The combined ultrasound/pneumatic lithotripsy device is safe and highly effective. It reduces treatment time and enhances surgeon's comfort.
73 patients with chronic bacterial prostatitis were undergone several methods of investigations, such as pelvic rheography, rheoprostatography, laser doppler flowmetry and ultrasonic dopplerography for studying its hemodynamics.The results obtained indicate a violation of the blood supply to the prostate, which depends not only of the severity of the inflammatory process, but on the degree of hemodynamic disturbances in the small pelvis too and caused by a violation of the tone of the vessels of the prostate as well. (For citation: Krupin VN, Krupin AV, Nashivochnikova NA. Evaluation of blood flow in prostate in patients with chronic bacterial prostatitis. Urologicheskie vedomosti. 2017;7(3):38-43. doi: 10.17816/uroved7338-43).
Введение. СЭффективность методов лечения хронического простатита, направленных на улучшение гемодинамики тазовых органов, доказана множеством исследований проведенных на протяжении более тридцати лет. В то же время, к нарушениям гемодинамики в малом тазу может приводить тазовый миофасциальный синдром (МФС). Цель исследования. Оценить влияние миофасциальных синдромов у больных хроническим бактериальным простатитом (ХБП) на кровообращение в предстательной железе и проследить динамику изменений кровотока в ней в ответ на лечение сопутствующего миофасциального синдрома. Материалы и методы. С целью оценки динамики кровообращения в предстательной железе обследованы 59 мужчин 34-52 лет с различными клиническими проявлениями миофасциального синдрома (пациенты неврологической клиники). Кроме того, влияние лечения сопутствующего миофасциального синдрома у больных ХБП на состояние гемодинамики в предстательной железе оценили у 127 мужчин в возрасте 28-52 года (средний возраст 38 лет) с типичными клиническими проявлениями хронического простатита, неоднократно и безуспешно получавшими лечение по поводу этого заболевания. Результаты. Получены результаты, свидетельствующие о нарушении микроциркуляции в предстательной железе у больных хронической тазовой болью (ХТБ) с миофасциальным синдромом. При этом нарушение гемодинамики в предстательной железе напрямую связано с нарушением тазовой гемодинамики в целом. Выявлена зависимость состояния микроциркуляции в предстательной железе от выраженности болевой симптоматики при неспецифической ХТБ, а лечение неспецифической ХТБ привело к снижению основного симптома заболевания (боль) и к нормализации микроциркуляции в предстательной железе. Лечение сопутствующего МФС у больных ХБП позволило добиться исчезновения клинических проявлений заболевания, нормализации гемодинамики в предстательной железе и исчезновению лабораторных признаков воспаления простаты. Выводы. Сопутствующий миофасциальный синдром у больных ХБП является причиной нарушений гемодинамики малого таза и, как следствие, развития воспалительного процесса. Выраженность нарушений гемодинамики напрямую зависит от интенсивности болевых проявлений МФС. Лечение миофасциального синдрома у пациентов ХБП сопровождается исчезновением клинических симптомов заболевания, восстановлением кровообращения в предстательнй железе и уменьшению или исчезновению признаков воспаления. Ключевые слова: тазовая гемодинамика; миофасциальный синдром; хронический бактериальный простатит; лечение Раскрытие информации: Исследование не имело спонсорской поддержки. Авторы заявляют об отсутствии конфликта интересов.
The aim of this study was to evaluate the state of blood flow in prostate in 59 men with chronic pelvic pain due to myofascial syndrome in the absence of clinical manifestations of chronic prostatitis and its dynamics against the background of the treatment. The results of the study revealed a reliable relationship between the severity of blood flow disorders in the prostate and the intensity of pain symptoms caused by myofascial syndrome. It was concluded that the hemodynamic disorders of the prostate caused by myofascial syndrome are important in the possible formation of clinical symptoms of chronic pelvic pain in men. (For citation: Krupin VN, Krupin AV, Belova AN, Nashivochnikova NA. The state of prostate hemodynamics in patients with myophascial pain syndrome. Urologicheskie vedomosti. 2017;7(4):39-43. doi: 10.17816/uroved7439-43).
In this study were analyzed the results of examination and treatment of patients with chronic prostatitis and vertebral neurogenic prostatopathy. Inclusion in the complex treatment of methods of correction of neurogenic disorders (segmental therapy, therapeutic gymnastics, psychotherapy, pharmacotherapy) showed high efficiency. Correction of the revealed neurological pathology and vertebral pathology as well, in most patients led to the elimination of not only neurological manifestations, but also symptoms of chronic prostatitis. (For citation: Krupin VN, Makhmudov IYa, Makhmudova LA, et al. Neurological aspects of diagnosis and treatment of chronic prostatitis. Urologicheskie vedomosti. 2017;7(3):22-27. doi: 10.17816/uroved7322-27).
In connection with the introduction of endoscopic surgery and minimally invasive methods in modern urological practice, there is a tendency for reduction of upfront surgeries, which can significantly improve the patients’ quality of life,reduce recovery time in the postoperative period and decrease the percentage of complications in the first 5 years after surgery. The article presents a literature review of modern methods of surgical treatment of urolithiasis with calculi localization in the kidneys. When choosing methods of surgical treatment of urolithiasis, it is necessary to take into account the clinical features of the patient and the characteristics of the calculus itself: the size, shape, calculus composition, the presence of concomitant metabolic disorders and diseases associated with stone formation, infectious complications, the state of urodynamics and anomalies of the urinary tract.
BACKGROUND: The study of the relationship between the presence of varicocele and male infertility is the subject of numerous studies, while many aspects of impaired spermatogenesis remain unclear. It has been established that after surgical treatment of varicocele, fertility is not restored in a significant number of patients. In this regard, the search for new and pathogenetically substantiated methods of treating such patients seems to be very relevant. AIM: To evaluate the effectiveness of antioxidant therapy in spermatogenesis disorders in men with varicocele, prescribed both in combination with surgery and as monotherapy. MATERIALS AND METHODS: Three groups of infertile men with varicocele were observed, who were treated with Speroton (a complex containing folic acid, L-carnitine, zinc, selenium, vitamin E) 1 sachet once a day, the duration of the course was three months. Patients of the first group (n = 43) were prescribed the drug after the Ivanissevich operation, the patients of the second group (n = 37) received antioxidant therapy during three months before the Ivanissevich operation and continued for three months after it. Patients of the third group (n = 21) did not undergo surgery, but received only antioxidant therapy for six months. The results of the combined treatment and conservative therapy with Speroton were compared with the results of treatment of 65 infertile patients who underwent only Ivanissevichs operation. RESULTS: In patients with varicocele with initially pathological parameters of ejaculate, who were prescribed drugs with antioxidant properties in the postoperative period as an adjuvant treatment for 3 months, in 76.7% of cases there was a change in spermogram indicators towards improvement. The most significant changes were observed six months after the operation and subsequent adjuvant therapy. The indicators characterizing sperm motility underwent more noticeable changes. In patients who received only antioxidant therapy for six months, in all cases, there was a statistically significant (p 0.001) improvement in sperm motility, which persisted for six months and exceeded these changes in groups of patients with adjuvant therapy and neo- and adjuvant therapy. CONCLUSIONS: The results obtained allow us to conclude that there is no need for surgical treatment for varicocele in order to treat male infertility, since the operation itself can negatively affect the state of spermatogenesis, and conservative antioxidant therapy leads to better results in infertility treatment than the performed operation or any combination of it with antioxidant therapy.
The article provides a clinical case of urethral cancer in women. Primary urethral carcinomas are rare, less than 1% of all malignant tumors. According to the Rarecare Cancer Surveillance Agency for Europe (RARECARE), urethral cancer in women is 0.6 and 1.6 in men per 1 million people per year. A 56-year-old patient with histologically verified clear cell adenocarcinoma of the proximal urethra was monitored for 18 months. An aggressive course of the tumor process has been shown, which led to the need to perform anterior exenteration of the pelvic organs. The histogenesis of primary clear cell urethral adenocarcinoma has not been definitively determined. The atypical external localization in the described case suggests the periurethral origin of this cancerous tumor from the Skenes glands. The demonstration of a rare form of urethral cancer, clear cell adenocarcinoma, contributes to the accumulation of knowledge about its histopathology and clinical course, as well as increasing cancer alertness in the treatment of urethral diseases in doctors of any specialty.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.