[Clinicopathophysiological aspects of utilization of local physiotherapy device mavit in combined treatment of patients with chronic prostatitis and symptomatic prostatic adenoma].

Clinical efficacy of combined treatment with application of MAVIT device was studied in 45 patients with chronic prostatitis. By the results of examination the patients were divided into two groups: group 1 consisted of 25 patients with the diagnosis of prostatic adenoma of stage I-II complicated with chronic prostatitis; group 2 - of 20 patients with chronic prostatitis. Biotissue effect of MAVIT on prostatic blood circulation was studied in 10 patients of group 2 who were examined with transrectal ultrasound (color Doppler mapping) before and after the physiotherapeutic session. The ultrasound examination assessed linear peak blood flow velocity, index of peripheral vascular resistance, intensity of organic vascular net. The treatment results were followed up in both groups for 3-12 months. Positive changes were registered: reduction or disappearance of dysuria, subjective improvement of urination, alleviation of genital pain. Thus, combined conservative treatment of chronic prostatitis in patients with symptomatic prostatic adenoma has a pathogenetic significance and provides adequate preparation for surgery. MAVIT device can be recommended for treatment of chronic prostatitis including patients with prostatic adenoma.