[Physical factors in the rehabilitative treatment of patients with Peyronie's disease].
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Biomedical subjects
Publications and source records attributed to A A Li.
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100 patients with sexual dysfunction (SD) and 20 SD patients took turpentine white emulsion baths and sodium chloride baths, respectively. The turpentine baths were given with step-by-step rise in turpentine concentration from 20 to 50 ml per 200 l of water, temperature 36-37 degrees C, duration of the procedure 10-15 min. The course consisted of 10-12 procedures which were conducted daily or each other day. The turpentine baths were more effective than sodium chloride baths (85 vs 50%, respectively).
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The authors consider four principal physiotherapeutic complexes applied in stone-eliminating therapy of patients with urolithiasis and mechanisms of action of these physical factors. In all cases of stones detection in the upper urinary tracts lithokinetic therapy begins with therapeutic impacts on the area of the affected kidney and upper ureter followed by the action on the affected part of the ureter.
Experimental data demonstrate that sinusoidal modulated currents are capable of increasing the frequency and amplitude of smooth muscle biopotentials in animal ureter. Basing on these findings, the authors conducted stone fragments elimination from the upper urinary tracts of patients subjected to pulse lithotripsy by means of an original physiotherapeutic complex: oral mineral water, sodium chloride baths, dynamic amplipulse therapy with 3-4 electrodes pairs applied on the renal area and different ureteral regions. The stones passage from the upper urinary tracts was reported in 91.7% of the cases. Functional improvement in the affected kidney is attributed to the stone elimination and antiinflammatory action of the above balneotherapeutic complex.
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The paper reports an experimental technique and the results obtained in the study of cavitation arising in focusing the shock wave of electrodynamic lithotriptor. The aim of the above study was to specify mechanisms of soft tissue lesions during destruction of nephroliths with lithotriptor impulses. Cavitation regions were found along the axis of the generator focusing system and at its outgoing sites as a result of the boundary expansion wave. This phenomenon by the body margin is attributed to transformation of a positive pressure impulse into the tension impulse. As the shock wave pressure impulse is much more significant than the pressure impulse of the boundary expansion wave it is most probable that cavitation-induced lesions appear at the site of the wave exit from the body.
The paper describes the method of elimination of the upper urinary tract uroliths using a combination of the following modalities: sinusoidal modulated currents, drinking of artificial radon water, radon water baths and no-spa medication. Evacuation of the concrements or their fragments from the upper urinary tracts reached 80%.