Журналов:     Статей:        

Андрология и генитальная хирургия. 2016; 17: 34-38

Клинико-лабораторные и инструментальные методы исследования у пациентов с хроническим простатитом и хроническим геморроем

Кадыров З. А., Крячко А. А., Алиев З. О., Фаниев М. В., Ишонаков Х. С., Мингболатов Ф. Ш.

https://doi.org/10.17650/2070-9781-2016-17-2-34-38

Аннотация

Взаимосвязь развития простатита с хроническим геморроем объясняется близким расположением и анатомически единым лимфатическим и венозным образованием этих органов. Анализ данных 140 пациентов с хроническим простатитом и геморроем с частыми обострениями показал, что у 86,9 % больных хроническим геморроем зафиксировано более 2 признаков хронического простатита. Кроме того, у 37,5 % пациентов выявлены скелетно-мышечные симптомы, у 51,1 % – психоневрологические, у 65,7 % – сексуальные и у 48,6 % – неврологические/системные.

Список литературы

1. Белова А. Н., Крупина В. Н. Хроническая тазовая боль. Руководство для врачей. М.: Антидор, 2007. С. 15–16. [Belovа А. N., Krupininа V. N. Chronic pelvic pain. Guideline for physicians. Мoscow: Аntidor, 2007. Pp. 15–16. (In Russ.)].

2. Савельева В. С., Кириенко А. И. Клиническая хирургия. Национальное руководство. Т. 3. М.: ГЕОТАР-Медиа, 2010. 960 с. [Savel’evа V. S., Kirienkо А. I. Clinical surgery. National guidelines. Vol. 3. Мoscow: GEOTAR-Меdiа, 2010. 960 p. (In Russ.)].

3. Nickel J. C., Alexander R. B., Anderson R. et al. Category III chronic prostatitis/chronic pelvic pain syndrome: insights from the National Institutes of Health Chronic Prostatitis Collaborative Research Network studies. Curr Urol Rep 2008;9(4):320–7.

4. Benjamin-Pratt A. R., Howard F. M. Management of chronic pelvic pain. Minerva Ginecol 2010;62(5):447–65.

5. Lai H. H., Krieger J. N., Pontari M. A. et al. Painful Bladder Filling and Painful Urgency Are Distinct Characteristics in Men and Women with Urologic Chronic Pelvic Pain Syndromes: A MAPP Research Network Study. J Urol 2015;194(6): 1634–41.

6. Murphy S. F., Schaeffer A. J., Done J. et al. IL17 Mediates Pelvic Pain in Experimental Autoimmune Prostatitis (EAP). PLoS One 2015;10(5).

7. Schwartz E. S., Xie A., La J. H. Nociceptive and inflammatory mediator upregulation in a mouse model of chronic prostatitis. Pain 2015;156(8):1537–44.

8. Wang X. J., Xia L. L., Xu T. Y. et al. Changes in erectile organ structure and function in a rat model of chronic prostatitis/chronic pelvic pain syndrome. Andrologia 2016;48(3):243–51.

9. Kong do H., Yun C. J., Park H. J., Park N. C. The efficacy of mirodenafil for chronic prostatitis/chronic pelvic pain syndrome in middle-aged males. World J Mens Health 2014;32(3):145–50.

10. Shang X. J., Geng Q., Duan J. M. et al. Efficacy and safety of Longjintonglin Capsule for the treatment of type III prostatitis. Zhonghua Nan Ke Xue 2014;20(12):1109–12.

11. Küçük E. V., Suçeken F. Y., Bindayı A. Effectiveness of acupuncture on chronic prostatitis-chronic pelvic pain syndrome category IIIB patients: a prospective, randomized, nonblinded, clinical trial. Urology 2015;85(3):636–40.

12. Sahin S., Bicer M., Eren G. A. et al. Acupuncture relieves symptoms in chronic prostatitis/chronic pelvic pain syndrome: a randomized, sham-controlled trial. Prostate Cancer Prostatic Dis 2015;18(3):249–54.

13. Jhang J. F., Kuo H. C. Novel treatment of chronic bladder pain syndrome and other pelvic pain disorders by onabotulinumtoxina injection. Toxins (Basel) 2015;7(6):2232–50.

14. Крупин В. Н., Крупин А. В. Симптомы хронического простатита. Связь с воспалением ткани простаты. В сб.: Материалы XV конгресса Российского общества урологов «Урология в XXI веке». М., 2015. С. 104. [Krupin V. N., Krupin А. V. Symptoms of chronic prostatitis. Association with the restoration of the prostate tissue. Маterials of the XV congress of the Russian Urologists’ Society “Urology in XXI century”. Moscow, 2015. P. 104. (In Russ.)].

15. Videčnik Zorman J., Matičič M., Jeverica S., Smrkolj T. Diagnosis and treatment of bacterial prostatitis. Acta Dermatovenerol Alp Pannonica Adriat 2015;24(2):25–9.

16. Ризоев Х. Х. Хронический обструктивный простатит. Андрология и генитальная хирургия 2012;(3):21–7. [Rizoev Kh. Kh. Chronic obstructive prostatitis. Andrologiya i genital’naya khirurgiya = Аndrology and Genital Surgery 2012;(3):21–7. (In Russ.)].

17. Локшин К. Л. Актуальные вопросы антибиокотерапии простатитов. Урология 2014; (1):55–61. [Lokshin K. L. Аctual issues of the antibiotic therapy of prostatitis. Urologiya = Urology 2014;(1):55–61. (In Russ.)].

18. Коган М. И., Ибишев Х. С., Ферзаули А. Х., Черный А. А. Течение хронического бактериального простатита в связи с микробиомом секрета простаты. В сб.: Материалы XV конгресса Российского общества урологов «Урология в XXI веке». М., 2015. С. 101. [Kogan М. I., Ibishev Kh. S., Ferzauli А. Kh., Chernyy А. А. State of the chronic rostatitis in connection with the microbiome of the prostate secret. Маterials of the XV congress of the Russian Urologists’ Society “Urology in XXI century”. Moscow, 2015. P. 101. (In Russ.)].

19. Аляев Ю. Г., Винаров А. З., Ахледиани Н. Д. Хронический простатит и сексуальные нарушения. Материалы Пленума правления Российского общества урологов. М., 2004. С. 169–77. [Аlyaev Yu. G., Vinarov А. Z., Аkhlediani N. D. Chronic prostatitis and sexual disorders. Маterials of the Plenum of board of Russian Urologists’ Society. Мoscow, 2004. Pp. 169–77. (In Russ.)].

20. Schaeffer E. M. Re: Atypical microorganisms in expressed prostatic secretion from patients with chronic prostatitis/chronic pelvic pain syndrome: microbiological results from a case-control study. J Urol 2015;193(3):863.

21. Калинина С. Н., Кореньков Д. Г., Фесенко В. Н. и др. Патогенетическое лечение хронического абактериального простатита, осложненного сперматологическими нарушениями. Урология 2015;(4):64–70. [Kalininа S. N., Koren’kov D. G., Fesenkо V. N. et al. Pathogenic treatment of the chronic abacterial prostatitis, complicated with spermatologic injuries. Urologiya = Urology 2015;(4):64–70. (In Russ.)].

22. Кочуров А. М., Хышиктуев Б. С., Биктогиров Р. Р. Оригинальный подход к местному лечению хронического простатита. В сб.: Материалы XV конгресса Российского общества урологов «Урология в XXI веке». М., 2015. С. 103. [Kochurov A. M., Khyshiktuev B. S., Biktogirov R. R. The original approach to the topical treatment of chronic prostatitis. Маterials of the XV congress of the Russian Urologists’ Society “Urology in XXI century”. Moscow, 2015. P. 103.(In Russ).].

23. Cohen J. M., Fagin A. P., Hariton E. et al. Therapeutic intervention for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a systematic review and metaanalysis. PLoS One 2012;7(8):е41941.

24. Liu L. F., Wang L., Lu T. F. et al. UPOINT: a novel phenotypic classification system for chronic prostatitis/chronic pelvic pain syndrome. Zhonghua Nan Ke Xue 2012;18(5):441–5.

25. Zhang Z. C., Peng J. UPOINT system: a new diagnostic/therapeutic algorithm for chronic prostatitis/chronic pelvic pain syndrome. Zhonghua Nan Ke Xue 2013;19(7):579–82.

26. Shoskes D. A., Nickel J. C. Classification and treatment of men with chronic prostatitis/ chronic pelvic pain syndrome using the UPOINT system. World J Uro. 2013;31(4):755–60.

27. Davis S. N., Binik Y. M., Amsel R., Carrier S. Is a Sexual dysfunction domain important for quality of life in men with urological chronic pelvic pain syndrome? Signs “UPOINT” to yes. J Urol 2013;189(1):146–51.

28. Привес Г. М., Лысенков Н. К., Бушкович В. И. Анатомия человека. Л., 1974. [Prives G. М., Lysenkov N. K., Bushkovich V. I. Human Anatomy. Leningrad, 1974. (In Russ.)].

29. Савинов В. А. Хронический простатит. М.: Асклепейн, 1998. 108 с. [Savinov V. А. Chronic prostatitis. Мoscow: Аsklepeyn, 1998. 108 p. (In Russ.)].

30. Тиктинский О. Л., Калинина С. Н. Заболевания предстательной железы. Руководство. СПб.: Питер, 2006. 464 с. [Тiktinskiy О. L., Kalininа S. N. Prostate diseases. Guidelines. Saint Petersburg: Piter, 2006. 464 p. (In Russ.)].

31. Ишонаков Х. С. Особенности диагностики и лечения острых воспалительных заболеваний прямой кишки при сопутствующем хроническом простатите. Дисс. ... канд. мед. наук. Душанбе, 2003. 123 с. [Ishonakov Kh. S. Peculiarities of the diagnostics and treatment of acute inflammatory diseases, accompanied with chronic prostatitis. Thesis … of candidate medical sciences. Dushanbe, 2003. 123 p. (In Russ.)].

32. Курбанов K. M., Мухаббатов Д. К., Даминова Н. М., Ишонаков Х. С. Классификация постгеморроид эктомических осложнений. Вестник Авиценны 2002;(3–4):32–6. [Kurbanov K. M., Мuhabbatov D. K., Daminovа N. М., Ishonakov Kh. S. Classification of posthemorroidectomic complications. Vestnik Avitsenny = Avicenna Herald 2002; (3–4):32– 6. (In Russ.)].

33. Особенности терапии хронической тазовой боли. Медицинские аспекты здоровья мужчины 2014;1/1(12):27–33. [Features of the treatment of chronic pelvic pain. Meditsinskie aspekty zdorov’ya muzhchiny = Medical Aspects of Men’s Health 2014;1/1(12):27–33. (In Russ.)].

Andrology and Genital Surgery. 2016; 17: 34-38

Clinical laboratory and instrumental studies in patients with chronic prostatitis and hemorrhoids

Kadyrov Z. A., Kryachko A. A., Aliev Z. O., Faniev M. V., Ishonakov Kh. S., Mingbolatov F. Sh.

https://doi.org/10.17650/2070-9781-2016-17-2-34-38

Abstract

The association of the development of prostatitis with chronic hemorrhoids is attributed to the close arrangement and anatomically common lymphatic and venous formation of these organs. Analysis of the data of 140 patients with chronic prostatitis and hemorrhoids with frequent exacerbations showed that more than 2 signs of chronic prostatitis were recorded in 86.9 % of the patients with chronic hemorrhoids. In addition, there were skeletal muscular, psychoneurological, sexual, and neurological/systemic symptoms in 37.5, 51.1, 65.7, and 48.6 % of the patients

References

1. Belova A. N., Krupina V. N. Khronicheskaya tazovaya bol'. Rukovodstvo dlya vrachei. M.: Antidor, 2007. S. 15–16. [Belova A. N., Krupinina V. N. Chronic pelvic pain. Guideline for physicians. Moscow: Antidor, 2007. Pp. 15–16. (In Russ.)].

2. Savel'eva V. S., Kirienko A. I. Klinicheskaya khirurgiya. Natsional'noe rukovodstvo. T. 3. M.: GEOTAR-Media, 2010. 960 s. [Savel’eva V. S., Kirienko A. I. Clinical surgery. National guidelines. Vol. 3. Moscow: GEOTAR-Media, 2010. 960 p. (In Russ.)].

3. Nickel J. C., Alexander R. B., Anderson R. et al. Category III chronic prostatitis/chronic pelvic pain syndrome: insights from the National Institutes of Health Chronic Prostatitis Collaborative Research Network studies. Curr Urol Rep 2008;9(4):320–7.

4. Benjamin-Pratt A. R., Howard F. M. Management of chronic pelvic pain. Minerva Ginecol 2010;62(5):447–65.

5. Lai H. H., Krieger J. N., Pontari M. A. et al. Painful Bladder Filling and Painful Urgency Are Distinct Characteristics in Men and Women with Urologic Chronic Pelvic Pain Syndromes: A MAPP Research Network Study. J Urol 2015;194(6): 1634–41.

6. Murphy S. F., Schaeffer A. J., Done J. et al. IL17 Mediates Pelvic Pain in Experimental Autoimmune Prostatitis (EAP). PLoS One 2015;10(5).

7. Schwartz E. S., Xie A., La J. H. Nociceptive and inflammatory mediator upregulation in a mouse model of chronic prostatitis. Pain 2015;156(8):1537–44.

8. Wang X. J., Xia L. L., Xu T. Y. et al. Changes in erectile organ structure and function in a rat model of chronic prostatitis/chronic pelvic pain syndrome. Andrologia 2016;48(3):243–51.

9. Kong do H., Yun C. J., Park H. J., Park N. C. The efficacy of mirodenafil for chronic prostatitis/chronic pelvic pain syndrome in middle-aged males. World J Mens Health 2014;32(3):145–50.

10. Shang X. J., Geng Q., Duan J. M. et al. Efficacy and safety of Longjintonglin Capsule for the treatment of type III prostatitis. Zhonghua Nan Ke Xue 2014;20(12):1109–12.

11. Küçük E. V., Suçeken F. Y., Bindayı A. Effectiveness of acupuncture on chronic prostatitis-chronic pelvic pain syndrome category IIIB patients: a prospective, randomized, nonblinded, clinical trial. Urology 2015;85(3):636–40.

12. Sahin S., Bicer M., Eren G. A. et al. Acupuncture relieves symptoms in chronic prostatitis/chronic pelvic pain syndrome: a randomized, sham-controlled trial. Prostate Cancer Prostatic Dis 2015;18(3):249–54.

13. Jhang J. F., Kuo H. C. Novel treatment of chronic bladder pain syndrome and other pelvic pain disorders by onabotulinumtoxina injection. Toxins (Basel) 2015;7(6):2232–50.

14. Krupin V. N., Krupin A. V. Simptomy khronicheskogo prostatita. Svyaz' s vospaleniem tkani prostaty. V sb.: Materialy XV kongressa Rossiiskogo obshchestva urologov «Urologiya v XXI veke». M., 2015. S. 104. [Krupin V. N., Krupin A. V. Symptoms of chronic prostatitis. Association with the restoration of the prostate tissue. Materials of the XV congress of the Russian Urologists’ Society “Urology in XXI century”. Moscow, 2015. P. 104. (In Russ.)].

15. Videčnik Zorman J., Matičič M., Jeverica S., Smrkolj T. Diagnosis and treatment of bacterial prostatitis. Acta Dermatovenerol Alp Pannonica Adriat 2015;24(2):25–9.

16. Rizoev Kh. Kh. Khronicheskii obstruktivnyi prostatit. Andrologiya i genital'naya khirurgiya 2012;(3):21–7. [Rizoev Kh. Kh. Chronic obstructive prostatitis. Andrologiya i genital’naya khirurgiya = Andrology and Genital Surgery 2012;(3):21–7. (In Russ.)].

17. Lokshin K. L. Aktual'nye voprosy antibiokoterapii prostatitov. Urologiya 2014; (1):55–61. [Lokshin K. L. Actual issues of the antibiotic therapy of prostatitis. Urologiya = Urology 2014;(1):55–61. (In Russ.)].

18. Kogan M. I., Ibishev Kh. S., Ferzauli A. Kh., Chernyi A. A. Techenie khronicheskogo bakterial'nogo prostatita v svyazi s mikrobiomom sekreta prostaty. V sb.: Materialy XV kongressa Rossiiskogo obshchestva urologov «Urologiya v XXI veke». M., 2015. S. 101. [Kogan M. I., Ibishev Kh. S., Ferzauli A. Kh., Chernyy A. A. State of the chronic rostatitis in connection with the microbiome of the prostate secret. Materials of the XV congress of the Russian Urologists’ Society “Urology in XXI century”. Moscow, 2015. P. 101. (In Russ.)].

19. Alyaev Yu. G., Vinarov A. Z., Akhlediani N. D. Khronicheskii prostatit i seksual'nye narusheniya. Materialy Plenuma pravleniya Rossiiskogo obshchestva urologov. M., 2004. S. 169–77. [Alyaev Yu. G., Vinarov A. Z., Akhlediani N. D. Chronic prostatitis and sexual disorders. Materials of the Plenum of board of Russian Urologists’ Society. Moscow, 2004. Pp. 169–77. (In Russ.)].

20. Schaeffer E. M. Re: Atypical microorganisms in expressed prostatic secretion from patients with chronic prostatitis/chronic pelvic pain syndrome: microbiological results from a case-control study. J Urol 2015;193(3):863.

21. Kalinina S. N., Koren'kov D. G., Fesenko V. N. i dr. Patogeneticheskoe lechenie khronicheskogo abakterial'nogo prostatita, oslozhnennogo spermatologicheskimi narusheniyami. Urologiya 2015;(4):64–70. [Kalinina S. N., Koren’kov D. G., Fesenko V. N. et al. Pathogenic treatment of the chronic abacterial prostatitis, complicated with spermatologic injuries. Urologiya = Urology 2015;(4):64–70. (In Russ.)].

22. Kochurov A. M., Khyshiktuev B. S., Biktogirov R. R. Original'nyi podkhod k mestnomu lecheniyu khronicheskogo prostatita. V sb.: Materialy XV kongressa Rossiiskogo obshchestva urologov «Urologiya v XXI veke». M., 2015. S. 103. [Kochurov A. M., Khyshiktuev B. S., Biktogirov R. R. The original approach to the topical treatment of chronic prostatitis. Materials of the XV congress of the Russian Urologists’ Society “Urology in XXI century”. Moscow, 2015. P. 103.(In Russ).].

23. Cohen J. M., Fagin A. P., Hariton E. et al. Therapeutic intervention for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a systematic review and metaanalysis. PLoS One 2012;7(8):e41941.

24. Liu L. F., Wang L., Lu T. F. et al. UPOINT: a novel phenotypic classification system for chronic prostatitis/chronic pelvic pain syndrome. Zhonghua Nan Ke Xue 2012;18(5):441–5.

25. Zhang Z. C., Peng J. UPOINT system: a new diagnostic/therapeutic algorithm for chronic prostatitis/chronic pelvic pain syndrome. Zhonghua Nan Ke Xue 2013;19(7):579–82.

26. Shoskes D. A., Nickel J. C. Classification and treatment of men with chronic prostatitis/ chronic pelvic pain syndrome using the UPOINT system. World J Uro. 2013;31(4):755–60.

27. Davis S. N., Binik Y. M., Amsel R., Carrier S. Is a Sexual dysfunction domain important for quality of life in men with urological chronic pelvic pain syndrome? Signs “UPOINT” to yes. J Urol 2013;189(1):146–51.

28. Prives G. M., Lysenkov N. K., Bushkovich V. I. Anatomiya cheloveka. L., 1974. [Prives G. M., Lysenkov N. K., Bushkovich V. I. Human Anatomy. Leningrad, 1974. (In Russ.)].

29. Savinov V. A. Khronicheskii prostatit. M.: Asklepein, 1998. 108 s. [Savinov V. A. Chronic prostatitis. Moscow: Asklepeyn, 1998. 108 p. (In Russ.)].

30. Tiktinskii O. L., Kalinina S. N. Zabolevaniya predstatel'noi zhelezy. Rukovodstvo. SPb.: Piter, 2006. 464 s. [Tiktinskiy O. L., Kalinina S. N. Prostate diseases. Guidelines. Saint Petersburg: Piter, 2006. 464 p. (In Russ.)].

31. Ishonakov Kh. S. Osobennosti diagnostiki i lecheniya ostrykh vospalitel'nykh zabolevanii pryamoi kishki pri soputstvuyushchem khronicheskom prostatite. Diss. ... kand. med. nauk. Dushanbe, 2003. 123 s. [Ishonakov Kh. S. Peculiarities of the diagnostics and treatment of acute inflammatory diseases, accompanied with chronic prostatitis. Thesis … of candidate medical sciences. Dushanbe, 2003. 123 p. (In Russ.)].

32. Kurbanov K. M., Mukhabbatov D. K., Daminova N. M., Ishonakov Kh. S. Klassifikatsiya postgemorroid ektomicheskikh oslozhnenii. Vestnik Avitsenny 2002;(3–4):32–6. [Kurbanov K. M., Muhabbatov D. K., Daminova N. M., Ishonakov Kh. S. Classification of posthemorroidectomic complications. Vestnik Avitsenny = Avicenna Herald 2002; (3–4):32– 6. (In Russ.)].

33. Osobennosti terapii khronicheskoi tazovoi boli. Meditsinskie aspekty zdorov'ya muzhchiny 2014;1/1(12):27–33. [Features of the treatment of chronic pelvic pain. Meditsinskie aspekty zdorov’ya muzhchiny = Medical Aspects of Men’s Health 2014;1/1(12):27–33. (In Russ.)].