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Prostate massage is used in various diseases of the male genital system: chronic urethritis, Cooper, and catarrhal forms of prostatitis, prostate atony, spermatorrhea, vazikulite, traumatic inflammation of the testicle and its appendages.
Rough massaging motion in the first sessions of massage can cause the patient discomfort: tingling, pain in the urethra, abrupt urge to urinate, pain in the anus with irradiation in the lower back, a spasm of the sphincter and urinary retention at some time after the massage. Massaging motion must be carried in the direction of duct cancer - from the top and out toward the midline. In the following massage procedures for transition to a light pressing movements on the prostate gland, gradually increasing pressure.
The dosage should be guided by the massage movements in the first sensations of the patient. Massage, as a rule, should be painless. Further, the pressure at massaging texture predstatelnoyzhelezy determined if iron over the entire surface is soft, then the pressure should be small, if the iron is dense, the pressure on it can be more energetic, and, finally, if dense and soft parts are alternated, the accordingly to increase the pressure on the gland (J. M. Kreps, 1931). Particular attention should be paid to the outer edges of the prostate, where most often localized inflammation. Massage is used in a day and no longer l/2- 1 minute. MM Zheltakov (1957) recommends massaging the prostate with bladder filling. After the massage, the patient should urinate and then he washed canal and the bladder with a weak solution of potassium permanganate (1:5000) in order to prevent infection with the urethra or bladder released during massage, the secret of the prostate gland. You should periodically examine the prostate secretions and in the absence of the bacteria, the presence of a small number of white blood cells and increase the number of lecithin calf massage interrupt the first 3 days and then for 10 days. After each break, exploring the secret of prostate with a favorable analysis of the massage is stopped. The best therapeutic results are obtained with catarrhal massage prostatitis. Yields a much slower rate interstitial prostate massage with significant pathological changes. When indurativnyy form of inflammation of the prostate with persistent organic amendments improvement comes with difficulty. When flaccid atonic iron with the formation of cavities, of which the outflow of secretions is difficult, massage usually provides only temporary relief. |
