Despite numerous methods of treatment, the therapeutic efficiency of erectile dysfunction in the patients with chronic prostatitis is 45-56%, due to the fact that pharmacological preparations in a greater percentage of cases don´t penetrate into the prostate gland and cause side effects. Therefore, some researchers suggest the use of physiotherapy. Currently, highly effective method of treatment of erectile dysfunction in the patients with chronic prostatitis is a shock-wave therapy, the main clinical effects which are analgesic effect, activating microcirculation and neo-angiogenesis, stimulation of metabolic processes, reducing the severity of fibro-sclerotic changes, anti-inflammatory and antibacterial effects. The authors aim of the study is pathogenetically justify the use of the shock-wave therapy of erectile dysfunction in patients with chronic prostatitis with the positions of system-structural analysis. The study involved 40 patients with chronic prostatitis with erectile dysfunction. On the basis of these studies the authors have shown that the shock- wave therapy is the pathogenetic therapy of chronic prostatitis, as has a direct effect on the prostate gland and vasodilator effect, reduces edema, leukocyte infiltration.
shock-wave therapy, chronic prostatitis, erectile dysfunction
Несмотря на огромный арсенал методов лечения, терапевтическая эффективность эректильной дисфункции (ЭД) у больных хроническим простатитом (ХП) составляет 45-56% [8, 11, 17, 18] в связи с тем, что фармакологические препараты в большем проценте случаев не проникают в предстательную железу (ПЖ) и вызывают побочные явления. Поэтому ряд исследователей предлагают использовать физиотерапию [8, 15, 16, 19]. В настоящее время высокоэффективным методом терапии ЭД у больных ХП является ударно-волновая терапия (УВТ), основными клиническими эффектами которой являются обезболивающее действие, активизация микроциркуляции и неоангиогенеза, стимуляция метаболических процессов, умень-
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