[The medical technology for the application of ultrasound therapy at the out-of-patient, in-patient, and spa-and-resort stages of medical rehabilitation of the patients presenting with pathospermia. The manual for physicians and researchers].

The present manual is intended for the graduate medical specialists who completed a training course in urology, and urology, and physiotherapy based at the state-funded educational institutions and have the relevant certificates. Also, the manual is designed for the specialists engaged in scientific research on urology, restorative medicine, medical rehabilitation, and physiotherapy. The manual expounds indications and contraindications for ultrasound therapy of the patients presenting with pathospermia. Such treatment of genital glands was shown to be effective in 96.8% of the patients with pathospermia. Moreover, its advantages over alternative therapeutic modalities were demonstrated. The criteria for its choice (for differential application and prognosis of effectiveness) include the excretory form of grade I, II, and III pathospermia, the secretory form of grade I, II, and III pathospermia, the combined form of pathospermia, the presence or absence of moderate anatomical and functional changes in the testicles, the presence or absence of partial obstruction of the vas deferens.

[Combined treatment of the patients presenting with bacterial vesiculitis].

Ultrasound treatment in combination with laser irradiation of the blood and antibacterial therapy is known to exert strong anti-inflammatory, antibacterial, and analgesic effects, stimulate metabolism of sex hormones, and improve spermatogenesis in the patients presenting with chronic bacterial vesiculitis (CBV). This treatment is indicated to the patients with CBV at the stage of latent inflammation, to those recovering after acute vesiculities, and to the patients with chronic prostatovesiculitis at the stage of latent inflammation. This therapeutic modality is contraindicated in the cases of acute vesiculitis, acute prostatitis, acute bleeding hemorrhoids, rectal fissures and tumours, and general contraindications for physiotherapy. The above treatment resulted in the substantial or moderate improvement of clinical condition in 42 (82.4%) of the patients in group 1 and in 5 (50.0%) ones in group 2. During the 6 month follow-up period, remission of CBV was documented in 10 (83.3%) of the patients in group 1 and in 1 (33.3%) patient in group 2.

[The topical problems of human reproductive health].

Apart from medical and social implications of infertility, the problem of unfruitful marriages is of paramount importance in the context of state interests. The matter in question is how to improve overall reproductive potential of and quarantee proper upbringing of every child. The primary goal in this context is to realize an extensive rather than intensive reproduction strategy and thereby ensure the formation of a new generation of citizens able to address and solve the most complicated problems. The establishment of reproductive health centres is currently in order. Their primary activities should include the pre-conception assessment of the health status in pregnancy-planning couples, prophylaxis and treatment of possible diseases that are likely to have negative influence on the health of the future child.

[Physical factors for the treatment of patients with chronic bacterial prostatitis].

This lecture is based on the review of the literature data concerning the application of physical factors (including sinusoidal modulated currents, laser radiation, ultrasound, medicamental ultrafonophoresis, ozonotherapy, etc) for the rehabilitative treatment of patients presenting with chronic bacterial prostatitis.

[Application of physiobalneotherapeutic factors in the combined rehabilitative treatment of patients with chronic bacterial prostatitis complicated by erectile dysfunction].

Patients with chronic bacterial prostatitis complicated by erectile dysfunction received combined rehabilitative treatment based on the use of various combinations of physiobalneotherapeutic factors, such as ultrasound, local negative pressure, white and yellow turpentine or sodium chloride baths, supplemented by basal medicamentous therapy in the form of rectal suppositories. Efficiency of therapy involving sodium chloride, white and yellow turpentine baths was estimated at 85, 60, and 75% respectively.

[Non-medication treatment of patients with chronic cystitis].

Combined application of ultrasound, modulated sinusoidal currents (MSC), and iodine-bromine baths is known to be a highly efficacious method for the rehabilitative treatment of patients with chronic cystitis in the phase of latent inflammation. The present study has demonstrated that combination of ultrasound with electrotherapeutic sleep and iodine-bromine baths exerts pronounced anti-inflammatory effect and bacteriostatic action whereas modulated sinusoidal currents combined with electrotherapeutic sleep and iodine-bromine baths significantly improve urodynamics in the lower urinary tract and produce marked anesthetic effect. Evaluation of the immediate and long-term results of the treatment of 16 patients presenting with chronic cystitis revealed the absence of exacerbation of infectious and inflammatory processes in the bladder within 6 months after physiotherapy

[Rehabilitative treatment of patients with ureterolithiasis using pulsed vacuum depression, pulsed low-frequency electric current, and radon therapy].

The authors report results of the treatment of 60 patients with ureterolithiasis using a combination of pulsed vacuum depression (local vibrotherapy), low-frequency pulsed (alternating sinusoidal) current, radon water and radon baths. Clinical efficiency of combined therapy is estimated at 93.3%.

[Use of white turpentine bath emulsion and yellow turpentine solution for the treatment of chronic prostatitis complicated by excretory pathospermia].

The paper reports a review of up-to-date methods for the use of white turpentine bath emulsion and yellow turpentine solution in the treatment of chronic prostatitis complicated by excretory pathospermia. The results of bath therapy are presented. It is shown that the efficiency of white turpentine bath emulsion amounted to 69.7% compared with 88.3% in patients treated with the use of yellow turpentine solution.

[Ultrasound in the treatment of patients with varicocele complicated by secretory form of pathospermia].

This paper presents a method for the ultrasound treatment of the skin of the male genital sphere and reports the results of therapy. The efficiency of this method for the management of varicocele was verified by its application in 64 patients with this pathology. Clinical efficacy of therapy was estimated at 56.4%.

[Local negative pressure and magnetic field in therapy of patients with erectile dysfunction].

Combined treatment with local negative pressure and pulsating magnetic field conducted in 116 patients with erectile dysfunction aged 20-60 years produced optimal treatment results. Recovery and improvement of the erectile function were achieved in 85.7% patients given local vacuum-magnetotherapy.

[Transurethral electrosurgery of a new generation (TURis) in the treatment of the lower urinary tract and prostate diseases].

Surgical interventions were made in 175 patients aged 23-87 years (mean age 64.8 years) with different diseases of the lower urinary tract (adenoma, prostatic cancer, cancer of the urinary bladder, etc.) with application of a new generation of endoscopic technique--transurethral resection in saline (TURis system) with a generator UES-40 SurgMaster (Olympus). Three patients had a cardiac pacemaker. The size of the prostate in prostatic adenoma ranged from 4.8 to 121 cm3 (mean 62.5 cm3), residual urine--92.3 ml (42.6 to 310.2 ml). Duration of surgery averaged 63 min (14 to 127 min). Mean amount of the resected tissue in sclerosis of urinary bladder cervix was 7 g (5-11 g), in prostatic adenoma--41 g (10-85 g), prostatic cancer--27 g (17-49 g). In postoperative period tamponade of the urinary bladder developed in 2 (1.5%) patients. Red cell transfusions were not necessary. Incontinence was observed in 7 (5.3%) patients after removal of urethral catheter, in 5 (3.8%) patients it stopped spontaneously to the time of discharge from the hospital, 2 (1.5%) patients with prostatic cancer retained partial orthostatic incontinence. TURis raised Qmax from 8.1 to 19.8 ml/s, on the average. The scores by IPSS fell from 20.8 to 7.5, QoL--from 5.1 to 3.7, on the average. Residual urine after operation reached 35 ml maximum. Informative value of histological material rose significantly in view of a minimal zone of coagulatory changes in the samples. Standard time limitation for transurethral resection (60-90 min) becomes insignificant in using isotonic irrigation allowing urologists to resect safely larger adenomas than it was possible earlier.

[Classification of male infertility].

The article presents a new classification of male infertility which takes into consideration new data on aspermia, aspermatism and pathospermia. This brief classification is convenient for every day practice of physicians engaged in rehabilitation of patients with urological and andrological diseases.

[Physical factors and medicinal suppositories in combined therapy of patients with chronic bacterial prostatitis].

A total of 112 patients with chronic bacterial prostatitis (CBP) aged 20-50 years received combined treatment including physical factors (ultrasound, sinusoidal modulated currents--SMC) and medicinal suppositories (diklofenak, vitaprost, polyoxidonium). SMC proved effective against pain syndrome, ultrasound was more effective in dysuria. Combined administration of physical factors and medicinal suppositories provided not only the best immediate results in therapy of CBP but also resulted in a stable long-term remission in most patients.

[Use of radon-containing rectal suppositories in chronic prostatitis complicated by sexual dysfunctions]. / Primenenie radonosoderzhashchikh rektal'nykh svechei pri khronicheskom prostatite, oslozhnennom polovymi disfunktsiiami.

The article describes how to apply radon-containing rectal suppositories in patients with chronic prostatitis (CP). Intrarectal insertion of the suppositories is performed in the patients lying in the left lateral or knee-elbow position daily for the first 8 days in a dose 18.5 kBk, for the following 2-4 days in a daily dose 37 kBk 2-3 times a day. So, the course of the treatment takes 10-12 days. Such treatment of CP patients eradicated or alleviated prostatic inflammation and improved sexual function, was effective in 80% patients, prolonged remission to 12-16 months.