Method and device for treating chronic prostatitis

FIELD: medicine.

SUBSTANCE: method involves concurrently acting with stimulating electric pulses and back pressure pulses upon the prostate from the large intestine side synchronized with the stimulating electric pulses under excessive rinsing solution pressure into posterior urethra region. Device has pneumatic massage unit as elastic shell enveloping hollow cylindrical casing having a row of radial holes for supplying compressed air into the shell and periodic pulsating pressure source having at least one unit for producing electric pulses and pneumo-electromagnetic valve which electromagnet anchor is connected to electric pulse production unit outputs. Unit for electrically stimulating perineal muscles and prostate having stimulating catheter electrode and reservoir containing rinsing solution attached to catheter electrode are available in the device. Electric stimulation unit output is connected to input of unit for producing pressure pulses. Periodic pulsating pressure source is manufactured as elastic pneumatic chamber brought in continuous mechanical engagement with electromagnet anchor of the pneumo-electromagnetic valve and tightly joined via tube, cylindrical tube cavity and radial holes therein to the elastic shell of the massage member.

EFFECT: enhanced effectiveness of treatment; accelerated treatment course.

3 cl, 10 dwg

 

The invention relates to medicine, in particular to urology, and is intended for treatment of prostatitis and their complications: violations of potency, sterility, vesiculitis, urethritis and other similar diseases.

There is a method of treatment of patients with chronic prostatitis by electrical stimulation of the prostate gland, is described, for example, in the Instructions for use of urological electrostimulator of ASUR-30-3 “Intracon-3” [1]. The method is to massage the prostate muscles, reduction of which is forced under the influence of mid-frequency electrical stimulation pulses (2.5 kHz). The massage results in a stagnant secret withdrawn from the cavities of the prostate through the excretory ducts in the region of the urethra.

It is known that due to the conduction of electrical stimulation of the prostate can be cured no more than 40% of patients. This low efficiency of this method of treatment is explained by the fact that when the compressive stress in the prostate is formed and also the extension in the rectal area. This prevents the effective conclusion of the secret in the urethra and results in high long term treatment (more than 4 weeks).

A more effective way of treatment of patients with chronic prostatitis, ongoing impact on the prostate gland by several factors: midrange stimulating them what meisami, laser irradiation and low-frequency stationary magnetic field, which is described in the patent of Russia №2118187 [2].

In accordance with the description of the invention, each of these factors affects the prostate gland at different times and, of course, provides a known, inherent in each of the above-mentioned methods of treatment effect without exerting on the prostate gland of a qualitatively new effects based on mutual influence. As a consequence, the authors of the method according to patent No. 2118187 speak only about the remission of prostate, but not about healing patients, with almost the same duration of treatment time.

The present invention is to create a new way of treatment of patients with prostatitis, which would have a high efficiency, while significantly reducing treatment time.

The goal is solved in that in the known method of treatment of chronic prostatitis (by drainage of the prostate gland exposed to multiple medical factors, one of which is stimulating electrical impulses) along with stimulating electrical impulses on the prostate gland is affected by pulses of the counter-pressure side of the colon, synchronized with the stimulating electrical pulses at a constant flow under houses the internal pressure of the washing solution in the posterior part of the urethra.

Thanks synchronous pulse of the pressure on the prostate from the urethra, and on the part of the colon, it undergoes a multilateral compression, which contributes towards the conclusion of stagnant secret of the cavities of the prostate through the excretory ducts in the region of the urethra. Because of the pulsed nature of the impact on the prostate gland the period of compression is always followed by a period of depression, which contributes not only to the output congestive secret in the region of the urethra with an increase in pulse compression, but also the absorption of leaching solution in the cavity of the prostate during the recession pulse.

The proposed method for the treatment of chronic prostatitis is carried out using a device containing pneumomassage in the form of an elastic membrane covering the hollow cylindrical body with a number of radial holes for feeding compressed air into the shell, a source of periodic pulse pressure, including at least a unit for generating electric pulses and pneumoelectroservice valve, the armature of an electromagnet which is connected to the outputs of the processing unit of electrical impulses. According to the invention in this device entered the unit of electrical stimulation of the muscles of the prostate with a stimulating electrode-catheter and attached to the entrance of the electrode-catheter tank for promisec the second solution. The output of the electrostimulation block connected to the input of the processing unit of pressure pulses, a source of periodic pulse pressure is made in the form of elastic pnevmostartery, which is in constant mechanical contact with the armature of an electromagnet pneumonectomies valve and connected tightly through the tube, the hollow cylindrical body and through the radial holes in it with an elastic shell massage element.

To create excessive pressure in the source of the periodic pulse pressure to the tube between the elastic membrane of the massage element and pnevmoskleros connected through a check valve pneumomanometer.

Such performance is the source of periodic pulse pressure is more reliable than known from the patent of Russia №2098067 [3] the device, which is the closest analogue. Higher reliability is achieved by avoiding the use of the compressor and, as a consequence, from the power of magnets and other related structural elements.

A method of treatment of a prostatitis and a device for its implementation are illustrated by drawings, where figure 1 shows a diagram of application affect the prostate gland factors and, respectively, a diagram of the device for treatment of prostatitis, figure 2 - view of the massager in longitudinal section, figure 3 is the same view of the massager is deformed elastic membrane, figure 4...9 - Sonograms different patients, performed before and after treatment, and figure 10 is a schematic representation of a source of periodic pulse pressure.

The method is implemented as follows. Patient is placed on his back and, as shown in figure 1, is introduced into the urethra conductive catheter 2 (stimulating electrode), and in the buttocks place of the passive electrode 3 unit 1 electrical stimulation of the muscles of the perineum and prostate. Through the electrically conductive catheter 2 in the urethra impose a special solution coming from the vessel 5. By adjusting the height of a fluid column in the catheter 2 in the posterior part of the urethra create excessive pressure, for which the penis slightly compress the elastic ring A. Through the anus enter pneumomassage 4, having a longitudinal slit-like slot 13 (2 and 3) to provide directional deformation of the elastic membrane 9. Pneumomassage 4 is set to the narrow slot 13 was in the projection of the prostate B, and then create an original pressure, ensuring constant contact of the elastic membrane 9 with the prostate gland B. these manipulations provide the application schema affect the prostate gland B factors, namely: simultaneous exposure to electric pulses of unit 1 electrical stimulation of muscles of p is ominosity and prostate cancer, which pass from the stimulating electrode-catheter 2 through the patient's body to a passive electrode 3, and generated pneumomassage 4 pulses of the counter-pressure side of the colon, synchronized with stimulating electrical impulses block 1 at a constant flow under pressure in the leaching solution at the rear division of the urethral catheter 2 from the tank 5. As unit 1 electrical stimulation of the muscles of the perineum and the prostate is used in this case domestic urological pacemaker type Azur-30-3 “Intracon-3” [1].

When passing through the patient's body pulse of electrical stimulation located in the region of the prostate muscles are contracted, producing gland external pressure. Synchronously with this on the prostate operates the pressure pulse through a preloaded to her elastic element pneumomassage 4. Thus, iron is a comprehensive pulse pressure. Comprehensive compression leads to stagnant secret withdrawn from the cavities of the prostate through the excretory ducts in the region of the urethra, where the pressure is minimal.

After passing through the electro-stimulation pulse wave compression in the volume of the prostate is replaced by a rarefaction wave. The resulting relaxation of the prostate leads to a solution that fills the back part of the urethra that sucks is I through the excretory ducts, washing out stagnant secretions. Effective leaching contributes to excess pressure of a solution that fills the cavity of the prostate, due to microhydrodynamics shock that occurs at the transition point compression to rarefaction.

The implementation of this method is illustrated by examples.

Example 1. Patient Virovitica, 42 years old, was hospitalized in the City Clinical hospital №1, Togliatti (history No. 2002/04969) 08.01.2002. on 29.01.2002. diagnosed with specific Chronic prostatitis. Parenchymal focal form. Chronic vesiculitis. Pain symptoms. The patient suffering from chronic Trichomonas prostatitis for 18 years. Many times (on average 2 times a year) has passed courses of conservative treatment for this disease. Asked for help in City Clinical hospital №1, Togliatti in connection with the progressive deterioration of health, which consists in increasing pain symptom and strengthening errectile dysfunction.

Control the patient survey was conducted before the start of the course of physiotherapy and after physiotherapy. When examining the patient applied the following methods: collecting complaints; physical examination; microscopic examination separated urethra, prostate gland secretion; bacteriological sowing secret of prostate transrectal belanova ultratv the same study prostate and seminal vesicles. Treatment consisted of fifteen procedures carried out daily. The duration of one procedure was 35 minutes. Together with physiotherapy, the patient received systemic enzyme therapy. As the fluid used for irrigation of the urethra during physical therapy, we used a specially prepared (according to the results of microscopy detachable urethra, and bacoside secret of a prostate) solution consisting of antibiotics, enzymes and antiseptics.

After conducting three sessions of physiotherapy the patient disappeared pain symptoms, at the same time it was noted the emergence of a large number of discharge from the urethra, with purulent character. Microscopic examination of this detachable identified Trichomonas (although on initial examination Trichomonas identified were not!). Subjective evaluation about the need to continue physiotherapy was carried out on the results of the daily ongoing patient examination per rectum. For the first ten sessions showed a slight increase in size of the body and the simultaneous reduction of pain on palpation of the prostate gland. Upon completion of the course physiotherapy prostate palpation was virtually painless, its consistence is elastic, although the dimensions were slightly increased. Microscopic examination with the Crete prostate held at the end of the course drainage therapy, was determined more pronounced inflammatory changes than before physiotherapy, although symptoms characteristic of acute exacerbation of chronic prostatitis, the patient was not. After the first ten sessions drainage, the patient noted improvement in potency and quality of sexual life. Figure 4 shows the original and figure 5 - control sonogram patient Virovitica.

Example 2. Patient Merrithew, 22 years old, was hospitalized in the City Clinical hospital №1, Togliatti with 01.02.2002 on 18.02.2002 history No. 2002/08117) diagnosed with specific Chronic prostatitis. Parenchymal inflammatory form. Chronic vesiculitis. Pain symptoms. Of erectile dysfunction. The patient suffering from chronic Trichomonas prostatitis for 6 years. Three received conservative treatment for this disease. Asked for help in City Clinical hospital No. 1 in connection with the progressive deterioration of health, which consists in increasing pain symptom and strengthening errectile dysfunction.

Control the patient survey was conducted before the start of the course of physiotherapy and after physiotherapy. When examining the patient applied the following methods: collecting complaints; physical examination; Mick is skopicheskaja study detachable urethra, prostate gland secretion; bacteriological seeding of prostate secretion; immunological determination of the titer of antibodies to chlamydia; transrectal belanova ultrasound examination of the prostate and seminal vesicles. Treatment consisted of fifteen procedures carried out daily. The duration of one procedure was 35 minutes. Together with physiotherapy, the patient received systemic enzyme therapy. As the fluid used for irrigation of the urethra during physical therapy, we used a specially prepared (according to the results of microscopy detachable urethra, and bacoside secret of a prostate) solution consisting of antibiotics, enzymes and antiseptics.

After holding five sessions of physiotherapy the patient disappeared pain symptoms, at the same time it was noted the emergence of a large number of discharge from the urethra, with purulent character. Microscopic examination of this detachable identified Trichomonas (although on initial examination Trichomonas not identified! as in the first case). Subjective evaluation about the need to continue physiotherapy was carried out on the results of the daily ongoing patient examination per rectum. For the first twelve sessions showed a slight increase in size of the body and the simultaneous reduction of pain when PA is ipazia prostate cancer. Upon completion of the course physiotherapy prostate palpation was virtually painless, its consistence is elastic, although the dimensions were also slightly increased. Microscopic examination of prostate secretion conducted upon completion of the course drainage therapy, as in the previous case, was determined more pronounced inflammatory changes than before physiotherapy, although symptoms characteristic of acute exacerbation of chronic prostatitis, the patient was not. After the first seven sessions of the drainage, the patient noted improvement in potency and quality of sexual life.

Figure 6 shows the original and 7 control sonogram patient Murasheva (after the seven sessions).

Example 3. Patient Anegasaki, 56 years old, was hospitalized in the City Clinical hospital № 1, Togliatti with 15.03.2002 on 28.03.2002 history No. 2002/09961) with a diagnosis of a Condition after a TOUR of BPH from 11.07.2001 and 08.02.2002. Chronic nonspecific prostatitis. Parenchymal focal form. Chronic vesiculitis. Pain symptoms. Of erectile dysfunction. The patient suffering from chronic prostatitis for 16 years. He has been through several courses of conservative treatment for this disease. Persistent effects of therapy were noted. In 2001, had two surgeries TOUR is rotate every 7 months for BPH (Geest. No. 6226-30 from 11.02.2002. Glandular papillary hyperplasia. Focal chronic prostatitis. (Gisti for BPH. Of the tour.). A second operation was performed to remove residual tissue, but as a result of her change in health of the patient is not noted.

Short and long postoperative period in both cases was accompanied by severe pain symptoms associated with the exacerbation of chronic prostatitis, the presence of obstructive vesiculitis. Largely patient was worried about pollakiuria. There was total lack of potency. Asked for help in City Clinical hospital No. 1 in connection with the progressive deterioration of health, which consists in increasing pain symptom and strengthening errectile dysfunction, no effect of surgical treatment.

Control the patient survey was conducted before the start of the course of physiotherapy and after physiotherapy. When examining the patient applied the following methods: collecting complaints; physical examination; microscopic examination separated urethra, prostate gland secretion; bacteriological seeding of prostate secretion; determination of PSA levels; transrectal belanova ultrasound examination of the prostate and seminal vesicles. Treatment consisted of ten treatments daily. Long is inost one procedure was 35 minutes. Together with physiotherapy, the patient received systemic enzyme therapy. As the fluid used for irrigation of the urethra during physical therapy, we used a specially prepared (according to the results of microscopy detachable urethra and bacoside secret of a prostate) solution consisting of antibiotics, enzymes and antiseptics.

After holding five sessions of physiotherapy the patient disappeared pain symptoms, at the same time it was noted the emergence of a certain amount of discharge from the urethra, with purulent hemorrhagic in nature. Microscopic examination of this detachable specific flora have been identified. Subjective evaluation about the need to continue physiotherapy was carried out on the results of the daily ongoing patient examination per rectum. Upon completion of the course physiotherapy prostate palpation was virtually painless, its consistence is elastic, although the dimensions were slightly increased. Microscopic examination of prostate secretion conducted upon completion of the course drainage therapy, as in the previous case, was determined more pronounced inflammatory changes than before physiotherapy, although symptoms characteristic of acute exacerbation of chronic prostatitis, the patient was not. After conducting eight seanco the drainage, the patient noted improvement in potency and quality of sexual life.

On Fig shows the source and figure 9 - control sonogram patient Mercedesae.

Thus, the claimed method of treatment of chronic prostatitis for the drainage of the prostate gland, as a primary procedure, allowed to reach almost 10% of the effect of treatment of different categories of patients with an average length of 10-15 days. Adequate drainage of the gland should be considered as a necessary and indispensable condition for the relief of inflammatory changes, with the Genesis of congestive component.

In accordance with figure 1, the device for implementing this method of treatment of chronic prostatitis contains the unit 1 electrical stimulation of the muscles of the prostate with a stimulating electrode-catheter 2 and the passive electrode 3, pneumomassage 4, capacity 5 wash solution, a source of periodic pulse pressure, including unit 6 for generating electric pulses, block 7 pneumonectomies valve and is shown in figure 10, pneumomanometer 14. To the outputs of the electrostimulation block 1 is connected to the electrode-catheter 2 and the passive electrode 3, and an input unit 6 for generating electric pulses, and the output unit 6 for generating electric pulses from the input unit 7 pneumonectomies valve. Unit 7 pneumonectomies valve pipe is Oh 8 is connected with pneumomassage 4, and capacity 5 wash solution is connected to the input of the catheter 2.

Pneumomassage 4 (figure 2)contains elastic membrane 9, covering the hollow cylindrical body 10 with a number of radial holes 11. The elastic membrane 9 is closed by a cap 12 having a longitudinal slot 13. A longitudinal slot 13 of the cap 12 provides the opportunity for directed deformation of the elastic membrane 9 when applying a portion of the compressed air in the hollow body 10, as shown in figure 3.

Unit 7 pneumonectomies valve (figure 10) and pneumomanometer 14 are the main source elements of the periodic pulse pressure. Unit 7 pneumonectomies valve includes an electromagnet, made in the form of core 15 and the armature 16 having the ability to oscillate about the axis 17. The anchor 16 is in constant contact with the outer surface of the elastic pnevmostartery 18. Through the tube 8, the cavity of the housing 10 and the radial holes 11 elastic pneumonia 18 tightly articulated with elastic membrane 9 pneumomassage 4, forming a single pneumatic system. To create excess pressure in the system “elastic pneumonia 18 - elastic sheath 9” to the tube 8 between the elastic membrane pneumomassage 9 and the elastic pnevmoskleros 18 is connected through a check valve 19 pneumomanometer 14.

The device operates as about the time. After installation of the electrodes 2 and 3, pneumomassage 4 and connected to the electrode-catheter 2 tank 5 by the procedure described above, proceed to discharge air in the pneumatic system “elastic shell 9 - elastic pneumonia 18” manually using pneumosintes 14. When this elastic membrane 9 is deformed and extends through a longitudinal slot 13 of the cap 12, forming a cavity In the side of the prostate gland B. After reaching the cavity In an elastic membrane 9 contact with the surface of the prostate B, and the elastic pnevmostartery 18 contact with the plane of the armature 16 in its upper end position, forcing the air out and close the pneumatic system using the shut-off valve 19. After performing these procedures, the device is ready for funzionario. Unit 1 electrical stimulation of the muscles of the perineum and the prostate begins to submit to the electrode-catheter 2 packs bipolar stimulation pulses with a frequency of 2500 Hz, which pass through the patient's body to a passive electrode 3 with a repetition rate of 5 Hz. In parallel, these same pulses into the input unit 6 for generating electric pulses, which extracts a low frequency component, and generates a sequence of synchronous pulses with a frequency of 5 Hz for the feed unit 7 pneumonectomies valve. Here these pulses popadayutsa winding core 15, which attracts the armature 16 by turning it about the axis 17. When the anchor 16 compresses pnevmochamber 18 and the air it passes through the tube 8 into the cavity of the body massager 10 4 and through the radial holes 11 acts on the elastic membrane 9, causing the cavity To further deform in the direction of the prostate gland B. this results in a collision of the elastic membrane 9 and the prostate gland B under the influence respectively of pneumonolysis and stimulating electrical impulses. Given that the duration of the pulse packet generated by the unit 1 is greater than the pulse duration of impact of the armature 16 to pnevmochamber 18, under the influence of residual air forces of the elastic membrane 9 is returned to an elastic pnevmochamber 18 and the anchor 16 of the electromagnet, respectively, is returned to its original upper position.

Sources of information

1. Pacemaker urological, ASUR-30-3 "Intracon-3" to TO.

2. Boychenko O.A. (MPP "Intermedservice"). Method for the treatment of patients with chronic prostatitis. Patent of Russia № 2119187, M CL A 61 N 1/36, Appl. 28.02.94, publ. 27.08.98.

3. Guskov, A.R., Guskov A.P. Device for massage. Patent of Russia № 2098067, M CL A 61 H 21/00, Appl. 26.03.96, publ. 10.12.97.

1. The method of treatment of chronic prostatitis by drainage of prostate cancer when exposure to som is Kimi therapeutic factors, one of which is stimulating electrical impulses, characterized in that simultaneously with the stimulating electrical pulses on the prostate gland is affected by pulses of the counter-pressure side of the colon, synchronized with the stimulating electrical pulses at a constant flow under pressure in the leaching solution in the posterior part of the urethra.

2. The device for implementing the method according to claim 1, containing pneumomassage in the form of an elastic membrane covering the hollow cylindrical body with a number of radial holes for feeding compressed air into the shell, a source of periodic pulse pressure, including at least a unit for generating electric pulses and pneumoelectroservice valve, the armature of an electromagnet which is connected to the outputs of the processing unit of electrical pulses, characterized in that it introduced the unit of electrical stimulation of the muscles of the perineum and the prostate with a stimulating electrode-catheter and attached to the entrance of the electrode-catheter container for wash solution, the output of the electrostimulation block connected to the input unit for generating electric pulses, and a source of periodic pulse pressure is made in the form of elastic pnevmostartery, which is in constant mechanical to the stage with the armature of an electromagnet pneumonectomies valve and connected tightly through the tube, the hollow cylindrical body and through the radial holes in it with an elastic shell massage element.

3. The device according to claim 2, characterized in that the tube between the cylindrical body massage element and pnevmoskleros connected through a check valve pneumomanometer.



 

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