Immediate and long-term effectiveness of combined application of magnetolaser therapy and red light in complex treatment of patients with chronic nonbacterial prostatitis


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Abstract

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.

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About the authors

T. V Kulishova

Altai State Medical University of Health of the Russian Federation

Email: tkulishova@bk.ru
Dr.Med.Sci., Prof. at the Department of Polyclinic Therapy and Medical Rehabilitation with the course of Additional Professional Education

A. I Neimark

Altai State Medical University of Health of the Russian Federation

Email: urologagmu@mail.ru
Dr.Med.Sci., Prof., Head of the Department of Specialized Surgery in Urology, Traumatology and Ophthalmology

A. A Kryanga

Altai State Medical University of Health of the Russian Federation

Email: alex_kryanga@mail.ru
Assistant at the Department of Polyclinic Therapy and Medical Rehabilitation with the course of Additional Professional Education

A. V Gazamatov

Regional State Health Care Institution Barnaul Municipal Hospital No 4

Email: mednota@yandex.ru
Urologist at the Department

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