SU721110A1 - Method of treating atony of upper urinary tracts - Google Patents

Description

(54) METHOD FOR TREATING ATONYI OF UPPER URINARY TRACT

one

This invention relates to the field of medicine, namely urology.

There is a known method of treating atony of the upper urinary tract by stimulating pulsed current in the region of the pelvic uterus 1.

However, the known method is traumatic.

The aim of the invention is to reduce the morbidity of the method.

The goal is achieved by the fact that the proposed method has an effect. from the catheter electrode, which is inserted into the ureter, and is stimulated by negative polarity current, and iHa skin on the lumbar region in the projection of the kidney is affected by a positive current, while the frequency of the rectangular pulsed current is 1-2 Hz, the pulse duration is 2-4 ms, current voltage 8–20 V, 10–15 min each, with pauses of 1–1.5 h, 3-5 times.

The method is carried out as follows. The patient is placed on the urological table in the position used in cystoscopy. A catheterization or operative cystoscope is inserted into the ureter to the level of the pelvic-ureteric fistula.

electrode catheter. The cystoscope is removed. A negative polarity electrode is attached to the skin along the lumbar region in the projection of the kidney. The skin at the site of application of the electrode is pretreated with ether or alcohol, then electrically conductive paste is applied. In a shielded room

bioelectric activity uretech-. nickname by any of the generally accepted methods. To the patient is supplied peHT ieHOVskuyu installation. A contrast agent is injected into the renal pelvis through the catheter electrode, the amount of which should correspond to the size of the renal pelvis so as not to cause its overgrowth and spontaneous activity. The state of the renal pelvis, cups and ureter, the degree of their physical activity are observed on the screen of the electron-optical converter. The patient's electrodes are connected to an external electrostimulator of any type, providing a frequency of a rectangular pulse current of 1-2 Hz, a pulse duration of 2-4 ms, a voltage of a current of 8-20 V. Gradually increasing

Claims (1)

pulse duration, frequency and voltage achieve maximum activity of the upper urinary nyxeif, until the appearance of thinning and contraction. The duration of each session is 10-15 Ave, with pauses of 1-1.5 hours. The number of sessions 3-5 times, but the length of each session, their number and the pauses between sessions, in each case, sets the healer depending on the degree of violation of tone upper urinary tract and patient portability procedures. The recovery process — periodical tone is monitored using x-ray equipment (if necessary, photographs are taken) and the registration of the bioelectric activity of the ureter. After treatment eloktrodyatetor removed, electrode-catheter may be introduced into the ureter to the zone it ureteropelvic anastomosis and cherkez sectional ureter or renal pelvis during surgery on the upper urinary tract, as well as through ust ureter on an open bladder or through artifitsnalnoe the mouth for ureter transplants .. The proposed method has been applied to 12 patients (10 and 2 women) with Tiaz ureterolysis with a sharp decrease in the excretory function of the kidney and atony of the calyx-pelvis system and urine chnika. The age of the patients was 29-65 years, and the appearance of the disease of the months. In all cases, it was possible to achieve a distinct recovery of the nose, contractile and evacuation capacity of the upper urinary tract and a significant improvement in function, which prevented the development of hydronephrotic transformation. In 10 cases, the stones were removed, in two patients were operated, the postoperative period was without complications. The proposed method allows in a short time to restore the tone, contractile and evacuation ability of the upper urinary tract, and with it the kidney function, which will significantly reduce the number of complications; associated with the presence of atony. The method is low-impact, the terms of treatment and rehabilitation of patients are significantly reduced, as well as the percentage of operation. The invention The method of treating atony of the upper urinary tract by stimulating a pulsed current of the obstructive ureteric junction, characterized in that, in order to reduce the morbidity of the method, the effect is provided with a catheter electrode that is injected into the ureter and stimulated by a current negative polarity, and rfa skin on the lumbar region in the projection of the kidney, is affected (by a positive current, the frequency of the rectangular pulsed current is 1-2 GHz, the pulse duration is 2g4 ms, the voltage is 8-20 V, 10-15 mi , with pauses of 1-1.5 hours, 3-5 times. Sources of information taken into account during the examination 1. WF Electrical Stimulation in Urology Y. Urol. Baltimore, 1970, V. 103, No. 6, p. 815-821.