Русский
Immediate and long-term effectiveness of combined application of magnetolaser therapy and red light in complex treatment of patients with chronic nonbacterial prostatitis
DOI: https://dx.doi.org/10.18565/urology.2018.6.101-106
T.V. Kulishova, A.I. Neimark, A.A. Kryanga, A.V. Gazamatov
1 Department of Polyclinic Therapy and Medical Rehabilitation with the course of Additional Professional Education (Head – Ph.D., Associate Professor Babushkin I.E.) Federal State Educational Institution of Higher Education Altai State Medical University of the Ministry of Health of the Russian Federation, Barnaul, Russia; 2 Department of Specialized Surgery in Urology, Traumatology and Ophthalmology (Head – Dr.Med.Sci., Professor Neimark A.I.) Federal State Educational Institution of Higher Education Altai State Medical University of the Ministry of Health of the Russian Federation, Barnaul, Russia; 3 Regional State Health Care Institution Barnaul Municipal Hospital No 4 (Chief Doctor – Gulla N.P.), Barnaul, Russia
The aim of the study was to increase the efficiency of complex treatment of patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) with the combined effect of magnetolaser therapy (MLT) and red light.
Materials and methods. We examined and included in the study 120 men with a verified diagnosis of CP/CPPS (III B), at the stage of exacerbation. By envelope method, patients were divided into two randomized groups. The main group consisted of 60 patients who received a basic treatment complex, including medicamentous therapy, prostate massage, diet therapy, a complex of therapeutic gymnastics, and the combined effect of MLT and red light of 10 procedures per course. The comparison group consisted of 60 patients who received only a basic therapeutic complex. Evaluation of the effectiveness of treatment was carried out in dynamics before complex treatment, immediately after the course of treatment and 6 months later for analysis of long-term results using the questionnaire «System of summary evaluation of chronic prostatitis symptoms», dopplerography of urethral arteries of the prostate, laser Doppler flowmetry in the prostate.
Results and discussion. In the main group of patients with CP/CPPS immediately after complex treatment and after 6 months, a positive therapeutic effect was noted in the form of relief of pain syndrome, dysuria, improving the quality of life, improvement of blood circulation in the urethral arteries of the prostate and microcirculation. In the comparison group, the positive effects from the complex baseline treatment were less pronounced. Comparative analysis of the results of the study between the main group of patients with CP/CPPS and comparison group showed the presence of statistically significant differences in all indicators of clinical symptoms of the disease, dopplerography in the urethral arteries of the prostate and microcirculation in the prostate, both immediately after treatment and after 6 months of follow-up.
Conclusion. The method of complex treatment of patients with CP/CPPS with the combined effect of MLT and red light has greater immediate and remote efficacy in comparison with baseline treatment.
Materials and methods. We examined and included in the study 120 men with a verified diagnosis of CP/CPPS (III B), at the stage of exacerbation. By envelope method, patients were divided into two randomized groups. The main group consisted of 60 patients who received a basic treatment complex, including medicamentous therapy, prostate massage, diet therapy, a complex of therapeutic gymnastics, and the combined effect of MLT and red light of 10 procedures per course. The comparison group consisted of 60 patients who received only a basic therapeutic complex. Evaluation of the effectiveness of treatment was carried out in dynamics before complex treatment, immediately after the course of treatment and 6 months later for analysis of long-term results using the questionnaire «System of summary evaluation of chronic prostatitis symptoms», dopplerography of urethral arteries of the prostate, laser Doppler flowmetry in the prostate.
Results and discussion. In the main group of patients with CP/CPPS immediately after complex treatment and after 6 months, a positive therapeutic effect was noted in the form of relief of pain syndrome, dysuria, improving the quality of life, improvement of blood circulation in the urethral arteries of the prostate and microcirculation. In the comparison group, the positive effects from the complex baseline treatment were less pronounced. Comparative analysis of the results of the study between the main group of patients with CP/CPPS and comparison group showed the presence of statistically significant differences in all indicators of clinical symptoms of the disease, dopplerography in the urethral arteries of the prostate and microcirculation in the prostate, both immediately after treatment and after 6 months of follow-up.
Conclusion. The method of complex treatment of patients with CP/CPPS with the combined effect of MLT and red light has greater immediate and remote efficacy in comparison with baseline treatment.
Keywords: combination physiotherapy, chronic prostatitis/chronic pelvic pain syndrome, complex therapy
About the Autors
Corresponding author: A.A. Kryanga – Assistant at the Department of Polyclinic Therapy and Medical Rehabilitation with the course of Additional Professional Education, Altai State Medical Universityof Health of the Russian Federation, Barnaul, Russia; e-mail: alex_kryanga@mail.ru
