The method of treatment of chronic prostatitis in combination with benign prostatic hyperplasia

 

(57) Abstract:

The invention relates to medicine, namely to physical therapy and urology. Hold the combined effect of red, infrared radiation and magnetic field on rectal projection of the prostate gland through the nozzle to an led device with a total radiation power of 5-10 W/cm2, the exposed area of 1.0-1.5 cm2and the value of magnetic field induction 40-50 MT for 8-10 minutes Additionally conduct micro pre minichannel mineral water and magnetotherapy on the pubic area, buttock, perineum 1 min magnetic system consisting of two flat magnets. The magnets are arranged without a gap in the same plane and facing the workpiece surface opposite poles with the magnitude of the magnetic induction 40-50 MT. Sessions are conducted daily for a course of 10-12 treatments. The method allows to increase therapeutic efficacy and reduce the severity of the pathological side reactions.

The invention relates to medicine, in particular to physical therapy and urology.

In the structure of urological pathology of chronic prostatitis and benign prostatic hyperplasia (BPH) are In quality of life.

Chronic prostatitis in combination with BPH occurs 32.1 - 82.8% of cases and aggravate the course of each other [3, 5, 7]. However due to the growing stagnation of secretion congestio is the progression of the inflammatory process, which exacerbates irritative and obstructive symptoms urination, increases pain. Medicamentous therapy is not effective enough. There is an unresolved question about the possibility of physiotherapy these patients.

The use of low-energy impacts due to the absence of thermal effect has a definite advantage for patients, physiotherapy which was limited, or contraindicated due to BPH, the exacerbation of the inflammatory process, age, and presence of concomitant pathology of internal organs.

Wide application in physiotherapy chronic prostatitis, including in combination with the initial stages of BPH, find, laser and magnetic therapy.

There is a method of treatment of chronic prostatitis in the acute stage using the apparatus for low-frequency magnetotherapy “pole 1”, in which two cylindrical inductor are arranged without a gap above the lo is ensively, magnetic field induction 25-27 MT, 10-30 min, daily, at the rate of 15-20 procedures [3]. The disadvantage of this method is the low efficiency of treatment, due to the same factor.

There is a method of treatment of chronic prostatitis in combination with BPH using device CLP-01 “PRA” [2]. This method is rectal impact in the area of projection of the prostate magnetic field, vibration and heat factor. However, the use of the heat factor and vibration is contraindicated in the exacerbation of chronic prostatitis and BPH and may lead to the progression of the process and common side effects.

There is a method of treatment of chronic prostatitis and BPH, including magnetotherapy, laser therapy, transurethral electrical stimulation, neurostimulation and the color and rhythm therapy apparatus of the “Andro-Gin” [6]. In this way using a transurethral catheter with fiber conducting laser irradiation and stimulation of the prostate, which is an invasive procedure and limits the possibilities of its application. The additional impact of spend emitting nozzle with a semiconductor infrared laser diodes that snickersnee radiation scattered reduces the potentiation effect. The use of multiple magnetic heads (transrectal with a capacity of 15 MT and outer - 40 MT) complicates the procedure.

Also known is a method of treatment of chronic prostatitis in combination with BPH using miniconference laser therapeutic apparatus “MILTA-f” [1]. When this emitter is applied consistently in the crotch, over the pubis, groin and the area of the sacrum for 2 min, frequency 80 Hz, the radiated power of 50 mW, magnetic induction 20-80 MT, daily, in the course of 8-10 treatments.

The disadvantages of this method are:

1. Conducting magnetic impact with the surface of the body that removes from the pathological focus and reduces its effectiveness.

2. The complexity of the recipe conduct consisting in the sequential exposure to different areas that lengthens and complicates the treatment process.

3. Application of the apparatus “MILTA” requires compliance with all rules for working with laser equipment.

The task of the invention is to increase the effectiveness of treatment, as well as the simplification of treatment method.

The problem is solved by the combined effects of red, infrared emission is an increase of 8-10 min, additionally spend microclysters pre minichannel mineral water and magnetotherapy on the pubic area, buttock, perineum for 1 min, and a source of red and infrared light are LEDs with a total power density of the radiation 5-10 watts/cm2and magnetic field - a system consisting of two flat magnets arranged without a gap in the same plane and facing the workpiece surface opposite poles with velichenko magnetic induction 40-50 MT, the area of impact of 1.0-1.5 cm2daily, at the rate of 10-12 procedures.

The rationale for distinguishing features:

1. The use of rectal treatment increases its efficiency due to the direct impact on the area of projection of the prostate by reducing the total light and magnetic energy load.

2. Use only one zone of influence simplifies the procedure.

3. Use in the treatment of the original magnetic system consisting of two magnets plate shape, arranged without a gap in the same plane and facing the workpiece surface and to each other unlike poles, increases the effective magnetic field 40-50 MT.

4. Use as sources of red and infrared LEDs makes the treatment process is safe, and the combination with magnetic therapy potentiates the effects of their influence.

5. Use microenemas minichannel mineral water increases the effectiveness of the treatment.

6. Magnetotherapy on the pubic area, buttock, perineum also increases the effectiveness of the treatment.

To implement the method in the research Institute of semiconductor devices, Tomsk created intracavitary magnetic attachment to an led device “Geske-1 the magician” [4]. This device provides the combined effect of led light emission of red (660 nm) infrared (870 nm) ranges, with a total power density of 5-10 W/cm2, the exposed area of 1.0-1.5 cm2and magnetic fields with velichenko induction 40-50 MT.

The basis of therapeutic action of the proposed method of treatment is combined intracavitary magneto - and cvetovodstva. The effect of magnetic therapy induces orientational rearrangement of liquid crystalline structures of biological membranes and intracellular structures, increases the rate of chemical reactions increases the permeability of the phospholipid biolo epicheskii, vasodilator, lymph draining effects. The magnetic field significantly reduces absorption by biological tissue electromagnetic waves, increasing the depth of light penetration and reducing the reflectance. therapeutic effects of led therapy is associated with its bio-stimulating fatalities effect on the most important activity of tissue enzymes, biosynthesis of proteins, makroergov, resulting in increased redox potential, metabolism and improve the processes of tissue respiration. 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 emitter (with pre-put on his condom) to a depth of 6-8 cm, the procedure lasts 8-10 minutes and then injected into the microenema 50 ml pre-minichannel sodium chloride moderately mineralized Mineralniye movements clockwise for 1 minutes After this effect in a circular motion clockwise on the pubic area, buttock, perineum 1 min magnetic system consisting of two flat magnets arranged without a gap in the same plane and facing the workpiece surface opposite poles with velichenko magnetic induction 40-50 MT, daily, at the rate of 10-12 procedures.

Example 1. Patient R., 58 years old, came with complaints of pain in the lower abdomen, sacrum, terminal dysuria, stranguria, pollakiuria, feeling of incomplete emptying of the bladder, decreased libido and erections. For 15 years she has received treatment from a urologist outpatient and one Spa treatment. The effect of the treatment was assessed as inadequate and short. Was diagnosed with chronic prostatitis in the stage of incomplete remission in combination with benign prostatic hyperplasia 1 degree. The treatment method proposed, including concomitant rectal impact on the projection of the prostate gland red, infrared and magnetic field for 8 min and the consistent implementation of microenemas pre minichannel mineral water and magnetotherapy on oblie General condition, reduction of pain and dysuric syndrome. It was observed elimination of stranguria, feelings of incomplete emptying of the bladder, night pollakiuria that caused a decline in total IPSS score 2.3-fold increase of the index of evaluation of quality of life QOL in 2 times. Normalization of sexual function was shown to improve spontaneous and adequate erections, prolongation of the time of coitus. When finger rectal examination of the prostate was a decrease in size, tenderness, focal infiltration, normalization of tone. There was a positive dynamics of indicators of prostatic secretion, normalization of leukocyte count. Ultrasound picture of the prostate was characterized by a decrease in its volume of 4.2 cm3, normalization echoes, the absence of residual urine. Level prostatespecific antigen before and after treatment did not exceed the established norms. During treatment of pathological fisiologi was not observed. When examined after 1 and 6 months revealed a strong positive dynamics of subjective and objective indicators.

Efficacy of treatment was assessed by clinical and laboratory complex, including data Ana the political secret, transrectal-transabdominal ultrasonography of the prostate with determination of residual urine volume, rheovasography of the pelvic organs, the definition prostatespecific antigen.

The proposed method of treatment was applied in the Department of andrology at the Tomsk scientific research Institute of balneology and physiotherapy 54 patients with chronic prostatitis with concomitant BPH first degree at the age 53-65 years. As a result of treatment in the majority of patients were relieved of pain (89.4 per cent) and dysuric (86,7%) syndromes. There was observed a decrease of stranguria, feelings of incomplete emptying of the bladder, night pollakiuria that caused a decline in total IPSS score 2.3±1.1 times and the increase of the index of evaluation of quality of life QOL 1.9±1.6 times. Normalization copulative function was shown to improve spontaneous and adequate erections, prolongation of the time of coitus, that caused an increase in total score of the IIEF-5 from 12.6±2.4 to 18,7±2,1 (p<0,01). When the finger examination of the prostate gland revealed a decrease in pain (92%), and swelling (89%). Were observed normalization of the number of leukocytes in prostatic secretion in 92% of patients. An ultrasound of the prostate and residual urine (97,3%). According to the days of the pelvic organs revealed improvement in regional hemodynamics in the system of venous outflow, which was manifested by a decrease dicrotism index of 75.1±3,9% (p<0.001) and diastolic index from 87.2±3.3 to 58,2±4,6% (p<0,001). Level prostatespecific antigen after treatment did not exceed normal values of 1.4±0.7 ng/ml). All patients tolerated treatment well, pathological fisiologi was not observed. The direct effect of treatment was 90.3 per cent while maintaining remission in the long-term treatment.

Thus, the claimed method of treatment of chronic prostatitis in combination with BPH increases therapeutic efficacy, significantly simplifies the process of treatment, reduces the severity of the pathological side reactions, which allows you to expand the indications for physiotherapy.

Sources of information

1. Bolin C. A., Alekseev, Y. C., Antonov, A. et al. The use of therapeutic-diagnostic magnetic-infrared laser therapeutic apparatus “MILTA-f” in medical practice. / Manual for physicians - Moscow, 2001. - S. 59 (prototype)

2. Zibarev B. N., Salenow A. C., Arakcheev B. Yu et al. The results of the use of the device ALP-01 “PRA” in the treatment of patients with Dobrobut and genital surgery - 2001. No. 4. - S. 56-60.

3. Karpukhin, I. C., A. Minenkov A., Lee, S. M. et al. Physical therapy in andrology. - Moscow, 1999. - S. 171-172.

4. Levitsky E. F., Diamond, I. I., even though A. A. et al. Device for magnetoterapia, RF patent № 2160612 from 15.11.99.

5. Mikhailichenko Centuries, Tiktinsky O. L., Fesenko Century. N. et al. Chronic prostatitis in patients with benign prostatic hyperplasia // Abstracts of scientific papers of the 1st Congress of the Professional Association of Andrologists Russia. Kislovodsk. 22-26 April 2001. - M., 2001. - S. 25.

6. Plushenko L. C., Sokolov Century Century Handbook on the work with hardware-software complex CAP-ELM-01 “Andro-Gin”. CJSC “Aminvest”, M., 2000. - 24 S.

7. Ushakov A. A., Bronnikov I. Y. the Analysis of efficiency of application of some physical methods in complex treatment of chronic prostatitis and benign prostatic hyperplasia // Attending physician. - 1999. No. 6. - S. 50-53.

The method of treatment of chronic prostatitis in combination with benign prostatic hyperplasia, including the combined effect of red, infrared and magnetic field, characterized in that the impact of the conduct on rectal projection P2, the exposed area of 1.0-1.5 cm2and the value of magnetic field induction 40-50 MT for 8-10 min, conducted additionally micro pre minichannel mineral water and magnetotherapy on the pubic area, buttock, perineum 1 min magnetic system consisting of two flat magnets arranged without a gap in the same plane and facing the workpiece surface opposite poles with the magnitude of the magnetic induction 40-50 MT, daily, at the rate of 10-12 procedures.

 

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