Issue 6-21, 2022
High Intensity Pulsed Magnetic Field Application in Patients with Chronic Prostatitis Complicated by Erectile Dysfunction: а Randomized Prospective Study
1 Detelina B. Kulchitskaya, 1
Anatoliy D. Fesyun, 1
Vladimir A. Kiyatkin, 1
Tatyana V. Konchugova, 1
Maxim Yu. Yakovlev, 1
Igor P. Bobrovnitsky
1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
ABSTRACT
INTRODUCTION. Chronic prostatitis is one of the most common urological nosologies, the third most common diagnosis in men under 50 years old. Existing scientific sources testify to the effectiveness of various physiotherapeutic interventions in patients with infectious-inflammatory diseases of the male reproductive system, complicated by erectile dysfunction.
AIM. The aim of the study was the scientific substantiation of high-intensity pulsed magnetic field application in patients with chronic prostatitis complicated by erectile dysfunction.
MATERIAL AND METHODS. The study included 60 patients randomized into two groups. The first group (30 people) received high-intensity pulsed magnetic field; the second group (30 people) received drug therapy.
RESULTS AND DISCUSSION. It was shown that the high clinical results of high-intensity pulsed magnetic field application were based on the compensation of local blood circulation conditioned by the improvement of the prostate blood flow according to the ultrasound of the prostatic vessels as well as by the elimination of the penile blood supply deficiency due to the improvement of the arterial vessels tone and elimination of venous stasis according to laser doppler flowmetry.
CONCLUSION. An innovative method has been developed to treat patients with chronic prostatitis complicated by erectile dysfunction using high-intensity pulsed magnetic field.
KEYWORDS: physiotherapy, urology, prostatitis, erectile dysfunction, magnetic field
FOR CITATION: Kulchitskaya D.B., Fesyun A.D., Kiyatkin V.A., Konchugova T.V., Yakovlev M.Yu., Igor P. Bobrovnitsky. High Intensity Pulsed Magnetic Field Application in Patients with Chronic Prostatitis Complicated by Erectile Dysfunction: а Randomized Prospective Study. Bulletin of Rehabilitation Medicine. 2022; 21 (6): 91-98. https://doi.org/10.38025/2078-1962-2022-21-6-91-98
References:
- Vinarov A.Z. Modern ideas about the etiology, pathogenesis and treatment of chronic pelvic pain syndrome. Urologiya. 2017; (1): 114- 221 (In Russ.).
- Pirola G.M., Verdacchi T., Rosadi S., Annino F., De Angelis M. Chronic prostatitis: current treatment options. Research and Reports in Urology. 2019; (11): 165-174. https://doi.org/10.2147/RRU.S194679
- Magri V., Boltri M., Cai T., Colombo R., Cuzzocrea S., De Visschere P. Multidisciplinary approach to prostatitis. Archivio Italiano di Urologia e Andrologia. 2019; 90(4): 227-248.
- 4. Shakur A., Hames K., O'Shea A., Harisinghani M.G. Prostatitis: imaging appearances and diagnostic considerations. Clinical Radiology. 2021; 76(6): 416-426. https://doi.org/10.1016/j.crad.2021.01.007
- Wong L., Hutson P.R., Bushman W. Resolution of chronic bacterial-induced prostatic inflammation reverses established fibrosis. The Prostate. 2015; 75(1): 23-32. https://doi.org/10.1002/pros.22886
- Jin, J. X., Wang, H. Z., Zhai, Z. X., Ma, B. L., Li, Q. F., Xiao, N., Rodriguez, R. Transrectal microwave thermotherapy causing a short-time influence on sperm quality in Chinese chronic nonbacterial prostatitis patients. Asian Journal of Andrology. 2017; 19(5): 548-553. https://doi.org/10.4103/1008-682X.185852
- Chung H., Choi H., Yoo T.K. et al. The Effects of Microwave Thermotherapy for Chronic Prostatitis/Chronic Pelvic Pain Syndrome:A Prospective,Ran- domized Study. Urogenital Tract Infection. 2017; 12(1): 35-41. https://doi.org/10.14777/uti.2017.12.1.35
- Hu M., Wazir J., Ullah R.., Wang W, Cui X., Tang M., Zhou X. Phytotherapy and physical therapy in the management of chronic prostatitis-chronic pel- vic pain syndrome. International Urology and Nephrology. 2019; 51(7): 1081-1088. https://doi.org/10.1007/s11255-019-02161-x
- Franco J.V., Turk T., Jung J.H., Xiao Y.T., Iakhno S., Garrote V., Vietto V. Non-pharmacological interventions for treating chronic prostatitis/chronic pelvic pain syndrome: a Cochrane systematic review. BJU International. 2018; 5(5): CD012551. https://doi.org/10.1111/bju.14492
- Peng X., Gao H., Wang J. Cryotherapy alleviates symptoms in chronic prostatitis/chronic pelvic pain syndrome: The first results. Andrologia. 2021; 53(2): e13920. https://doi.org/10.1111/and.13920
- Mykoniatis I., Pyrgidis N., Sokolakis I., Sountoulides P., Hatzichristodoulou G., Apostolidis A., Hatzichristou D. Low-intensity shockwave therapy for the management of chronic prostatitis/chronic pelvic pain syndrome: a systematic review and meta-analysis. BJU International. 2021; 128(2): 144- 152. https://doi.org/10.1111/bju.15335
- Kazancev S.N., Kiyatkin V.A., Konchugova T.V., Kul'chickaya D.B., Myagkov Yu.A. Combined use of preformed physical factors in the therapy of patients with erectile dysfunction. In the collection: Medicine: Practice and Science. Collection of scientific papers. Moscow. 2019: 127-131 (In Russ.).
- Konchugova T.V., Kul'chickaya D.B., Kiyatkin V.A. Prospects for the use of shock wave therapy in urological practice. In the collection: Topical issues of medicine. Collection of scientific papers. Moscow. 2019: 26-30 (In Russ.).
- Gavrusev A., Strotsky A., Malashchitsky D. Extracorporeal magnetic therapy for the treatment of chronic prostatitis. European Urology Supplements. 2017; 16(5); e2192.
- Moiseenko T.N., Govorov A.V., Skrupskij K.S., Pushkar' D.Yu. Prostate neuroanatomy. Endoscopic Surgery. 2014; 20(3): 62-66 (In Russ.).

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.