A method for the diagnosis of the syndrome of the external-iliac victimize

 

(57) Abstract:

The invention relates to medicine, sexologist, functional diagnostics. In the rectum enter bipolar electrode. Spend polarography prostate and lower extremities. Carry out the load on the muscles of the pelvis and lower extremities. Re are polarography prostate and lower extremities. Decreasing blood flow to the prostate and increase blood flow in the lower extremities after load diagnose the external-iliac theft. The method is easy to use and allows to assess the degree of spare capacity circulation in the basin of the internal iliac arteries.

The invention relates to medicine, specifically sexologist and functional (electrical) diagnosis of vascular adaptation mechanisms of the development and course of erectile dysfunction.

There is a method of diagnosing the syndrome of the external-iliac victimize from the pool of internal iliac artery with vasculogenic erectile dysfunction.

Determine the patient penile-brachialis index PBI (the ratio of the systolic pressure in the penile and brachial arteries) before and after exercise. This ikebata which is based on the Doppler effect. Carry out the load on the muscles of the pelvis and lower extremities, similar to that which occurs during coitus: lying on the back, the patient performs movements similar to the movements during intercourse, with a frequency of 1 in 2 in the amount of 60-70. Re-define the BRP within 2-3 min after exercise. If in absolute numbers, the systolic pressure decreased by more than 15-20 mm RT. Art., it indicates a link between reduced blood flow and load. This significant decrease of blood flow in the penis is associated with the flow of blood from the internal pool to the pool, external iliac artery, and at the beginning of the active movements of the pelvis and extremities erection disappears. Gorpinchenko I. I., Bakharev, A. M., Khakimov W. W. Role gemodinamicsska factors in violation of potency in men. - Urol. and nefrol., 1984, 6, S. 47-49.

The disadvantage of this method is the inconvenience and complexity of the process of diagnosis of erectile dysfunction.

The technical objective of the proposed method is a simplification of the diagnostic process external iliac victimize. The task of identifying symptom of the external-iliac victimize is achieved by the fact that the claimed "the Way..." distinguishing feature is the(basin external iliac arteries), next, perform the load on the muscles of the pelvis and lower extremities, similar to that which occurs during coitus: lying on the back, the patient performs movements similar to the movements during intercourse, with a frequency of 1 in 2 in the amount of 60-70. Re are rheography prostate and polarography lower limbs within 2-3 min after exercise and decreasing blood flow to the prostate and increase blood flow in the lower extremities, that is, upon detection of redistribution of blood flow from regions of the internal iliac in pools of external iliac arteries diagnosed syndrome external iliac victimize from the pool of internal iliac artery as a cause of vasculogenic erectile dysfunction.

The method is based on the assumption of the uniformity of circulation changes in the pool of internal iliac artery, which include: lower mahapasana artery (a. vesicalis inferior), giving branches to seed vesicles and the prostate gland, the average pryamokishechnye artery (a. rectalis media), sending branches to seed vesicles and prostate gland, internal sexual artery (a. pudenda interna) divisible by perineal artery (a. perinealis), urethral artery (a. uretralis), the artery of the bulb of poliwag the t in the following way. Lay the patient on his side pressed against the abdomen knees and bend back. Enter in the rectum bipolar electrode connected to the rheography, and register rogramme pool internal iliac arteries. Additionally, while conducting polarography lower extremities (basin external iliac arteries) and subsequent evaluation of reogram, then perform the load on the muscles of the pelvis and lower extremities, similar to that which occurs during coitus: lying on the back, the patient performs movements similar to the movements during intercourse, with a frequency of 1 in 2 in the amount of 60-70. Re are polarography within 2-3 min after exercise and decreasing blood flow to the prostate and increase blood flow in the lower extremities, that is, upon detection of redistribution of blood flow from regions of the internal iliac in pools of external iliac arteries, diagnose the symptom "external-iliac victimize" from the pool of internal iliac artery for constellations above eographically indexes.

A specific example of the way

The patient is In s, 63 years. Diagnosis: Chronic congestive prostatitis. Benign hyperplasia of the prostate is ladouanie: Prostate moderately increased, dense-elastic consistency, median groove smoothed study painless. Secret of the prostate to 50 leukocytes per field of view, lecithin grains is a small amount. Ultrasound prostate size 4,53,8 cm, at the top of the site adenomas, size 3,03,2 cm with the existing capsule. The contours of the gland fuzzy, diffuse small seal in the parenchyma. Seminal vesicles to the right and left, up to 1.5 cm in diameter. Dilatation of the prostatic plexus to 0.5, see the Patient shows a complex treatment of chronic prostatitis, which should be individualized depending on the detection or exclusion of symptom external iliac victimize.

06.11.98. performed monitoring polarography prostate cancer, as well as lower limbs. Then carried the load on the muscles of the pelvis and lower extremities, similar to that which occurs during coitus: lying on the back, the patient was performing movements similar to the movements during intercourse, with a frequency of 1 in 2 in the amount of 60-70. Re-conducted polarography within 2-3 min after exercise. On rogramme prostate pulse volume reduced peripheral resistance and tone sos˙a volume increased with respect to the boundaries of age norms, and peripheral vascular resistance and coefficient of venous outflow within normal values, indicating that the presence of the external-iliac victimize from the pool of internal iliac artery.

In connection with the detection of a symptom of the external-iliac victimize patients received alternative treatment: microclysters with the infusion of chamomile, finger prostate massage, introduction of prostatilen 10 mg intramuscularly daily N 20, cernilton 1 t 3 times a day plus viagra 50 mg 1 time a week before anticipated sexual intercourse. In addition, given the presence of a symptom of the external-iliac victimize, the patient is asked to perform a sex act in the supine position. Consequently, the proposed treatment of erectile component recovered, claims on conducting sexual life of the patient does not show.

Thus the diagnosis of the external-iliac victimize in the patient achieved with less complexity and greater convenience for the patient compared with the method relating to the definition of penile-brachiale index.

I.e., achieved an adequate individualized assessment of the degree of spare capacity of krovoobrascyeniya the need to identify penile-brachiale index. An advantage of the claimed method in comparison with the known is less complexity and greater convenience for the patient. The technical result of the application of the inventive method consists in taking into account the pathogenetic and adaptive mechanisms (symptom "victimize") with vasculogenic impotence, adequate individualized assessment of the degree of spare capacity circulation in the pool of internal iliac arteries, the simplification and acceleration of way.

A method for the diagnosis of the syndrome of the external-iliac victimize by detecting the redistribution of blood from the basin of the internal iliac in the pool of external iliac arteries before and after the load on the pelvis and lower limbs, characterized in that simultaneously produce polarography prostate and lower extremities and the subsequent evaluation of reogram and decreasing blood flow to the prostate and increase blood flow in the lower extremities after load diagnose the external-iliac theft.

 

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