Review of devices for the treatment of prostatitis at home and in medical institutions

Physiotherapy enhances the effectiveness of drugs, consolidates the results of treatment and promotes the restoration of tissue and cellular immunity of the prostate.In medical institutions, procedures are carried out using professional devices with various modes of operation..At home, the device for the treatment of prostatitis can be used only with permission and under the periodic supervision of a doctor.

Types of devices and their principles of operation

Types of physical therapy devices used to treat prostatitis:

• Electromyostimulator (causes muscle contraction).
• Electromagnetic;
• Vibration stimulation (massage);
• Ultrasonic;
• Laser.

The most functional and effective devices are those with a combined type of action.

Contraindicationsin material physiotherapy for prostatitis:

1. Individual intolerance. The patient may experience groin pain, rashes and skin irritation.
2. Malignant tumors.
3. Active tuberculosis.
4. Blood clotting disorders.
5. Stones in the prostate (febrile prostatitis).
6. The presence of purulent foci (purulent focal prostatitis).

In acute prostatitis, heating the gland is unacceptable, so devices that apply heat are not used.

Electrical stimulation devices

The electrical stimulation of the muscles is carried out by affecting the motor nerves with pulsating currents that pass between the electrodes. The impulses are similar to those produced by the body itself to stimulate nerve fibers.Therapeutic effect for prostatitis:

• Local blood circulation and metabolic processes are activated.
• Lymph outflow improves, venous stasis is eliminated.
• The regeneration of damaged tissues is stimulated.
• The sensitivity of nerve endings is regulated.
• Prostate swelling subsides.
• The muscular framework of the pelvic floor is strengthened.
• In the prostate tissue, the processes of atrophy and hardening, caused by chronic inflammation, are inhibited.
• Benign neoplasms up to 0. 5 cm in diameter are dissected.

When performing the procedure, two points are important: the correct position of the electrodes and the strength of the current.

Various types of electrical stimulation of the prostate

Stimulation of the prostate is done in three ways(depending on the attachments included in the device):

1. Through the urethra. One catheter electrode (abdominal electrode) is inserted into the urethra, the other (copper plate with a hydrophilic coating-coating) is placed into the coccyx.
2. Rectal. A thin electrode attachment is inserted into the rectum and a second electrode is placed in the pubic tract. This method is the most effective and comfortable.
3. Through the skin of the perineum. The electrodes are placed in the area between the anus and the scrotum.

The procedure is performed lying on the side or on the back with the legs pulled up. Sensations during electrical stimulation are unpleasant, but tolerable. Current power is selected individually on the device. The duration of the procedure is from 7 to 17 minutes. Usually 10-15 sessions are prescribed.

In terms of effectiveness, in 86% of patients after the course, prostate pain is significantly reduced, urination is normalized and erection is improved. Procedures are necessary for the treatment of chronic prostatitis caused by stagnant processes and accompanied by weakening of the muscles of the gland.

Magnetic field generators

Magnetotherapy is the effect on the tissue of a constant or alternating magnetic field (continuous or pulsed radiation), which is created by a special device. In our country this technique is officially recognized, but in the USA and a number of other countries it is not.

The proposed mechanism of the effect of the magnetic field: electric currents arise in the tissues, which change the orientation of the molecules of biological fluids and the rate of biochemical reactions. Effect on the prostate:

• Reduction of swelling and pain.
• Improved blood circulation.
• Acceleration of healing of inflammatory lesions.

The duration of exposure depends on the power of the device and the condition of the patient. There are no unpleasant sensations during the procedure.

Vibration exciters

Vibrating prostate stimulation is one of the types of massage effects aimed at activating blood flow and stimulating the discharge of secretions from the ducts. There are many types of devices, the essence of which is the same:a nozzle is inserted into the anus, which begins to vibrate when you press a button. Vibration stimulation is a good way to support prostate healthabsence of regular sex.

The process takes an average of 5 minutes.The feeling is rather pleasant, some men reach orgasm. After the procedure, prostatic juice may be released from the urethra (if it pools, it comes out in the form of jelly-like clots). Contraindications are acute inflammation of the prostate, the presence of any neoplasms in its body.

Ultrasound devices

Physiotherapy devices produce ultrasonic waves with a frequency of 800 to 3000 kHz, causing particle vibrations (cell micromassage). The impact is carried out in steady or pulsed modes.The effect of ultrasound on prostate tissue:

1. Improving the condition of cell walls, increasing vascular permeability (therefore, in case of acute inflammation of the prostate with the formation of pockets of infected fluid, the procedure is not performed).
2. Stimulation of biochemical processes (fermentation, oxidation) and tissue respiration.
3. Increase in the number of nucleic acids that perform a large number of essential functions to support cell life.
4. Relief from spasms, facilitating urination.
5. Prevention of scarring in the body of the prostate (ultrasound breaks down collagen into individual fibers).
6. Blocking pain impulses.
7. Increased activity of cellular defense mechanisms.

For prostatitisUltrasound is used as a transport medium for medicinal substances(hydrocortisone, antibiotics)in prostate tissue– phonophoresis of the rectum and urethra. To perform the procedure, the patient must assume a knee-elbow position. You must first flush the rectum with a rubber bulb. The rectal emitter is inserted to a depth of 8-10 cm. Medicines in the form of an emulsion are administered directly through it. With urethral phonophoresis, the therapeutic solution is fed into a heater that is inserted into the urethra. The emission nozzle is prelubricated with a contact substance. The procedure takes 15-20 minutes. For prostatitis, 6 to 8 sessions are performed every other day.

Exposure to ultrasound is recommended for scar tissue changes, parenchymal prostatitis (with purulent discharge). Optimal results are achieved when exposed to waves of power 0. 3-0. 4 W/cm²in pulse mode. An increase in potency can lead to urinary disorders and exacerbation of chronic prostatitis.

Laser devices

A laser is a device for creating a concentrated stream of light particles. Photons of light penetrate through the skin into the prostate tissue and are distributed along the bloodstream. In essence, the effect is similar to blue lamp therapy, but the infrared radiation has a greater penetrating power and does not have a heating effect.Under the influence of the beam, blood circulation in the prostate tissue is activated, pain and swelling subside.

Irradiation is carried out by a contact or non-contact method. Types of emissions: rectal, transdermal and acupuncture (points on the chest, forehead, waist, sacrum are illuminated). The rectal procedure takes up to two minutes. The course will require about 10 radiations.In most patients, prostate pain disappears after the second session. .

Popular appliances for home use

Home portable devices for the treatment of prostatitis are usually less functional than professional ones, but they are quite suitable as maintenance therapy and for prevention. You can buy them in pharmacies or on manufacturer websites.

It should be noted that the use of household appliances implies their regular hygienic maintenance. Rectal sensors should be washed with soap and disinfected with chlorhexidine solution. It is recommended to put a condom on them before use.

Device with electrodes

It consists of a control unit with two attached electrodes: a physical one, which is inserted into the rectum, and a passive one, fixed in the lower abdomen.

It affects the prostate in three ways:

1. Stimulation with pulsating currents to improve blood circulation.
2. Massage with low-frequency mechanical vibration to activate venous outflow, dilate arteries and enhance gland nutrition.
3. Radiation with a magnetic field to relieve swelling and inflammation.

All functions of this device can be used separately.

Darsonval

Darsonval is a class of devices that produce low-power, high-frequency currents. Externally similar to electric toothbrushes.

Special electrode attachments are provided to treat various areas. For prostatitis, a large or small rectal is used, which can be purchased separately and is inexpensive.

Magnetic therapy device

The device consists of a power supply unit to which a strip of four magnetic emitters (inductive coils) is attached. There is no rectal probe.

The current magnetic field penetrates to a depth of 8 cm, so to affect the prostate, the coils can be placed both in the abdomen and in the perineum (from the scrotum to the anus).

Thermal, vibrating device

Provides thermal, vibrational and magnetic (pulse field) effects on the prostate. It consists of a wave generator and a rectal catheter. The unit has only one button ("start") and two indicator lights.

Electromagnetic device

Urological device for electromagnetic effect. It consists of a lightweight control unit with an anatomically shaped rectal catheter. It has a combined effect on the prostate:

• Thermal;
• Radiation with magnetic waves.
• Vibration (massage).

Vacuum device

The device works with a vacuum and traveling magnetic waves. It consists of a control unit and a vacuum chamber in which the penis is placed. The procedures effectively activate blood flow to the penis and prostate.

The device operates in two-minute cycles, during which the pressure inside the bottle alternately increases and decreases. It has anti-edematous, anti-inflammatory and analgesic effect.

Vibration-acoustic device

Vibro-acoustic portable device, consisting of a control unit and two transmitters. According to the manufacturer, under the influence of the waves, the vibrations of the capillary walls increase, which helps activate lymph and blood circulation.

For physiotherapy rooms

In outpatient clinics, physiotherapeutic effects on the prostate are carried out using professional multifunctional devices. They cost several orders of magnitude more than homemade ones, but the results are noticeable after just a few procedures.

High frequency electromagnetic device

A device for physiotherapy that uses a high frequency electromagnetic field (decameter microwave waves). There are all the necessary registration documents, conclusions and certificates. The package includes several emitters, including a rectal one.

Physiotherapy laser complex

Physiotherapy laser complex - device for vibration-laser-magnetic therapy (VLMT),intended for professional use in medical institutions. Equipment:

1. Base unit (three-channel).
2. Vibrating laser head.
3. Three laser heads.
4. Nozzle set.
5. Book on laser therapy in urology.
6. Vacuum massage device with bottle and laser emitting head (for the treatment of erectile dysfunction with LOD therapy).

Electrolaser device

Electrolaser devicehas a triple effect on the prostate:

1. Irradiation with four-wave laser radiation (red, infrared types IR-1, IR-2).
2. Stimulation with electrical bipolar impulses (medical electrophoresis, transcutaneous electrical neurostimulation).
3. Magnetic wave radiation (the kit includes a mirror attachment for percutaneous prostate treatment).

Equipped with rectal and urethral catheters. The shock parameters are selected individually, the waves are synchronized with the patient's pulse. The device is controlled by a computer or remote control.

Vacuum phototherapy device

The device is a phototherapeutic penis vacuum massager.Designed to improve trophism (blood flow rate and metabolic processes) in the penis and prostate. It belongs to the professional category, but it can also be used at home. It works in two ways:

• Local decompression (dilation of the penile vessels due to the vacuum created in the bottle).
• Irradiation with an LED matrix (phototherapy, quasi-monochromatic radiation).

The device is PC compatible, has 15 built-in programs, but you can simulate individually.

Complex of hardware and software

Professional hardware and software complex, with the help of whichit is possible to affect the body with electric, laser, magnetic and color pulsed radiation. For prostate irradiation, a rectal magnetic intra-abdominal laser emitter with electrical stimulation function and a plate electrode placed in the lower abdomen is provided.

The device is mass-produced, used by medical institutions and is a leader in evaluations of physical therapy medical technology products.

Phototherapy lamp

The lamp is a device for conducting phototherapy sessions. The device is available in various modifications.Polarized polychromatic light has a mild effect on prostate tissue, stimulating its regeneration by activating biological processes (light affects intracellular molecules). The procedures relieve pain and reduce inflammation.

Progress of the procedure: the light of the lamp is directed to the area of the lower abdomen, previously cleaned with a special liquid, then to the perineum. Exposure time is 5 minutes. There may be several heating points. For sustainable relief from the symptoms of prostatitis, 10 sessions are enough.

Questionable devices

In various sources there are ads for devices that do not have certificates, and it is very difficult to find information about the manufacturer. Many dealers pretend to be the manufacturer and prices vary widely. Specifically, some of them are missing from the registry.

Physiotherapy devices for the treatment of prostatitis are not cheap.You should buy products from manufacturers that do not hide their contacts, post scanned certificates on devices and give a warranty.

conclusion

Physiotherapy devices do not replace medication, but only supplement it. Sessions at home should be done strictly according to the instructions, without fanaticism. Otherwise, you can provoke an exacerbation of prostatitis. You shouldn't expect much from home appliances. Manufacturers often compensate by limiting the strength of their exposure. For example, not all laser devices use lasers. In most cases they have been replaced by cheap LED emitters. The result of the procedures also depends on the condition of the patient, his age and even his psychological mood.