The method of treatment of chronic prostatitis

 

(57) Abstract:

The invention relates to medicine. A method of treatment of chronic prostatitis, including rectal electrical stimulation packs of rectangular pulses with a duration of 6 MS and a repetition period of 3 packs with current amplitude 8-12 mA and light effect of infrared and red led radiation for 8-10 minutes, with the first 4-5 procedures, light exposure is carried out in a pulsed mode, synchronized with the pulse frequency of electrical stimulation, and the other with frequency 11-12 Hz, at a rate of 10-15 procedures. The method improves the efficiency of the treatment and reduces its time.

The invention relates to medicine, in particular to physiotherapy and andrology.

Inflammation of the prostate is the most common uroandrological disease and is often complicated by the copulative and reproductive disorders. The frequency of this pathology in men the most healthy and fertile age reaches 70%. It should be noted that the effectiveness of remote results of treatment remains low, and frequent relapses require repeated courses of treatment. In the last in the about prostatitis using various physiotherapeutic factors in combination with drug therapy. According to modern concepts about the pathogenesis of chronic prostatitis key aspect of treatment is the elimination of infection with the restoration of the drainage secret of the prostate gland and organ microcirculation with adequate venous outflow and increased activity of the smooth muscles of the pelvic organs.

Wide application in the treatment of chronic prostatitis and its complications found power, diadynamic, amplipulse therapy for transrectally, endourethral and sacral-abdominal procedures.

There is a method of treatment of chronic prostatitis using Autonomous electrostimulator (ASECT-probe) [1]. In the known method is rectal stimulation in the area of projection of the prostate gland, however, is only one factor that does not provide sufficient anti-inflammatory activity and improve microcirculation, i.e. it is not effective enough.

There is a method of treatment of chronic prostatitis, including the stimulation and laser radiation of the visible and infrared ranges on the prostate gland of the device, "Jari" [2]. In this way the TRANS is a new laser. The additional impact of spend emitting nozzle of the infrared semiconductor laser diodes on the perineum, which reduces its effectiveness because of the remoteness from the prostate gland. Held be electrolyzerna stimulation is an invasive procedure, and the presence of frequent complications limits the possibility of its application.

Closest to the claimed method according to the combination of features and functionality is chosen as a prototype method for the treatment of chronic prostatitis with the help of "Andro-Gin", which applies rectal-urethral stimulation in combination with laser radiation and the impact on the region of the pubis led radiation [3].

The disadvantages of this method include:

1) the influence of infrared radiation on the perineal area reduces its efficiency due to the removal from the prostate gland;

2) the location of sources of red and infrared radiation scattered eliminates the potentiation effect;

3) be conducted electrolyzerna stimulation is an invasive procedure, and the presence of frequent uslovnogo complicates the procedure.

The problem solved by the invention is to remedy these disadvantages, increasing the effectiveness of treatment, as well as simplification of the mode of treatment is decided as follows.

Conduct electrical stimulation and simultaneous light exposure of the red and infrared ranges on the prostate, rectal, and the stimulation and led radiation is carried out in a pulsed mode, sinhronizovano or frequency 11-12 Hz, for 8-10 minutes, daily, at the rate of 10-15 procedures.

The rationale for distinguishing features:

1) the influence of infrared radiation directly to the prostate using a rectal nozzle increases its efficiency by increasing output power conducted to the site of pathology;

2) the location of sources of red and infrared radiation in one rectal nozzle potentiates the effect of their impact;

3) the location of the both electrodes (active and passive) on rectal nozzle simplifies the procedure;

4) the location of sources of stimulation and svetootdachi in one rectal nozzle potentiates their effects and simplifies the procedure;

5) excluded eno method.

To implement the method in the research Institute of semiconductor devices, Tomsk city created led apparatus for intracavitary photoelectrochemical [4]. The device is designed with self-contained power source, which eliminates the possibility of electric shock. Intracavitary probe is made removable, which provides an opportunity for individual use and to facilitate sterilization treatment.

The basis of therapeutic action of the proposed method of treatment is combined intracavitary light and stimulation. The effect of electrical stimulation is mainly at the level of smooth muscle elements and organ microcirculation. Recovery of motor activity of smooth muscle fibers contributes to the drainage of secretions from acini due to the normalization of the lumen and peristalsis Acinonyx and excretory ducts of prostatic glands. Another effect of electric pulses is improved organ microcirculation at the level of both blood and lymphatic capillaries. Activating the processes of lymphoablative and lymph flow, which stopped neutrophile-lymphoid infiltration, reduced swelling, improved secretory the first phase, enhances the reparative processes. Therapeutic effect led phototherapy is associated primarily with its bio-stimulating fatalities effect on the most important activity of tissue enzymes (Ltfazi, acetylcholinesterase, cytochrome C oxidase), biosynthesis of proteins, DNA, RNA, makroergov, resulting in increased redox potential, metabolism and improve the processes of tissue respiration, improves quality indicators of blood marked positive effect on the immune system. With these effects is due to anti-inflammatory, analgesic, trophic and improves microcirculation effect. Thus, it provides a complex effect on various parts of the inflammatory process in the body, and neurohormonal regulatory system.

The method of treatment is as follows.

The patient, lying on his side with bent legs, is introduced into the rectum intracavitary probe, smeared vaseline oil, smooth translational motion to a depth of 6-8 see the electro-stimulation effect starts immediately after contact of the mucous membrane of the rectum with the electrodes of the device, and it can cause the characteristic ritmica placement of the device. It is necessary to adjust the position of the apparatus until the aforementioned feelings. The device is held in this position (in the projection of the prostate) during the entire procedure. Light exposure is carried out for the first 4-5 procedures in pulse mode synchronized with the pulse frequency of the electrical stimulation, and during subsequent procedures with frequency 11-12 Hz. Duration is 8-10 minutes each day, at the rate of 10-15 procedures. After the procedure the device is smoothly extracted from the rectum, washed under running water using detergent and a brush. Do the disinfection and sterilization according to the instructions and wipe dry.

Example 1. Patient B. , 41, entered the andrology Department of the Tomsk scientific research Institute of balneology and physiotherapy with complaints of pain in the lower abdomen, groin, weakened urine stream, and increased urination. Notes libido decrease, weakening spontaneous and adequate erection, shortening the friction period, erased orgasm. Ill for 4 years, received 2 courses of antibiotic therapy and stimulant drugs from the group of plant adaptogens. The effect of the treatment was unstable. When the objective issledovania. Were treated by the proposed method, including deep electrostatically prostate cancer for 10 min daily for 12 days. After treatment there was a marked improvement in General condition, reduction of pain and dysuric syndrome, improvement of the copulative function: enhance erections and increase the length of intercourse. In the study of native prostatic secretion was observed normalization of leukocyte count. For the treatment of pathological fisiologi was not observed. During the inspection one month was observed therapeutic effect.

Example 2. Patient K., 34, had complained of pain in the perineum, sacrum, with the ejaculation, pain during urination. During the year notes decreased libido and erections, rapid ejaculation. Had previously been treated by a urologist at the place of residence, took two courses of antibiotic therapy and biostimulants. The effect of the treatment was assessed as inadequate and short.

It was examined and diagnosed with chronic prostatitis in the stage of incomplete remission, complicated copulative dysfunction. After John daily, in the course of 12 treatments, there has been an improvement in General condition, reduction of pain and dysuric symptoms, normalization of sexual function. The treatment results in marked positive dynamics of cellular indicators of prostatic secretion, ultrasound picture of the prostate. For the treatment of pathological fisiologi was not observed. When examining a month remains stable positive dynamics of the state of copulative function and laboratory indicators of the condition of the prostate gland.

Efficacy of treatment was assessed by clinical and laboratory complex, including history, research andrological status, including digital examination of the prostate, the analysis of prostatic secretion, semen, transrectally-transabdominal ultrasonography of the prostate, reovasographiya of the pelvic organs.

The proposed method of treatment using the abdominal spectrometrically prostate was applied in the Department of andrology at the Tomsk scientific research Institute of balneology and physiotherapy in 40 patients with chronic prostatitis in the stage of incomplete remission, latent currents, aggravated sexual disorders, PLI improvement in General condition, mild pain (87.5%) and dysuric syndrome (80,0%), improvement of sexual function (85,0%), which was characterized by increased libido and spontaneous erections adequate, the normalization time of coitus. Effects prostatorrhea was stopped in all patients. When finger prostate examination in the majority of cases (95%) showed a decrease in pain and swelling, normalization of its tone. In the study of native prostatic secretion absolute majority of patients were observed normalization of leukocyte count and the increase in the content of lecithin granules. In the analysis of the ejaculate after 3 months of treatment, improvement was noted in the quantitative (total number of spermatozoa 57%) and quality (% actively motile sperm 37.4%) indicators reduce their agglutination. The number of leukocytes in the ejaculate decreased in patients 5.6 times. When ultrazvukova study of the prostate revealed a reduction of its size by improving drainage function and the normalization of its echoes. According to the days of the pelvic organs was noted positive dynamics of regional blood flow (volume flow increased by 64%, with the normalization of venous outflow). Providently the effect of treatment in patients receiving deep electrostatically prostate, amounted to 87.5%.

Thus, the claimed method of treatment of chronic prostatitis increases therapeutic efficacy in the reduction of treatment time and greatly simplifies the process of treatment.

This method of treatment because of its safety, simplicity, and versatility can be recommended for use not only in hospital but also in clinics and health institutions and at home.

Sources of information

1. Baking centuries, Agafonnikov C. F., Dambai, C. and et al. Autonomous electrical stimulator of the human body and animals., Tomsk, SSMU, 1995

2. Misanin E. A. , Zharov VP method for the treatment of chronic prostatitis with sexual dysfunction. RF patent 2022577 from 08.10.93,. CL.5 a 61 N 5/06, 1/06 (prototype).

3. Plushenko L. C., Sokolov Century Century Handbook on the work with hardware-software complex CAP-ELM-01 "Andro-Gin". M.: ZAO "Aminvest", 2000 - 24 C.

4. Evidence of the Russian Federation for useful model 9745 from 06.08.98, the / even though A. A. et al.

The method of treatment of chronic prostatitis, including rectal stimulation and light exposure on intercessor 6 MS and a repetition period of 3 packs, with the current amplitude of 8-12 mA, and the light perform infrared and red led radiation for 8-10 minutes, with the first 4-5 procedures, light exposure is carried out in a pulsed mode, synchronized with the pulse frequency of electrical stimulation, and the other with frequency 11-12 Hz, at a rate of 10-15 procedures.

 

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