Age Aspects of the Muscular-Tonic and Urological Syndromes in Men with Disorders of the Pelvic Functions: the Features of Clinic, Diagnostics, and Treatment

Аннотация

A comparative examination of 100 patients of different ages suffering from disorders of micturition, erectile function, and pelvic pain identified age-related peculiarities of these pathological manifestations. Irritative disorders of urination were detected significantly more frequently among persons of young and middle age than the elderly, and obstructive-related disorders were more frequent in the elderly. In elderly and senile ages, a reduced contractility of the detrusor was more prevalent, and an increased tone of striated sphincter of the urethra and bladder hyperactivity was more prevalent at a younger age. A long-existing spasm of some muscle formations of the lumbar, pelvic, and femoral regions has been shown to participate in the genesis of urinary symptoms, erectile dysfunction, and pelvic pain. A high effectiveness against disorders of micturition, erectile function, and pelvic pain was achieved, regardless of the age of the patients, with manual therapy, physiotherapy, and botulinum therapy. It is recommended for the diagnosis of urological pathology to involve specialists in the field of neurology and manual therapy. In cases of diagnosis of muscular-tonic disorders not etiologically associated with pathological processes in the organs of the urogenital system, it is recommended to include methods such as manual therapy, physiotherapy, and botulinum therapy in the complex of therapeutic measures.