DIAGNOSIS AND TREATMENT OF COPULATIVE DYSFUNCTION IN PATIENTS WITH PREVIOUSLY TREATED CHRONIC PROSTATITIS

THE AIM of the investigation was to improve the diagnosing and treatment of copulative disorders in patients with previously treated chronic prostatitis using a photo-vacuum-laser method in combination with medicine Impaza. PATIENTS AND METHODS. The investigations were carried out in 135 out of 432 patients with previously treated chronic prostatitis who had the diagnosis of cumulative dysfunction. The age of the patients was from 21 through 50 years (mean age 33.3±1.2 years). These 135 patients were divided into 2 groups. The first group included 74 patients treated only by the photo-vacuum-laser method with apparatus AMVL-01. The session duration was 20 minutes every other day. The course consisted of 15 procedures. The second group included 61 patients treated by a combination of the photo-vacuum-laser method with a simultaneous taking Impaza (one 0.3g tablet twice a day) every day during 12 weeks. The control group included 20 patients treated by traditional methods: ultrasound, diadynamic currents, electrophoresis etc. RESULTS. All the patients had poorer quality of adequate erections, longer time of sexual stimulation, «dull orgasm», less libido, the symptom of «expected failure», untimely ejaculation and periodical pains in the perineum. Duration of the disease was from 6 months to 3 years. In all groups before treatment the overall number of all components of the copulative cycle, the International index of the erectile function and the scale of symptoms of chronic prostatitis were low. The colored doppler mapping has revealed early symptoms of arterial and venous insufficiency in the vessels of the penis and prostate. In some patients mild androgen deficiency was detected. All the patients had impaired mobility of spermatozoa. An assessment of effects of the 3 methods of treatment in different groups of symptoms has shown that the earlier positive effect was obtained using the combined method as a better quality of erection, components of the copulative cycle, early increase of the linear speed of blood flow in the vessels of the penis, prostate, scrotum organs, higher concentration of the sex hormone and decreased levelsof gonadotropic hormones, normalization of secretion of the prostate, its better echostructure, greater concentration and mobility of spermatozoa and somewhat slower after monotherapy. The application of traditional physical methods did not give substantial improvements of the copulative function. CONCLUSION. A simultaneous combination of the photo-vacuum-laser method with medicine Impaza results in the reestablishment of the copulative function somewhat earlier in patients with previously diagnosed chronic prostatitis, prevents early symptoms of arterial and venous disorders in the vessels of the penis, prostate, scrotum organs, elevates the hormonal status, spermatologic indices acting and has no side effects.

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