29.03.2024

Treatment of prostatitis with laser: types, indications and contraindications

Laser radiation is used in urology since the middle of last century. There are several types of lasers, and each has found its application in modern operating theatres and in outpatient settings.

Treatment of prostatitis with laser auxiliary physical way of influencing the inflammatory process in the prostate gland. Used in subacute and chronic form of prostatitis, and for the prevention of exacerbation.

How effective is laser for prostatitis

Monochromatic flux of a low power, continuous or pulsed, provides following benefits of prostate inflammation:

  • increases blood circulation in the pelvic organs;
  • helps to normalize the function of the prostate gland by improving the outflow drainage of stagnant secretions;
  • kills bacteria;
  • eliminates pain syndrome;
  • reduces inflammation;
  • activates the local immune protection;
  • increases the metabolism (metabolic processes);
  • increases the supply of oxygen to tissues;
  • tones muscles and tissue of the perineum;
  • increases the concentration of medicinal substances in the problem area.

The most common use of IR radiation as it is able to penetrate deep into tissue and power can be adjusted depending on your goals.

Numerous studies have proven the effectiveness of laser therapy for prostatitis, but this kind of physical treatment indicated not all patients and should not be applied without due diligence.

Why you need to be tested and examined prior to laser therapy

Prostatitis is manifested by symptoms that may be present in other diseases, where any physical impact could lead to fatal consequences.

First and foremost, it is a neoplastic process in the prostate, urethra or bladder.

A minimum of surveys includes the following:

Given the properties of the laser, during the course of treatment will be created favorable conditions for the progression of the tumor and its further spread, so it is important to establish an accurate diagnosis.

Secondly, laser therapy for prostate as a sole measure will not be effective if not diagnosed in time, the sexually transmitted infection. Relief of symptoms on the background of treatment it is possible, but there is a high probability of chronicity of the process. Symptoms may not be, but the danger lies in the development of complications, for example, erectile dysfunction or infertility.

To avoid this, be sure to study microscopy of urethral discharge, PCR diagnostics for STIs.

If prostatitis is relapsing course (with frequent exacerbations) and poor response to antibiotic therapy, are shown passing fiziologicheskogo survey as genitourinary tuberculosis after the laser therapy can also spread.

So, contraindications to laser treatment for prostatitis:

  • cancer;
  • precancerous pathology of the rectum;
  • genitourinary tuberculosis;
  • the acute form of inflammation in the prostate gland (symptoms of dysuria, pain in perineum, fever);
  • fever of unknown etiology;
  • fissure, hemorrhoids in the acute stage;
  • acute intestinal infection;
  • abscess and proctitis;
  • intestinal bleeding;
  • severe concomitant diseases (stroke, heart attack, stroke, decompensated diabetes mellitus, etc.).

Requires some caution when the rocks of the prostate because of the possibility of trauma to the tissues of the prostate by contact of stones with the sensor.

What are the indications for laser therapy for prostatitis

Physical therapy with laser is considered when the following pathologies:

  • all kinds of chronic inflammation in the prostate (with the exception of reactive inflammation on the background of the tumor and tuberculosis);
  • prostatitis on a background of sexually transmitted infections, after antibiotic therapy;
  • chronic prostatitis complicated by erectile dysfunction (violation of potency), sterility;
  • it’s congestion of (stagnation) in organs of small pelvis;
  • prostatitis and benign prostate hyperplasia at an early stage.
How is laser therapy for prostatitis

There are 2 types of laser therapy for inflammation of the prostate: transrectal and transcutaneous.

Transrectal physiotherapy involves placing a laser emitter in the rectum. Before the introduction of the use of a special condom for medical procedures and gel for lubrication.

Special preparation for the procedure is not required, but the rectum must be free from stool. It is possible to carry out the procedure lazer treatment after natural bowel movement or microclysters.

The laser is absolutely painless, the procedure lasts from 2 to 12 minutes, depending on the apparatus and laser power. After the recommended to urinate to excrete the bacteria, leukocytes, necrotic cells.

The effect of treatment will be noticeable after 4-5 sessions, transrectal laser therapy for prostatitis more effective than the outer influence of the laser.

Fibromyalsia therapy

The combined use of vibratory massage, magnet and laser – another achievement of physical therapy. To enhance the therapeutic effect of some urological complexes, in addition to the laser radiation, which uses a magnetic field and vibratory.

Reviews of urologists and patients is overwhelmingly positive. When installed correctly the readings after the treatment is fixed long-term positive result.

The combined effects on the prostate evaluated not only urologists, but also reproduction, which is often prescribed the procedures men with inflammatory Genesis sterility.

When the genetic factor of infertility treatment is ineffective.

Indications and contraindications to the procedure similar.

External laser therapy

Percutaneous laser therapy involves the penetration of the laser beam at the prostate from outside, the effects of the laser on the perianal region (the area between the anus and the scrotum). Method is more often used as prophylaxis.

Course – 10 sessions.

A variety of percutaneous laser – point the laser beam at areas responsible for the functions of the prostate.

How to enhance the effect of physiotherapy

If you follow some guidelines, recovery/remission will come faster:

  • abstain from alcohol, Smoking;
  • a diet for prostatitis;
  • perform therapeutic exercises;
  • avoid hypothermia;
  • only practise safe sex;
  • normalize the rhythm of sexual life;
  • visit the urologist prophylactically 1 time per year.

Victoria Mishina, urologist, medical columnist

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