RU2264205C2 - Method for treating male sterility - Google Patents

Abstract

FIELD: medicine, urology.

SUBSTANCE: one should squeeze femoral artery either by manual or apparatus method under Poupart's ligament at exposure ranged 30 sec - 1 min to be gradually increased up to 3 min. One should conduct 4 seances daily, each seance consists of 6 procedures to be conducted for 4-6 d. During the next 6-8 d one should squeeze femoral arteries at exposure being 3 min, per 4 seances that consists of 6 procedures each. Then one should squeeze femoral joints for 3-5 min, per 4 seances daily, each of them consists of 4 procedures. Interval between procedures corresponds to 1-2 min. The innovation enables to increase organic testicular circulation and in testicular appendix.

EFFECT: higher efficiency of therapy.

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Description

The invention relates to medicine, namely to urology. The problem of male infertility in recent years is becoming increasingly important. According to various authors, each 6-7 married couple is childless, and up to 50-60% of cases there is a male factor (Yunda I.F., 1990; Lopatkin I.A., 1998). The most common is the secretory form of male infertility, one of the reasons for which is a decrease in the blood supply (ischemia) of the testicles (Tiktinsky OL, Mikhaylichenko VV, 1999). Obviously, the intratesticular crib plays an important role for the normal functioning of the germinal epithelium (Kudryavtsev Yu.M., Pashchenko V.M., 1999). Therefore, we proposed a method for the treatment of male infertility, which is aimed at improving the blood supply to the scrotum.

Prototype. Closest to the claimed method is the method of revascularization of the testicle - the creation of additional blood supply to improve trophic organ. The operation in 1972 was proposed by A.I. Lesin (cited by A. Mukhtarov, D. D. Murvanidze, Surgical andrology. - T .: Medicine, 1988, - P. 96-97). Holding it involves ligation of the lower epigastric arteries from two sides. Yu.M. Kudryavtsev and V.M. Pashchenko (1999) also confirm the positive results of this operation.

However, the described method is invasive, i.e. the patient has to undergo surgery, and this is always a risk to life.

Therefore, a safe and easy way to treat male infertility has been developed.

Figure 1 shows the method of squeezing both femoral arteries manually (A) and hardware (B) under a partartial ligament. This leads to increased blood flow to the organs of the scrotum.

The essence of the proposed method is as follows: 1) first, both femoral arteries are transplanted under the pupartic ligament using a manual or hardware method from 30 s to 1 min and gradually increase the time to 3 min. In total, 4 sessions of 6 procedures are carried out each day for 4-6 days; 2) the next 6-8 days transplant the femoral arteries for 3 minutes, 4 sessions of 6 procedures each; 3) the remaining 6-8 days squeeze the femoral vessels for 3-5 minutes for 4 sessions per day, each session consists of 4 procedures. A break between procedures 1-2 minutes. In total, 16-24 procedures are performed per day. The course of treatment lasts 15-21 days. We propose a method of enhancing blood circulation in the scrotum organs to stimulate intratesticular blood flow, improve testicular trophism and activate the function of the germinal epithelium. The goal is to improve treatment outcomes for male infertility.

Figure 2 presents the blood supply to the testicle. As is known, the testis (14) is supplied with blood through three arteries: the testis (5), which leaves directly from the aorta (1), the cremaster (10) and the vas deferens (11) artery from the system of iliac vessels (8, 9). All three arteries converge at the inguinal ring and, having passed the inguinal canal (12), are connected by multiple anastomoses (13). At the lower pole of the testis there is a so-called. Yarish anastomosis (intersystem connection of three arterial beds).

According to the laws of classical hydrodynamics (the laws of Poiseuille, Returned, Stokes-Einstein, Ohm) and the works of Professor Ramazanov M.R. with compression of both femoral arteries, pressure inside the aorta increases, and this leads to increased blood flow in the outgoing arteries, which supply the testicle and its appendage.

An example of a specific implementation of the method. Patient A., 32 years old, was treated at the Republican Urological Center for male infertility for 3 years of married life. Prior to admission, he twice passed a course of conservative treatment. External genitalia without features. The volume of testicles is more than 15 cm ³ (which, according to the literature, is the norm). Urethroprostatitis, sexually transmitted diseases are excluded. Laboratory tests of blood and urine are within normal limits. Spermogram: Volume - 4 ml; White blood cells - less than 1 million / ml; Concentration - 14 million / ml; Mobility - 25%; Agglutination is absent. Treatment began with manual compression of the femoral arteries from 30 s to 1 min and gradually increased the time to 3 min. In total, 4 sessions of 6 procedures were performed each day for 6 days. The next 7 days the femoral arteries were crushed for 3 minutes, 4 sessions of 6 procedures each. The remaining 7 days squeezed the femoral vessels for 3-5 minutes for 4 sessions of 4 procedures each. On the day the patient received 16-24 procedures. The course of treatment lasted 20 days. Against this background, the patient took aevit, trental. Control was carried out after 3 months. A significant improvement in the quality of the ejaculate was noted (an increase in the number of spermatozoa by 15 million / ml, an increase in the content of active-mobile forms by 30%).

Treatment of male infertility with the help of increased organ blood flow in the testis and its appendage was carried out by us in 6 patients. Positive results were noted in more than 80% of men. The obtained indicators were compared with the treatment results of 15 patients without the use of the method of blood circulation enhancement in the scrotum organs. In the control group, only 20% of men showed a positive dynamics of spermatological parameters.

Distinctive features from the prototype:

1) the absence of the need for surgery;

2) manual or hardware compression of both femoral arteries;

3) the optimal treatment regimen.

The usefulness of the proposed method:

1) non-invasiveness of the method;

2) the simplicity of the method in technical performance, which allows it to be used in outpatient and home conditions;

3) increased blood supply to the testicle and its appendage;

4) the safety and efficiency of the method;

5) improving the delivery of oxygen and drugs to the testis and its appendage.

Thus, the proposed method for the treatment of male infertility increases the effectiveness of therapy for patients with infertility due to the activation of organ blood flow, redox processes and better delivery of oxygen and drugs to the testicle and its appendage.

Information taken into account

 Mukhtarov A.M., Murvanidze D.D. Surgical andrology. - T .: Medicine, 1988. - S.96-97, section: Testicular revascularization - prototype.

Claims (1)

A method of treating male infertility, which consists in increasing blood circulation in the testicle and its appendage, characterized in that both femoral arteries are squeezed manually or hardware under the pupartic ligament with an exposure of 30 s to 1 min and gradually increase the time to 3 min, 4 sessions per day , each session consists of 6 procedures that take 4-6 days, then the next 6-8 days compress the femoral arteries with an exposure of 3 minutes for 4 sessions, each of 6 procedures, then the femoral vessels are pressed for 6-8 days for 3-5 min for 4 sessions per day, ka dy session from the 4 treatments, the interval between treatments 1-2 min.

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