Daily changes in urine flow in patients with prostatic adenoma and a neurogenic bladder in the context of conservative therapy


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Abstract

We observed a group of patients from 15 patients (mean age 69 years) undergoing a course of conservative therapy in connection with prostate adenoma. After the examination, conservative therapy was prescribed, including a1-adrenoblockers, vascular therapy agents, nootropics and vitamins. For evaluation of the functional state of the lower urinary tract, a two-day home uroflower monitoring was used. In the process of therapy, it was possible to fix the restoration of previously lowered urine streams in the night and pre-morning hours. According to the neurophysiological model of the pathogenesis of urination disorders in patients with prostate adenoma, the appointment of a1-adrenoblockers has an effect on the control structures of the central nervous system, so it is also advisable to administer nootropics, vitamins and vascular therapy.

About the authors

V. V Danilov

Pacific State Medical University Ministry of Health of the Russian Federation

Email: vadim_danilov@list.ru
д-р мед. наук, проф. института хирургии 690002, Russian Federation, Vladivostok, pr-t Ostriakova, d. 2

V. V Ostobunaev

Medical center "Uni-Prof"

врач-уролог 677000, Russian Federation, Yakutsk, ul. Petrovskogo, d. 34

V. V Danilov

Center Pathology of Urination

канд. мед. наук, врач-невролог 690091, Russian Federation, Vladivostok, ul. Posetskaia, d. 32

S. A Borshchenko

Center Pathology of Urination

канд. мед. наук, врач-уролог 690091, Russian Federation, Vladivostok, ul. Posetskaia, d. 32

S. V Besedin

Branch Hospital at the Station of Vladivostok

канд. мед. наук, врач-уролог 690003, Russian Federation, Vladivostok, ul.erkhneportovaia, d. 25

V. V Danilov

Pacific State Medical University Ministry of Health of the Russian Federation

студент 6-го курса 690002, Russian Federation, Vladivostok, pr-t Ostriakova, d. 2

References

  1. Рекомендации совещания Совета Экспертов по лечению аденомы предстательной железы. М., 2009.
  2. Winfree A.T. The Timing of Biological Clocs. Scientific American Book, Inc., 1987.
  3. Вишневский Е.Л., Лоран О.Б., Вишневский А.Е. Клиническая оценка расстройств мочеиспускания. М.: ТЕРРА, 2001.
  4. Вишневский А.Е. Роль гипоксии детрузора в патогенезе расстройств мочеиспускания у больных доброкачественной гиперплазией предстательной железы и обоснование методов их консервативного лечения. Автореф. дис.. канд. мед. наук. М., 1998.
  5. Данилов В.В., Борисов В.В., Данилов В.В. Нейроурологические основы консервативной терапии расстройств мочеиспускания у больных аденомой предстательной железы. Владивосток, 2014.
  6. Вишневский Е.Л. и др. Урофлоуметрия. М.: Печатный город, 2004.
  7. Данилов В.В., Данилова Т.И., Данилов В.В. Клинико-уродинамическое подтверждение нейрофизиологической модели гиперактивного мочевого пузыря. Урология. 2010; 4: 15-20
  8. Aschoff U. Circadian Rhythms in Man. Science 1965; 148: 1427-32.
  9. Golomb J, Lindner A, Siegel Y, Korczak D. Variability and circadian changes in home uroflowmetry in patients with benign prostatic hyperplasia compared to normal controls. Urology 1992; 147 (4): 1044-7.

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