Assessment of microcirculation in the prostate gland in patients with chronic nonbacterial prostatitis under the combined therapy

Purpose. To evaluate microcirculation in the prostate gland of patients suffering of chronic nonbacterial prostatitis (CNP) with laser Doppler flowmetry (LDF) before and after the course of combined treatment which includes permanent magnetic field therapy (PMFT), low-level laser light therapy (LLLT) and red light selective chromotherapy (RLSC). Materials and methods. This trial was performed in the department of medical rehabilitology of the Altai State Medical University. 70 patients with CNP at the stage of latent inflammation were taken into the study. 35 patients were in the studied group and received combined treatment which included PMFT, LLLT , RLSC as well as medication therapy, prostate massage, dietotherapy and exercise therapy every day for 10 days. 35 patients in the control group received only the basic treatment. Prostate microcirculation was evaluated by laser Doppler flowmetry (LDF). Results. The results obtained in the studied group after the course of the combined therapy have shown the activation of microcirculatory control mechanisms, activation of capillary perfusion, increase in microcirculatory blood pressure, improvement in the venous outflow and less stagnations in the venular chain of the microcirculatory flow. The performed trial demonstrated that all patients had the stagnation form of their microcirculatory disorders. The discussed combined therapy which includes PMFT, LLLT and RLSC added to the basic therapy of patients with chronic non bacterial prostatitis significantly improves therapeutic efficacy if to compare with the controls who received only the basic therapy. The proposed combined technique significantly improves the prostate gland microcirculation as well.

хронический абактериальный простатит, лазерная допплеровская флоуметрия, сочетанное лечение, chronic nonbacterial prostatitis, laser Doppler flowmetry, combinated therapy

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