SWT method in the treatment of prostatitis

Treatment of prostatitis and prostate adenoma with shock wave therapy

Shock wave therapy of the prostate is a new method of treating chronic prostatitis and adenoma with infrasound. The principle of UVT is the selective action of a short pulse with a high energy amplitude on the inflamed areas of the prostate gland. Penetrating into the depth of tissues up to 12 cm, the acoustic wave stimulates neoangiogenesis, improves metabolism in the affected areas, without harming healthy ones. Low-frequency pulses are generated by special equipment.

SWT operation principle

The principle of action of shock wave therapy is the dosed effect of infrasonic waves of a given length, power, pressure on the affected tissues of the organ, which have a higher density. The shock wave easily penetrates healthy layers and meets resistance at the site of inflammation. Acoustic vibrations during UVT are created by a special medical device as a result of magnetic influence or fluid movements.

The resulting shock wave impulse destroys pathological seals in the prostate, including calculi. The technique is clinically relevant in the treatment of chronic prostatitis, especially calculous and benign prostatic hyperplasia. For inflammation of the prostate, UVT has the following effects:

• promotes the formation of new capillaries;
• eliminates secretion stagnation in ducts and acini;
• improves metabolism in inflamed tissues;
• increases blood flow and lymphatic drainage several times;
• breaks calcifications, relieves inflammation;
• anesthetizes, removes fibrous formations;
• increases the synthesis of collagen and hyaluronic acid;
• relieves swelling of the prostate, improves the patency of the urethra;
• eliminates urination disorders;
• Restores potency and erection.

Pulsed wave therapy of the prostate is carried out by waves of various depths of penetration into the tissues (65-125 mm). Longer wavelengths have a faster therapeutic effect. SWT uses two types of infrasonic vibrations.

Indications and contraindications

The technique is painless, relatively safe and comfortable for the patient. Indications for prostate SWT:

• non-bacterial prostatitis;
• prostate adenoma (BPH);
• Peyronie's disease (curvature of the penis);
• chronic pelvic pain;
• trigger points in the urogenital diaphragm;
• Erectile dysfunction of vascular origin.

Shock wave exposure is prohibited in a number of pathologies in which infrasound exacerbates or aggravates the disease. Contraindications to SWT:

• systemic blood diseases;
• malignant tumors;
• thrombophlebitis, thromboembolism;
• blood clotting disorder;
• internal bleeding;
• acute inflammation of the prostate;
• pelvic infection;
• cardiovascular insufficiency;
• osteoporosis and bone pathology;
• Performed urethral bougienage

Preparing for the event

SWT of the prostate does not require special preparation. The main condition is a complete examination of the patient. The procedure is carried out during the period of recovery or remission. The features of the course of the disease and concomitant pathologies that are contraindications to shock wave treatment are clarified. Diagnostics includes:

• biochemical study (blood, urine test);
• bacteriological culture of prostatic secretions;
• Ultrasound (TRUS) of the prostate and pelvic organs;
• densitometry (detection of osteoporosis);
• CT scan of the genitourinary system (if indicated).

After examination and diagnosis, the urologist determines the necessary course of shock wave treatment. The number of SWT procedures determines the type and course of the pathological process. On average, this is 7-10 sensing, held at weekly intervals.

The treatment of prostate adenoma with a shock wave is effective in the early stages of the disease. With the progression of the disease, the SWT technique is ineffective.

The price of a course of shock wave therapy for the prostate fluctuates over a wide range. The cost is affected by the number of sessions, hardware and medication support, region and clinic rating

How the procedure works

A session of shock wave therapy is held in a specialized room. The procedure is non-invasive and does not require anesthesia. The UVT device includes:

• treatment table;
• control panel;
• pulse emitter;
• focusing system;
• contour with spark gap.

The patient lies on his back with knees bent and spread apart. A wave transmitter with a special nozzle is superimposed on the perineum in the projection of the prostate gland.To accurately determine the pathological focus and targeted impact, ultrasound diagnostics is performed before the procedure.

At an angle of 30 to the left (then to the right), a cylindrical applicator-sensor (d 15 mm) is placed, treated with a special adhesive. The position of the patient must be constant. The duration of an SWT session is on average 10-20 minutes. During this period, more than 3 thousand low-frequency impulses will be transmitted in the direction of the prostate by the UVT apparatus.

The direction and force of the impact of the wave is set by a special bullet moving at a predetermined interval. The wear resistance of the material from which it is made has its own limit - one bullet is designed for a certain number of hits. At the end of the service life specified in the accompanying documents, it should change.

A worn, deformed bullet produces a low-quality impact and, as a result, forms a different acoustic wave. This significantly reduces the effectiveness of the shock wave procedure. When choosing a clinic providing prostate SWT services, it is recommended to clarify the moment of replacement of this consumable.

What results to expect

A decrease in the severity of posititis symptoms and an improvement in the condition are observed after the first session. In some cases, a slight exacerbation is possible, passing after three days. After 3-4 sessions, the compaction of the gland tissues is reduced by 1/3. The effectiveness of shock wave therapy has been proven by dopplerography, by comparing the results before and after prostate SWT.

The procedure is generally well tolerated. Possible side effects of pulsed wave exposure:

• hyperemia and slight swelling of the skin in the application area;
• short soreness at the focal point;
• burning during urination (with the release of calcifications).

Five years with calculous prostatitis. The stones are small, but twice a year they give an exacerbation: chronic inflammation of the prostate gland of a congestive nature. The regional clinic recommended SWT for 10 sessions. The method is new, a good alternative to surgery. I did not feel how the crushing of the calculi took place, after which problems with urination appeared. The doctor reassured: the remnants of the stones will come out and everything will pass.

Roman, Irpin, 38 years old

I have been treating prostatitis conservatively for 7 years, the result is no deterioration, but no improvement either. Stably every six months in the autumn-spring period exacerbation. At the next appointment, the urologist prescribed SWT, said, no matter where you go, the main thing is 10 sessions on a high-quality device. I took a course in Nizhny Novgorod, after the first time I felt relief, on the seventh - the symptoms were all gone. I made three more to fix it. Second year of remission.

Ivan, Simferopol, 54 years old

I suffered from prostatitis, I have been ill for 8 years, I decided to change a urologist. I went to a private clinic to a very young doctor who advised shock wave therapy for the prostate. My previous doctor had never heard of such a thing. He endured well, did 7 procedures, after the 5th the symptoms disappeared, erection and potency improved, sex appeared, which disappeared with prostatitis. The blockers have not been canceled, they said you can drink if necessary, but it is not there yet.

Shock wave therapy for prostatitis (SWT)

Prostatitis is a serious disease that torments many men both at a young and adult age. Initially, it is treated with drug therapy, including both specialized drugs and antibiotics and immunomodulators. However, this therapy does not always work. Then modern devices and techniques come to the rescue, including the use of shock wave therapy.

What is UVT

Shock wave therapy has been practiced by physicians for more than thirty years. Initially, it was actively used in traumatology, especially by sports doctors, since it has a positive effect on the process of healing of fractures and accelerates the recovery of damaged bones. Later, the beneficial effect of this type of waves on various types of inflammation was noted, after which they began to be used as an anti-inflammatory technique.

SWT is carried out with the help of a special apparatus fixed on the damaged area. One procedure lasts, on average, from five minutes to half an hour. The duration of the course depends on the severity of the disease and the recommendations of the attending physician.

How the method works

Physiotherapy based on the use of different types of sound waves has long been known to medicine. As a result of such exposure, the following effects occur:

Another important advantage of this method of hardware treatment is that it does not require special patient preparation, i. you can start it as quickly as possible.

As already mentioned, at the initial stage, the technique began to be used in traumatology. The main indications for its use were damage to soft tissues, bones, tendons, etc. Today, the scope of the use of shock waves has expanded significantly.Doctors recommend resorting to them in the following cases:

• Arthritis, arthrosis and other joint diseases (including after arthroplasty);
• Osteochondrosis and sciatica.
• Fractures of varying severity.
• Burns or trophic ulcers.
• Prostatitis and other urological diseases of a chronic and protracted type (including those causing erectile dysfunction)
• Ischemia.
• Cellulite

Thus, the scope of the technique is extremely wide, it is quite possible that in the near future new diseases that can be treated with its help may be identified.

Contraindications

Unfortunately, not all patients can safely use the achievements of SWT. There are those for whom it can be extremely dangerous, including:

• Pregnant women.
• Cancer patients.
• Pacemaker patients
• People with abrasions, cuts, hematomas, purulent wounds and other damage to the skin at the site of exposure.
• People with skin conditions.
• Mentally insane.
• Intoxicated patients.
• Patients with bleeding disorders.

Shock waves in the treatment of prostatitis

Because SWT has been used for prostatitis not so long ago, there are several special conditions for its use in this case. So, there are additional contraindications for the method, which include:

Even those patients who do not have obvious health problems other than prostatitis should still pass all the necessary tests before starting hardware treatment in order to protect themselves from side effects.

It is important that the technique is used mainly for the treatment of chronic or congestive forms of the disease. In the bacterial form, the use of antibiotics is usually sufficient, while additional procedures are rarely used.

When calcifications form due to a disease, shock waves destroy them, which greatly facilitates the course of recovery and improves the general condition of a man.

Usage Results

Most men respond positively to this method of physiotherapy. Some of them talk about the effect obtained after the first procedure (in particular, the reduction of pain during urination). In addition, there are such positive points as:

• Formation of new processes of the capillary system.
• Eradication of fibrotic changes in the prostate.
• Increasing the flow of lymph and blood to the affected areas and tissues.

However, you should not think that prostatitis will go away after one course of therapy. Even if the patient achieves a complete cure, it is necessary to resort to repeated use of shock waves at least once a year. This will help to consolidate the effect and prevent aggravation.

SWT for prostatitis

Shock wave therapy (SWT) for prostatitis is a relatively new direction in urology. Previously, the technique was used in the orthopedic direction, in the treatment of neurological diseases, as well as various joint pathologies and injuries. If you dig deeper into the history, then SWT was used to destroy stones in the kidneys. UVT for the prostate is useful due to its effect on inflammatory processes, since the affected tissues have an increased density.

Shock wave therapy for the prostate

The essence of the technique

Shock wave therapy of the prostate is a method of influencing the affected organ through acoustic-type impulses. For human hearing, the frequency is not audible, as it is beyond the limits of perception. The formation of shock-type waves also occurs in the natural environment (seismic activity of the Earth, operation of devices near a person, etc.).

Medical practice considers SWT as a way to treat the prostate, which has already won positive reviews. The creation of impulses occurs through magnetic vibrations or the movement of water. Due to the low resistance of the body to such waves, the impulses easily overcome the soft parts of the body and the liquid environment, reaching the prostate tissues damaged by inflammation. Areas that are not affected by pathology avoid the effects of waves.

With the development of pathology in the prostate gland, an increase in tissue density occurs. The main cause of inflammation is stagnation of blood in the pelvic organs. Shock wave therapy for the treatment of prostatitis is relevant due to the point effect on the compacted environment and its destruction. It is especially important to use SWT in the treatment of residual effects of a traumatic nature.

Shock wave therapy for prostatitis, according to experts, medical research and patients, does not cause pain and does not damage healthy tissues. This means complete safety for the patient. But it is important to observe increased precautions for patients with pathologies in the bone system, otherwise SWT can lead to a fracture.The most dangerous contraindication is osteoporosis.

SWT procedure for acute prostatitis

When an adenoma of the prostate is formed, there is a significant thickening and enlargement of the prostate gland. UVT in prostatitis destroys inflamed nodes and places of seals, stimulates blood flow and increases blood circulation, helps to reduce the severity of the inflammatory process and, accordingly, accelerates the recovery process.

An additional positive aspect is the ability to reduce the amount of medication used in the course of therapy, reduce the dosage and minimize the risk of undesirable drug effects. SWT also reduces the duration of the course for the treatment of catarrhal prostatitis.

Only a specialist knows about the treatment of prostatitis with UVT. So, the appointment can only be issued by the attending physician, who will evaluate the effectiveness and expediency of the technique in a particular case.

Contraindications

Even taking into account the relative safety of the therapy, doctors identify a number of contraindications, in which the use of SWT becomes unacceptable.

Contraindications for SWT:

The technique is not used if a patient has an infection in the pelvic area that affects adjacent organs; therapy is contraindicated for men who have oncology with localization in the organs of the reproductive or urinary system. Otherwise, bleeding may occur due to the rapid removal of the growth, you will have to perform an operation to stop the bleeding; heart valve insufficiency, especially in decompression form; Device for the treatment of prostatitis by SWT

• accession to the disease of a secondary infection, this is manifested by purulent prostatitis or a phlegmonous form of the prostate, when there is a risk of destruction of abscesses and infection entering the bloodstream, respectively, a systemic lesion of the body;
• for non-healed wounds or injuries localized in the pelvic area. The technique is contraindicated both in case of damage to the joints and bones;
• SWT should not be performed after bougienage in the urethra.

The treatment has become widespread in a relatively short time. Shock wave therapy for prostatitis has received positive feedback from various categories of men of different age groups. Many experts are inclined to believe that SWT is the best way to eliminate prostate adenoma in terms of effectiveness and safety.

Side effects

Medicine has documented clinical cases of side effects from SWT. Among the most common reactions of the body are:

• hyperemia in the area affected by the acoustic impulse;
• swelling;
• appearance of pain - mostly of a short duration.

Such phenomena are eliminated on their own after 7-10 days.

Efficiency of UVT

Therapy of prostate adenoma with UVT allows you to accelerate the development of new capillary ramifications, which greatly improve blood circulation throughout the pelvic girdle. Thanks to high-quality blood circulation, stagnation is eliminated and metabolic processes are normalized.

The formation of fibrosis in the prostate is often found due to a pathological condition in the organ. Through UVT, fibrosis resorption is ensured.

When a calculous form of the disease is detected, the appointment of SWT is used to destroy the formed calculi and exit stones in the form of sand along with urine. When using this therapy, it will be possible to destroy kidney stones, the course of treatment is different and depends on the composition of the stones.

The prostate is responsible for a large number of functions in the reproductive system. Detection of prostatitis more often occurs in the elderly over 65 years, when stagnation is formed or intensifies due to passive living and the appearance of other ailments of the cardiovascular or reproductive systems.

About shock wave therapy for prostatitis, reviews are more common due to the growing popularity of this technique. The lack of research on physiotherapeutic procedures against prostatitis leads to the alertness of some specialists. Reviews of doctors using the technique note the acceleration of the regeneration of damaged tissues and the reduction in the course of treatment for the patient.

Using SWT in urology

Many prostate patients wish to try shock wave therapy but are faced with a lack of information or feedback. Today, various forums often contain conflicting information and sometimes mislead the patient.

Evidence of the effectiveness of the technique is the widespread use of UVT devices, they were purchased by leading and specialized medical institutions.The results are much more optimistic than expected: improvement occurs much faster, pain during or after therapy does not occur or disappears in a matter of days. Even the psychological mood of SWT participants is improving.

According to the feedback from patients who underwent SWT, it can be argued that there are positive changes after 1 procedure. If prostatitis is not acute, its treatment takes about 2 weeks. After the specified time, you can stop using the drugs, in some cases there is a complete recovery. In advanced and acute forms of the disease, SWT is used for 2-4 months.

To achieve the best result of therapy, 5 to 7 procedures are prescribed. It is recommended to carry them out with a frequency of 10 days on an outpatient basis. When the therapy is completed, the man returns to the normal rhythm of life without the need for hospitalization.

The key drawback of the methodology is the high price - the average UHT resident will cause serious damage to the budget. Given the effectiveness of treatment, today many patients prefer to "pay" for their health.

Conclusion

Prostatitis is a disease prone to development, therefore, it almost always becomes chronic if appropriate timely treatment has not been carried out. UVT will help to supplement the course, which provides the fastest elimination of compacted, inflamed areas and enhances blood circulation in the entire pelvic region.