RESUMEN
The article is dedicated to the physiological bases of erection, the pathophysiological mechanisms associated with erectile dysfunction, and detailed analysis of the reasons--psychological, neurological, endocrine, vascular reasons (arterial and related with dysfunction of the corpora cavernosa), leading to erectile dysfunction. The current aspects of diagnosis and treatment of patients with erectile dysfunction are discussed.
Asunto(s)
Disfunción Eréctil/diagnóstico , Disfunción Eréctil/terapia , Disfunción Eréctil/fisiopatología , Disfunción Eréctil/psicología , Humanos , MasculinoRESUMEN
Sixty patients with chronic prostatitis and sexual dysfunction were divided into two groups. All the patients received one-month standard course of physiotherapy. In addition, group I (n = 30) was given levitra (vardenafil; 5 mg per os each other day), the control group was not given this drug. Follow-up covered 6 months to 1.5 years. General urological examination, questionnaire survey, ultrasound investigation of male genital organs were made before, 1 and 6 months after treatment. The results were processed statistically. Levitra improves circulation in male sexual organs promoting increased arterial inflow to the prostate and penis. Aftertreatment effect persisted for half a year. Regular levitra intake (2-3 times a week) is recommended to correct circulation in the sexual system, including prostatic gland, but not only for correction of erectile dysfunction as a result of psychogenic and vascular disorders in the penis accompanying chronic prostatitis.
Asunto(s)
Disfunción Eréctil/tratamiento farmacológico , Imidazoles/uso terapéutico , Inhibidores de Fosfodiesterasa/uso terapéutico , Piperazinas/uso terapéutico , Prostatitis/tratamiento farmacológico , Adolescente , Adulto , Anciano , Terapia Combinada , Disfunción Eréctil/etiología , Disfunción Eréctil/terapia , Genitales Masculinos/irrigación sanguínea , Genitales Masculinos/efectos de los fármacos , Genitales Masculinos/ultraestructura , Humanos , Masculino , Persona de Mediana Edad , Modalidades de Fisioterapia , Prostatitis/complicaciones , Prostatitis/terapia , Sulfonas/uso terapéutico , Resultado del Tratamiento , Triazinas/uso terapéutico , Ultrasonografía Doppler , Diclorhidrato de VardenafilRESUMEN
Ultrasonic dopplerography of prostatic, scrotal and penile vessels before and after intake of levitra in a dose 10 mg was made in 22 patients with chronic abacterial prostatitis in combination with erectile dysfunction and after their combined levitra treatment for a month taken each other day. It was found that levitra accelerates arterial inflow to the prostatic gland, testicles and penis (even in the absence of sexual stimulation and erection). This evidence indicates a distinct vasculogenic effect of levitra on male genitalia. Thus, levitra is a promising drug in the treatment of chronic prostatitis, excretory infertility. It is recommended to take levitra regularly 2-3 times a week to manage vascular genital disorders.
Asunto(s)
Disfunción Eréctil/tratamiento farmacológico , Imidazoles/uso terapéutico , Inhibidores de Fosfodiesterasa/uso terapéutico , Piperazinas/uso terapéutico , Prostatitis/tratamiento farmacológico , Sulfonas/uso terapéutico , Triazinas/uso terapéutico , 3',5'-GMP Cíclico Fosfodiesterasas , Circulación Cerebrovascular/efectos de los fármacos , Fosfodiesterasas de Nucleótidos Cíclicos Tipo 5 , Esquema de Medicación , Disfunción Eréctil/complicaciones , Disfunción Eréctil/fisiopatología , Humanos , Imidazoles/administración & dosificación , Imidazoles/efectos adversos , Masculino , Pene/irrigación sanguínea , Pene/efectos de los fármacos , Pene/enzimología , Inhibidores de Fosfodiesterasa/administración & dosificación , Inhibidores de Fosfodiesterasa/efectos adversos , Hidrolasas Diéster Fosfóricas/metabolismo , Piperazinas/administración & dosificación , Piperazinas/efectos adversos , Próstata/irrigación sanguínea , Próstata/efectos de los fármacos , Próstata/enzimología , Prostatitis/complicaciones , Prostatitis/fisiopatología , Flujo Sanguíneo Regional/efectos de los fármacos , Sulfonas/administración & dosificación , Sulfonas/efectos adversos , Testículo/irrigación sanguínea , Testículo/efectos de los fármacos , Testículo/enzimología , Resultado del Tratamiento , Triazinas/administración & dosificación , Triazinas/efectos adversos , Diclorhidrato de VardenafilRESUMEN
The study was made of the action of electromagnetic decimetric waves (DMW) of mild and strong heat power and placebo on intraorganic circulation using functional polyrheography and morphological examination of the kidneys with infectious-inflammatory process. DMW of the above power have a marked hemodynamic action via stimulation of the circulation of the intermediary zone with an effect of redistribution of the intrarenal blood flow. Weak heat DMW in experimental pyelonephritis exhibit a distinct antiinflammatory effect while strong DMW impact aggravates vascular reaction associated with inflammation. This deteriorates the inflammation and gives rise to hyperimmune reactions. The findings provide pathogenetic grounds for DMW therapy. It is recommended for treatment of patients with chronic pyelonephritis with dynamic obstruction of the upper urinary tracts allowing for the power of the impact and activity of the inflammation.
Asunto(s)
Médula Renal/efectos de la radiación , Pielitis/radioterapia , Terapia por Radiofrecuencia , Animales , Enfermedad Crónica , Femenino , Médula Renal/irrigación sanguínea , Médula Renal/patología , Pielitis/patología , Pielitis/fisiopatología , Conejos , Flujo Sanguíneo Regional/efectos de la radiaciónRESUMEN
The experimental study investigated action of electromagnetic waves (84 mW/cm2 and 395 mW/cm2) on functional-morphological features of healthy kidney of female rats. A marked hemodynamic effect of decimetric waves is shown which operates via stimulation of intermediary zone with redistribution of intrarenal circulation. Disturbance of circulation occurs in dysregulation of the intrarenal blood flow under overstimulation of the organ circulation with 395 mW/cm2 decimetric waves. This entails disorders of hemodynamics, flebostasis, stromal edema, dystrophy of tubular epithelium, periglomerular sclerosis causing aseptic interstitial inflammation. This is also proved by levels of prostaglandin E2 in tissue of renal papillae. These findings should be considered in administration of decimetric waves in patients with renal inflammation.
Asunto(s)
Campos Electromagnéticos , Riñón/anatomía & histología , Riñón/irrigación sanguínea , Animales , Riñón/patología , Riñón/efectos de la radiación , Masculino , ConejosAsunto(s)
Hipertensión Renovascular/diagnóstico por imagen , Obstrucción de la Arteria Renal/diagnóstico por imagen , Arteria Renal/diagnóstico por imagen , Humanos , Hipertensión Renovascular/etiología , Hipertensión Renovascular/fisiopatología , Arteria Renal/fisiopatología , Obstrucción de la Arteria Renal/complicaciones , Obstrucción de la Arteria Renal/fisiopatología , Circulación Renal/fisiología , UltrasonografíaRESUMEN
A venous phase of digit subtraction angiography (DSA) of the kidneys was evaluated in 87 urologic patients. The subtraction allows satisfactory visualization of the renal veins. Amplification of the image and its early emergence indirectly suggest pathological arteriovenous shunt confirmed by intraoperative rheography. Investigation of the renal veins and venous outflow from the kidneys with DSA bears sufficient information and is less traumatic versus standard retrograde venography.
Asunto(s)
Enfermedades Renales/fisiopatología , Riñón/irrigación sanguínea , Circulación Renal/fisiología , Venas Renales/fisiopatología , Adulto , Angiografía de Substracción Digital , Humanos , Enfermedades Renales/diagnóstico por imagen , Venas Renales/diagnóstico por imagenRESUMEN
A rare case of multiple (over 60) renal adenomas in a 24-year-old patient is described; the adenomas developed against the background of the hydronephrotic transformation resulting from the stenosis of the ureteropelvic segment.
Asunto(s)
Adenoma/patología , Hidronefrosis/patología , Neoplasias Renales/patología , Neoplasias Primarias Múltiples/patología , Adenoma/diagnóstico , Adulto , Diagnóstico Diferencial , Humanos , Hidronefrosis/diagnóstico , Riñón/patología , Neoplasias Renales/diagnóstico , Masculino , Neoplasias Primarias Múltiples/diagnóstico , Esclerosis/diagnóstico , Esclerosis/patologíaRESUMEN
Electron microscopy was used to examine the status of the juxtaglomerular apparatus (JGA) and interstitial cells (IC) 3 and 24 hours after administration of furosemide (10 mg/kg), indomethacin (10 mg/kg), venoruton (500 mg/kg) and trental (100 mg/kg), and after 1,6 an 12 sessions of hyperbaric oxygenation. To evaluate objectively the results of examining the JGA, use was made of a method devised by the authors of a mathematical appraisal of granulation from the density of the epithelioid cells. Granulation of 50 IC from each animal was calculated on semi-thin araldite sections stained methylene blue-azur II-fuchsin. The results indicate that all the types of exposure including hyperbaric oxygenation produced JGA activation whose degree varied depending on the time elapsed after exposure. An apparently great increase in the JGA activity was detected after injection of furosemide and indomethacin. All the drugs with the exception of furosemide entailed granule accumulation after 3 hours, followed by the recovery of their amount after 24 hours. Furosemide injection produced a reverse effect.