RU2368400C1 - Treatment method of prostate gland benign hyperplasia - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine and namely to urology. Method involves interstitial electric stimulation by using needle and skin electrodes. Needle electrode-anode is introduced hypodermally at the level of the gap between acanthas of IInd and IIIrd sacral vertebras. Skin electrode-cathode is located on the lower third of the back hip surface of the like side. Action of electric current is performed during 12 min. Then needle electrode-anode is introduced hypodermally between acanthas of IInd and IIIrd sacral vertebras of the opposite side. Skin electrode-cathode is located on the lower third of the back hip surface of the like side. Action of electric current is performed during 12 min. Treatment course consists of 10 sessions performed every day.

EFFECT: method decreases the volume of prostate gland, prolapse of its basal part into bladder cavity and decreases the volume of residual urine.

1 ex, 1 dwg

Description

The invention relates to medicine, namely to urology, and can be used to treat benign prostatic hyperplasia.

A known method of transurethral treatment of benign prostatic hyperplasia (RU 2278635 C1, from 2004.12.06). The method is as follows. After the necessary anesthesia (the type of anesthesia depends on the clinical condition of the patient), an ultrasound examination is performed with a transrectal sensor of the prostate gland and bladder, then, under ultrasound control, a bipolar electrode of the electrochemical lysis apparatus is introduced through the prostatic section of the urethra to the neck of the bladder. Then, electrochemical lysis is carried out directly under ultrasound control, using a bipolar electrode as a direct current conductor, which is sequentially moved from the bladder to the external sphincter with the formation of a necrosis zone in the form of a cylinder along the anatomical course of the prostatic urethra with a diameter of 10 mm.

The main disadvantages of this method are:

- the use of active surgical tactics of treatment associated with the use of anesthesia. There are numerous groups of patients with contraindications for certain types of anesthesia and pain relief;

- exposure to the patient’s body with a large current (from 50 to 100 mA) for a long time (35-45 minutes);

- the possibility of developing complications in the form of bleeding, stenosis of the urethra, insolvency of the urethral sphincter as a result of electrochemical lysis;

- the implementation of the method involves the installation of a catheter in the cavity of the bladder for several days (3-5 days), which can lead to infection of the urethra and bladder with the development of infectious complications of the use of this treatment method.

Closest to the proposed invention by technical nature (prototype) is a method of treating trophic ulcers in the syndrome of "diabetic foot" (RU 2319519 C1, from 2006.07.07). When implementing this method, the needle electrode is brought to the spinous processes, starting with L1-S5 in turn, the passive electrode is placed in the projection of the trophic ulcer, after putting on it a gauze cloth moistened with 0.9% NaCl solution. Procedures are carried out daily. In one session, they act on one vertebra for 15 minutes. Then, the electrode needle is brought to the bone on the opposite side of the ulcer and is exposed for another 5 minutes. The course of therapy is 10 daily sessions. However, this method is not applicable for the treatment of benign prostatic hyperplasia.

The essence of the invention lies in the fact that in the method of treating benign prostatic hyperplasia, including interstitial electrostimulation using needle and cutaneous electrodes, the needle electrode (anode) is injected subcutaneously at the gap between the spinous processes of the II and III sacral vertebrae, the cutaneous electrode (cathode) is placed on the lower third of the back surface of the thigh of the same name side, exposure to electric current is carried out for 12 minutes, then the needle electrode (anode) is injected subcutaneously about between the spinous processes of the II and III sacral vertebrae of the opposite side, the cutaneous electrode (cathode) is located on the lower third of the posterior thigh of the same side, the electric shock is carried out for 12 minutes, the course of treatment is 10 sessions, daily.

The technical result is a decrease in the volume of the prostate gland, a decrease in the severity of prolapse of the basal part of the prostate gland into the bladder cavity, and a decrease in the volume of residual urine.

The invention is illustrated in the drawing, where figure 1 shows the General treatment regimen for benign prostatic hyperplasia. Figure 1 is additionally indicated: 1 - electric current generator; 2 - cathode; 3 - anode; 4 - surface electrode; 5 - acupuncture needle (needle electrode).

A method of treating benign prostatic hyperplasia is as follows. The patient is lying on his stomach. An acupuncture needle 5 is injected subcutaneously at the gap between the spinous processes of the II and III sacral vertebrae (biologically active point V28 pan-guan-shu), the cutaneous electrode 4 is placed on the lower third of the posterior thigh of the same name side. Then anode 3 is connected to the needle 5, the surface electrode 4 is connected to the cathode 2 of the generator 1. The electric current is applied for 12 minutes. Then, the needle electrode 5 is injected subcutaneously between the spinous processes of the II and III sacral vertebrae of the opposite side, the cutaneous electrode 4 is placed on the lower third of the posterior thigh of the same name side. Exposure to electric current is carried out for 12 minutes The course of treatment is 10 sessions daily.

An example of a specific implementation of the method.

The proposed method for the treatment of benign prostatic hyperplasia (drawing) is implemented on an electric current generator, for example, the REFI device (Russia), which has outputs for connecting electrodes - cathode 2 and anode 3. During the study, the patient is lying on his stomach. The place of implementation of acupuncture is treated with an antiseptic solution. After the introduction of the acupuncture needle 5, an anode 3 is attached to it. A surface electrode 4 is mounted on the back surface of the lower third of the thigh of the same name side, which is connected to the cathode 2. The surface electrode 4 is immersed in a tissue moistened with saline. The electrodes cathode 2 and anode 3 are connected to an electric current generator. After connecting all the electrodes, electrostimulation is carried out by a pulsed electric current with a frequency of 50 Hz, a current strength of 10 mA, an electric pulse duration of 0.1 ms. Exposure to electric current is carried out for 12 minutes Then, the needle electrode 5 is injected subcutaneously between the spinous processes of the II and III sacral vertebrae of the opposite side, the cutaneous electrode 4 is placed on the lower third of the posterior thigh of the same name side. Exposure to electric current is carried out for 12 minutes The course of treatment is 10 sessions daily.

Clinical example.

Patient B. 56 years. Diagnosis: benign prostatic hyperplasia. The patient was given a course of treatment in accordance with the claimed method. As a result, the subjective condition of the patient improved significantly. In addition, the volume of the prostate gland decreased from 45 cc to 33 cc. The volume of residual urine decreased from 84 ml to 15 ml. The basal part of the prostate gland prolated into the bladder cavity by 7 mm before treatment. After treatment, the prolapse of the basal part of the prostate was not determined.

53 patients with clinical manifestations of benign prostatic hyperplasia aged 37 to 64 years were treated. Previously, patients were examined: all patients had a prostatic serum antigen determined, 17 patients underwent transrectal puncture biopsy of the prostate gland. In addition, all patients underwent transrectal ultrasound (TRUS) of the prostate gland. The results of these studies indicated the benign nature of the pathological process of the prostate gland. A transabdominal ultrasound examination (TAUZ) of the bladder and TRUS of the prostate were used to control the results of treatment. In this case, several indicators were determined: the volume of residual urine in the bladder, the volume of the prostate gland, the structure of the prostate gland, the presence of prolapse of the basal part of the prostate gland into the cavity of the bladder. As a subjective control of the treatment process, the International Prostatic Symptom Assessment Scale was used. At the moment, this is the most popular scale - I-PSS (International Prostatic Symptom Score). The scale is filled in by the patient himself and consists of 8 questions. The use of this scale in the clinic helps to control the treatment process, to identify the dynamics of symptoms.

After treatment with complex therapy, the majority of patients (49 patients - 92.4%) showed improvement - a decrease in the volume of residual urine, a decrease in the volume of the prostate, and a decrease in the severity of prolapse of the basal part of the prostate gland into the bladder cavity. In addition, the treatment in accordance with the claimed method did not reveal cases of deterioration in the condition of patients, both clinical and morphofunctional.

Thus, the use of the present invention allows for the treatment of patients with benign prostatic hyperplasia. The result of this treatment is a decrease in the volume of the prostate gland, a decrease in the severity of prolapse of the basal part of the prostate gland into the bladder cavity, and a decrease in the volume of residual urine.

Claims (1)

A method of treating benign prostatic hyperplasia, including interstitial electrostimulation using needle and cutaneous electrodes, characterized in that the needle electrode (anode) is injected subcutaneously at the level between the spinous processes of the II and III sacral vertebrae, the cutaneous electrode (cathode) is located on the lower third of the posterior the thigh surface of the same side, the electric current is carried out for 12 minutes, then the needle electrode (anode) is injected subcutaneously between the spinous process s II and III sacral vertebrae opposite side epicutaneous electrode (cathode) disposed on the lower third Femur same side, the impact of electric current performed for 12 minutes, 10 treatment sessions daily.

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