Evaluation of blood flow in prostate in patients with chronic bacterial prostatitis

Krupin, Valentin N.; Krupin, Alexey V.; Natalya, A Nashivochnikova

doi:10.17816/uroved7338-43

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…На сегодняшний день доказано, что без воздействия на патогенез заболевания достичь стойкого эффекта терапии крайне трудно. Нарушение кровотока в предстательной железе представляется важнейшим фактором патогенеза хронического простатита [4,5]. При этом нарушение гемодинамики малого таза и предстательной железы не только вносит свой вклад в развитие хронического воспаления, но и влияет на формирование симптомов хронического простатита, а также определяет тяжесть его течения [6,7].…”

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Pathogenetic treatment of patients with chronic bacterial prostatitis and accompanying neurological pathology: our experience

et al. 2018

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A total of 127 patients (mean age 38.1 ± 7.8 years) with chronic bacterial prostatitis who had concomitant neurologic diseases were treated. The patients were divided into 3 groups: group 1 (n = 47) included those with pain of the upper lumbar spine and myofascial syndrome; group 2 (n= 41), those with disorders of general and peripheral autonomic tone with vascular disorders in the pelvis; and group 3 (n = 39), those with disorders of the joints of the pelvic girdle, ligaments, and muscles of the pelvic floor. Treatment was given for the specific neurologic and hemodynamic disorders identified. No antibiotic therapy was prescribed. Patients in group 1 were prescribed pathogenetic therapy, including manual and regional therapy (for effects on the sclerotome and myotome), as well as medical correction of hemodynamics, physiothe rapy, psychotherapy, and hyperbaric oxygenation. Group 2 received treatment aimed at correcting autonomic innervation, including medications and magnetic therapy. Patients in group 3 were prescribed specific therapy aimed at eliminating pain-provoking factors, medications, massage, physiotherapy, manual therapy, therapeutic exercises, and reflex therapy. Treatment was associated with a decrease in the severity of pain and improvement of pelvic hemodynamics in patients in all 3 groups. Thus, the results indicate the potential efficacy of pathogenetic therapy for patients with chronic bacterial prostatitis with concomitant neurologic pathology.

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Section: Introductionunclassified

Pathogenetic treatment of patients with chronic bacterial prostatitis and accompanying neurological pathology: our experience

et al. 2018

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Prostate diseases: pathogenetic bases and therapeutic possibilities of entomotherapy

Kuzmin

Slesarevskaya

2022

Androl. genit. hir.

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The review article is devoted to the history of creation, biological effects and clinical application of the entomological drug Adenoprosin. The data of experimental studies are presented, indicating a high biological activity of the drug, the mechanisms of its therapeutic action are described. The pharmacological effects of Adenoprosin were analyzed, which ensure its high clinical efficacy and good tolerability. The pathogenetic validity of the appointment of Adenoprosin in patients with chronic prostatitis and benign prostatic hyperplasia was shown.

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Assessment of blood flow in the prostate before and after transuretral enucleation of benign hyperplasia prostate

Vydrin

Kalinina

Кореньков

2022

Urology reports (St. - Petersburg)

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BACKGROUND: Transrectal Doppler ultrasound is the leading method for studying blood flow in the prostate. Despite a significant number of studies on the use of ultrasound of the prostate in patients with BPH, many aspects of its clinical use remain unclear. One of these issues is the features of changes in blood flow in the prostate after transurethral surgical interventions. AIM: to assess the state of blood flow in the prostate gland in patients with BPH before and after transurethral enucleation by laser and bipolar methods. MATERIALS AND METHODS: The study included 88 patients with BPH aged 50 to 79 years who complained of urinary disorders. All patients underwent transurethral enucleation of BPH: 41 patients with the laser method (HoLEP) (1st group) and 47 patients with the bipolar method (TUEB) (2nd group). Before surgical treatment, 4, 12 and 24 weeks after surgery, patients underwent transrectal Doppler ultrasound of the prostate. RESULTS: The results of the study indicate a significant impact of surgery on the state of blood flow in the prostate gland. Examination 12 weeks after the operation showed a significant decrease in the peak blood flow velocity and values of the resistance index in patients of the 1st and 2nd groups compared with the corresponding values before the surgery and 4 weeks after the surgery. By 24 weeks after surgery, all patients showed normalization of blood flow parameters, while in patients of the 1st group (HoLEP) this process occurred faster than in patients of the 2nd group (TUEB). CONCLUSIONS: The high diagnostic efficiency and informativeness of transrectal Doppler ultrasound in the assessment of blood circulation in the prostate in patients with BPH has been confirmed. The blood flow velocity in the subcapsular and especially paraurethral arteries, as well as the values of the resistance index, were higher in patients with large prostates, which must be taken into account when planning surgical interventions.

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Evaluation of blood flow in prostate in patients with chronic bacterial prostatitis

Cited by 4 publications

References 2 publications

Pathogenetic treatment of patients with chronic bacterial prostatitis and accompanying neurological pathology: our experience

Pathogenetic treatment of patients with chronic bacterial prostatitis and accompanying neurological pathology: our experience

Prostate diseases: pathogenetic bases and therapeutic possibilities of entomotherapy

Assessment of blood flow in the prostate before and after transuretral enucleation of benign hyperplasia prostate

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