Traditionally throughout long time from an arsenal of methods of treatment of an acute prostatitis categorically exclude massage of a prostate and various endo urethral interventions, seeing in them high probability of development of serious complications.

At the same time in the literature last years even more often there is an information on success transurethral interventions at a prostate abscess. Besides, as is known, in diagnostics of an acute prostatitis the method of transrectal ultrasonic monitoring on mechanical influence on a prostate comparable with that is often applied at its massage, and on time of its influence surpassing, however the report on the complications which have arisen thereupon in the accessible literature to find it was not possible. It has been analysed case histories 71 patients are parted on two groups, in one of which (the first group 24 patients) in a set of the standard medical actions at an acute prostatitis have been included massage of a prostate and its transrectal stimulation by means of apparatus Intraton-4; the second control group included 47 patients where treatment was carried out with observance of traditional principles of "non-interference". It is necessary to underline, that as the indication to immediate influence on a prostate at its acute inflammation tranceretal manual and transonogaph the researches, testifying about congestion obvious data served in an organ (the enlarged prostate, presence in it of plural fine hypoechoic zones the raised hydrophylic nature). "Delicate" massage of a prostate during 40 - 60 seconds and an electrical stimulation with an aspiration spent after preliminary anaesthesia by means of rectal candles with operating anaesthetics. The course of"local"therapy made from 2-3 till 8-10 procedures. In result in one case of application of active tactics of treatment in the basic group of complications was not, while in control group observed 3 patients with complication in the form of a unilateral epididymitis. At a larger part of patients of 1st group right after procedures the fervescence against an available febrile fever at the very beginning of treatment became perceptible only short-term, easily stopped. Comparison of rate and degree of levelling of clinical semiology of an acute prostatitis has shown authentic advantage of these indicators in the basic group of patients. Thus it is represented to us admissible in the shown cases at an acute prostatitis and transrectal stimulation of the organ, allowing to optimise results of treatment, and risk of occurrence of complications to consider obviously exaggerated.