretory ducts of the glands of the prostate is Zee and finish the procedure by electrophoresis of the selected antibiotic, using active electrode rectal electrode heater that throughout the procedure creates dosed local hyperthermia.

Example. Patient D., 33 years. Three years ago, after a hard-influenza began to notice a dull pain and discomfort in the lower abdomen, a feeling of pressure and burning in the urethra and prostate, as well as the mucous discharge from the urethra while urinating. In addition, concerned about rapid ejaculation and the weakening of potency. Went to see the doctor. Was diagnosed with chronic prostatitis. I took antibiotics, did massage the prostate and radiation crotch helium-neon laser. First became easier, and then the pain returned. Addressed with the same complaints in a very negative mood and lack of faith in the treatment.

The examination found that the prostate is enlarged, edematous. The edges of her fuzzy. Furrow smooth. The consistency of the gland uneven. There were two plots in the right lobe, sharply painful. Massage brings painful. Seminal vesicles are not defined. After a light massage of iron decreased, became more loose.

In a laboratory study: trehstakannoy and marked "floating threads". In smears from the urethra during fluorescence study using monoclonal serum detected chlamydia specific antibody in the sample, and Cytology marked intracellular inclusions.

Diagnosis: follicular chronic retrogenes prostatitis. Chlamydia.

Treatment started after two weeks of training with the introduction of cycloferon, the introduction of which continued during combined treatment. Combined treatment consisted in the application of successive two antibiotics (one macrolide - Sumamed, and the second group of quinolones, it turned out that our), 5 days - Sumamed and 5 days, it turned out that our. Was started simultaneously dosed local hyperthermia (DLG membership card up), which lasted 16 days and was the backdrop for other physiotherapeutic factors. Hyperthermia of the prostate was carried out through the rectum from the 49oFrom the beginning of treatment, up 51oWith the end of treatment. Hyperthermia urethra was achieved with the help of urethral heater, which was created in the urethra temperature increase from the 42oWith up to 45oC for 4 days. Starting with the 5th day in the urethra was introduced electrophoretic electrode with which it is possible to suck a thick detachable prostoy slime 10 min and finally 10 min solutions with antibiotics, which a patient receives, and electrical stimulation. This electrode (device) is proposed in the present invention. Introduced in the rectum and the second electrode [11] , which in the rectum is created hyperthermia of the prostate, vibromassage, electrophoresis and electro-stimulation.

Combined is as follows.

On the background of hyperthermia generated rectal electrode together with the urethral electrode for electrophoresis entered proteolytic enzymes, then, is the vibratory massage of the prostate through the rectal electrode, then the stimulation between the urethral and rectal electrode, then the suction of mucus through the urethral electrode, and then the electrophoresis of antibiotics through the urethral and rectal electrodes.

Such complex procedures was conducted from 5th to 16th day. The procedure is completely painless and the patient tolerated them well. Additionally prophylactically took 10 tablets of nizoral. After 6 treatments the pain was absent, the patient felt well.

When viewed on the 17th day of treatment is "a direct result", prostate markedly decreased, its edges are sharp, no swelling. Furrow clearly defined. Pain when palpasa threads," no. Notes the lack of mucus in stool.

Examination after three months, "long-term results". She feels good. No complaints. Sexual function was restored. In smears with fluorescent study with a monoclonal serum chlamydia no. Leukocytes 4-5 in the field of view. Intracellular inclusions Cytology is not detected. Assigned control after six months.

Sources of information

1. RF patent 2022577, class A 61 N 5/06 A 61 N 1/36, publ. 1994

2. The Imperial family of UNDA and others. Nursing, 1990, 3 S. 21-22.

3. And. And. Martinenko and others. Nursing, 1992, 11/12, C. 92-96.

4. C. M. Bogolyubov and others. Questions of balneology, 1987, 8, S. 15-18.

5. U.S. patent 5230349, class A 61 N 1/05, publ. 1993

6. RF patent 2046608, class A 61 N 1/30, publ. 1995

7. USSR author's certificate 1803148, class A 61 N 1/30, And 61 M 37/00, publ. 1993

8. RF patent 2008031, class a 61 M 1/05, publ. 1994

9. RF patent 2008036, class A 61 N 1/05, publ. 1994

10. RF patent 2103025, class A 61 N 1/36, publ. 1996

11. Patent of Ukraine 20878, class A 61 F 7/00, publ. 1998

1. The method of treatment of chronic uretroprostatit, namely, that in the urethra catheter, chere the glandular lobes of the prostate, characterized in that the rectum enter rectal electrode, and before electrical stimulation exercise electrophoresis proteolytic enzymes and vibratory massage of the prostate rectal electrode, and after sucking stagnant secret carry out electrophoresis of drugs through the rectal and urethral electrodes, with all treatments carried out on the background of hyperthermia performed with rectal electrode.

2. Device for the treatment of chronic uretroprostatit containing the catheter, made in the form of a tube of insulating material, and an inflatable balloon for fixing the catheter in the urethra, characterized in that a cone-shaped distal end of the catheter is made the hole with which it is interconnected drainage insulating tube passing through the cavity of the catheter and having the tip of the syringe, the drainage tube is wound spiral, serving as the electrode for electrophoresis and electro-stimulation, the catheter is inserted mesh sleeve with cone-shaped holes for medicinal substance, and an inflatable balloon located at the distal end of the catheter and the tube is connected to the tip of the syringe.

 

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