Medical rehabilitation of patients after surgical treatment of prostate adenoma at the third outpatient stage of medical rehabilitation with inclusion of extracorporeal magnetic stimulation

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BACKGROUND: For modern urology the problem of optimisation of approaches to medical rehabilitation of patients after surgical treatment of the prostate gland is relevant due to the high frequency of early and late surgical complications, such as secondary lower urinary tract infections, urodynamic disorders, erectile dysfunction and others.

AIM: To study the effectiveness of medical rehabilitation of patients after surgical treatment of prostate adenoma at the third outpatient stage of medical rehabilitation with the inclusion of extracorporeal magnetic stimulation.

MATERIALS AND METHODS: There have been observed 88 patients after surgical treatment of prostate adenoma. They were divided into 2 groups by simple randomization: in the comparison group (n=43) the patients had physical therapy, psychocorrection, alpha1-adroenblock Tamsulosin, transrectal magnetic therapy at the outpatient stage; in the main group 45 patients were additionally prescribed extracorporeal electromagnetic stimulation. The effectiveness of rehabilitation measures was monitored using ultrasound examination of pelvic organs, uroflowmetry, the assessment of the severity of urinary disorders and quality of life ― the International Prostate Symptom Score (IPSS).

RESULTS: Performing stage-by-stage medical rehabilitation of the patients after surgical treatment of prostate adenoma using extracorporeal electromagnetic stimulation provides a significant leveling of urodynamic disorders (p <0.01), in the comparison group positive dynamics was expressed less (on average by 8–10%) in the absence of intergroup differences. The overall score and Quality of Life index according to IPSS significantly improved (p <0.01) immediately after rehabilitation in the main group, and 6 months later the positive dynamics of these indicators was significantly better compared to those in the comparison group (p <0.05).

CONCLUSION: The implementation of the outpatient rehabilitation program after surgical treatment of prostate adenoma using extracorporeal electromagnetic stimulation provides a significant leveling of urodynamic disorders (p <0.01), restoration of quality of life (p <0.01).

作者简介

Beslan Nazranov

Kabardino-Balkarian State University

编辑信件的主要联系方式.
Email: nazranov1@mail.ru
ORCID iD: 0009-0004-4103-5215
SPIN 代码: 6710-0711
俄罗斯联邦, Nalchik

Alan Tsogoev

North-Ossetian State Medical Academy

Email: tsogoev@mail.ru
ORCID iD: 0000-0001-7666-5955
SPIN 代码: 5606-3577

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Vladikavkaz

Elena Chalaya

North Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency

Email: pniik.nauka@skfmba.ru
ORCID iD: 0000-0002-3242-3046
SPIN 代码: 1084-2875

MD, Cand. Sci. (Med.), Associate Professor

俄罗斯联邦, Yessentuki

Natalya Efimenko

North Caucasian Federal Scientific and Clinical Center of the Federal Medical and Biological Agency

Email: pniik.adm@skfmba.ru
ORCID iD: 0000-0002-8854-9916
SPIN 代码: 8041-7520

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Yessentuki

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