[Systemic (vobenzyme preparation) and local enzyme therapy in transurethral drainage of the prostate in patients with obstructive forms of chronic prostatitis]. / Sistemnaia (preparat vobénzim) i mestnaia énzimnaia terapiia pri transuretral'nom drenirovanii predstatel'noi zhelezy u bol'nykh s obstruktivnymi formami khronicheskogo prostatita.

Comparative clinical data are presented on efficacy of transurethral vacuum drainage of the prostate in patients with obstructive chronic prostatitis in the absence of systemic enzyme therapy and under treatment with enzyme medicine bobenzyme (Mucos Pharma, Germany) having proteolytic activity. The duration of the treatment in bobenzyme-treated patients reduced by 30% due to decreased viscosity of the aspirate and lysis of massive "plugs" of the ducts facilitating vacuum elimination of the inflammation substrate.

[Ultrasonic monitoring of transurethral prostatic drainage in chronic prostatitis using the Intraton-4 electrostimulator-aspirator]. / Ul'trazvukovoi monitoring transuretral'nogo drenirovaniia predstatel'noi zhelezy pri khronicheskom prostatite élektrostimuliatorom-aspiratorom "Intraton-4".

A detailed ultrasonic picture of the prostate was provided by the rectal device of Pie Medical-200 unit for 1066 patients with chronic prostatitis before and in the course of drain therapy using electrostimulator-aspirator Intraton-4. The leading ultrasonic diagnostic symptoms of chronic prostatitis are represented by various microspaces and hypoechogenic zones in different prostatic parts which reflect activity of chronic inflammatory process. The severity of the disease was determined primarily by the presence in the prostate of "true microabscesses" (microcavity of the irregular form) and pseudomicroabscesses (drop-shaped microspaces) which can be successfully drained irrespective of their number, size, location and characteristics of the content. The evidence gave grounds for design of the scheme describing pathogenesis of chronic prostatitis and its reverse dynamics in the course of drain therapy. These reverse changes closely resemble stages of ureterohydronephrosis.

[Transurethral drainage of the prostate in chronic prostatitis by means of the Intraton-4 electrostimulator-aspirator]. / Transuretral'noe drenirovanie predstatel'noi zhelezy pri khronicheskom prostatite posredstvom élektrostimuliatora aspiratora "Intraton-4".

486 patients with clinical symptoms of chronic prostatitis were examined. In 98 of them transurethral ultrasound has revealed undrained prostatic lobules undergoing different stages of chronic inflammation (pseudomicroabscesses). The combined treatment included transurethral vacuum drainage and direct electrostimulation of the prostate on Intraton-4 unit. Morphological examination has discovered in the aspirate plugs of two types (epithelial and pussy) occluding excretory ducts of the prostatic lobules. These plugs were responsible for poor drainage of the lobules that supported chronic inflammation. Intraton-4 proved to be an efficient modality in combined treatment of chronic prostatitis providing a complete drainage of the affected lobules with aspiration of the plugs and clinical recovery. No complications were registered.