scholarly journals Modern approaches to surgical and minimally invasive treatment of patients with benign prostate hyperplasia

2020 ◽  
pp. 114-124
Author(s):  
A. A. Zimichev ◽  
D. O. Gusev ◽  
A. S. Pochivalov ◽  
P. V. Sumsky ◽  
I. V. Tarasov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Conservative Therapy ◽  
Benign Prostate Hyperplasia ◽  
Prostate Gland ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Benign Prostate ◽  
Urological Diseases

Adenoma of the prostate gland is one of the most common urological diseases among males. The percentage of those suffering from BPH increases in direct proportion to the age of the patients. Despite the high study of the etiology, pathogenesis and manifestations of this disease, it is not always possible to achieve the desired effect using conservative therapy. Taking into account the middle age of the majority of patients dealing  with  this  problem, the presence of a number of concomitant diseases, if there is a technical  feasibility, priority is given to the least traumatic surgical interventions. The literature review analyzes the existing approaches to surgical and minimally invasive treatment of patients with benign prostatic hyperplasia.

scholarly journals EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Options ◽  
Stakeholder Involvement ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Agree Ii ◽  
Prostate Hyperplasia ◽  
Assessment Score ◽  
Nice Guideline ◽  
Agree Ii Tool

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

scholarly journals ORIGINAL ARTICLE: A COMPREHENSIVE STUDY OF PROSTATIC LESIONS AND ITS PROSTATE-SPECIFIC ANTIGEN LEVELS IN ANATOMICAL PATHOLOGY INSTALLATION OF RSUD DR. SOETOMO, SURABAYA FROM YEAR 2014 TO 2016

2019 ◽  
Vol 19 (1) ◽  
pp. 35-41
Author(s):  
Izzan Khalidah Binti Muhamad ◽  
Anny Setijo Rahaju ◽  
Lukman Hakim
Keyword(s):  
High Risk ◽  
Cell Carcinoma ◽  
Benign Prostate Hyperplasia ◽  
Benign Lesion ◽  
Prostate Gland ◽  
Transitional Cell ◽  
Specific Antigen ◽  
Prostate Hyperplasia ◽  
Benign Prostate ◽  
Anatomical Pathology

Abstract. Background: Diseases primarily affects prostate gland are inflammation, hyperplasia, and malignant tumour. Gleason score (GS) is an essential facet and together with PSA are substantial in diagnosing, managing, and determining the prognosis of CaP. Purpose: The aims of this study is to investigate the prevalence of prostatic lesions and its PSA level among patients in anatomical pathology installation in RSUD Dr. Soetomo from year 2014 to 2016. Method: This research is a retrospective study of prostatic lesions that were conducted from year 2014 to 2016 (3 years) with emphasis on GS and PSA levels. Result: The distribution of histopathological lesion found are benign lesion, benign prostate hyperplasia, adenocarcinoma, prostatitis, benign prostate hyperplasia with prostatitis, prostatic intraepithelial neoplasia, non-Hodgkin lymphoma, sarcoma, transitional cell carcinoma, and squamous cell carcinoma. The most common findings in this cohort is benign lesion (34.6%) with age group of 61-70 years old (51.94%) and adenocarcinoma with high GS of 9 (60%). Meanwhile, patients with GS ­8 (high risk patient) contributed for 84.8%. Most of the cases (69.2%) have elevated PSA level of 20 ng/ml. Conclusion: The prevalence of prostatic lesions were able to be determined in different age groups. High GS indicates a more aggressive type of adenocarcinoma suffered, high risk for CaP.  The results show that the possibility to detect malignancy with rising PSA level are higher, although PSA is not considered as a specific marker.Keywords: prostate, histopathology, benign lesion, PSA.

scholarly journals STRUCTURE OF PROVISION OF URGENT AND PLANNED SURGICAL CARE TO PATIENTS WITH BENIGN PROSTATE HYPERPLASIA IN RYAZAN RE-GION

2020 ◽  
Vol 8 (4) ◽  
pp. 495-501
Author(s):  
I.S. Sobennikov ◽  
◽  
V.B. Filimonov ◽  
R.V. Vasin ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Benign Prostate Hyperplasia ◽  
Clinical Symptoms ◽  
Statistical Processing ◽  
Surgical Care ◽  
Urgent Care ◽  
Transurethral Resection Of Prostate ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Benign Prostate

Aim. To study the status of provision of planned and urgent care to patients with benign prostate hyperplasia (BPH) in round-the-clock urological hospitals of the Ryazan region in recent 5 years. Materials and Methods. Statistical processing of the data for 2015-2020 obtained from medical statistics services of urological hospitals of Ryazan was performed. The following parameters were studied: the average age of patients who turned to emergency room with the diagnosis of acute retention of urine; the amount of surgical interventions (cystectomies) per months and years of the reporting period: open adenomectomy (in the following modifications: transvesical ade-nomectomy, retropubic adenomectomy), transurethral resection of prostate. Results. A high amount of referral of patients with BPH with clinical symptoms of acute reten-tion of urine was identified. The quantity and the share of palliative surgeries in the structure of patients with BPH stays at a high level. A tendency to growth in the amount of minimally inva-sive operations in surgical treatment for BPH is noted. Conclusion. The analysis of statistical data indicates the need for improvement of the quality of dispensary observation of patients with BPH, and improvement of methods of minimally inva-sive surgical treatment of BPH.

scholarly journals Minimally invasive treatment in the victim with spleen injury

2019 ◽  
Vol 178 (4) ◽  
pp. 58-60
Author(s):  
Ya. V. Gavrishuk ◽  
I. V. Kazhanov ◽  
A. N. Tulupov ◽  
A. E. Demko ◽  
D. V. Kandyba ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Clinical Experience ◽  
Abdominal Cavity ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Surgical Interventions ◽  
Angiography And Embolization ◽  
Minimally Invasive Methods

The article describes the clinical experience of treatment of the victim using minimally invasive methods such as angiography and embolization. The applied treatment tactics made it possible to preserve the damaged parenchymal organ of the abdominal cavity and avoid performing other more traumatic surgical interventions (laparoscopy, laparotomy).

scholarly journals Assessment of the infectious factor in transurethral surgery of benign prostate hyperplasia

2021 ◽  
Vol 9 (3) ◽  
pp. 79-91
Author(s):  
M. I. Kogan ◽  
Yu. L. Naboka ◽  
S. N. Ivanov
Keyword(s):  
Urinary Tract Infection ◽  
Benign Prostate Hyperplasia ◽  
Surgical Techniques ◽  
Infectious Complications ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Chronic Urinary Tract Infection ◽  
Benign Prostate ◽  
Underlying Pathology ◽  
Insufficient Knowledge

Performing surgical interventions for benign prostate hyperplasia against the background of chronic urinary tract infection or prostatitis can adversely affect the course of the postoperative period and mediate the development of complications. Therefore, it is important to understand the pre- and postoperative bacterial status of the patients in various endourological surgical techniques and its relationship with possible infectious complications. This review raises the problem of insufficient knowledge regarding the clinical structure of infections during transurethral surgery, assessment of their relationship with the course of the underlying pathology and the severity of symptoms.

scholarly journals Literature Review : Pengaruh Tekhnik Relaksasi Benson Terhadap Nyeri Pada Pasien Post Operasi Benigna Prostat Hyperplasia

2021 ◽  
Vol 1 ◽  
pp. 1274-1279
Author(s):  
Andi Muhamad Wildan ◽  
Tri Sakti Wirotomo ◽  
Siti Rofiqoh
Keyword(s):  
Literature Review ◽  
Benign Prostate Hyperplasia ◽  
Prostate Gland ◽  
Google Scholar ◽  
Relaxation Technique ◽  
P Value ◽  
Prostate Hyperplasia ◽  
Patient Will ◽  
Benign Prostate ◽  
Progressive Enlargement

AbstractBenign Prostatic Hyperplasia (BPH) is a progressive enlargement of the prostate gland that can be treated surgery, As a result of the surgery, the patient will usually feel pain. To overcome it, Benson’s relaxation technique could be applied. This relaxation is an action to free mentally and physically from tension and stress so that it can increase tolerance to pain. This study aims to examine the effect of Benson’s relaxation technique on pain in patients with postoperative benign prostate hyperplasia. Since it is a literature review, it has reviewed three articles taken from Google scholar with Benson’s relaxation, pain, and postoperative BPH as the keywords. Those articles are full-text, published in 2010-2020. The result stated the average vaule of pain scalee was 6,24 before the treatment and it reduced into 2,07 after it, with the p-value 0,000. It proved the therapy has effectively reduced oain in patients with postoperative benign prostate hyperplasia. Thus, nurses suggested applying this therapy as an alternative to reduce the problem.Keywords: Benson’s relaxation, pain, postoperative benign prostate hyperplasia AbstrakBenigna Prostat Hyperplasia (BPH) adalah pembesaran progresif dari kelenjar prostat yang dapat diatasi dengan tindakan pembedahan. Akibat dari pembedahan dapat menimbulkan nyeri. Pananganan nyeri salah satunya dengan relaksasi benson. Relaksasi Benson merupakan suatu tindakan untuk membebaskan mental dan fisik dari ketegangan dan stress sehingga dapat meningkatkan toleransi terhadap nyeri. Penelitian ini bertujuan untuk menggambarkan pengaruh teknik relaksasi benson terhadap penurunan nyeri post operasi BPH berdasarkan literature review. Desain karya tulis ilmiah berupa literature review dengan jumlah tiga artikel yang diambil dari laman google scholar dengan kata kunci “relaksasi benson, nyeri, post operasi BPH,” berupa artikel fulltex, terbit tahun 2010-2020. Hasil dari tiga artikel menujukkan nilai rata-rata skala nyeri sebelum intervensi 6,24 setelah intervensi 2,07 dengan p-value 0,000. Simpulan Terapi Relaksasi Benson efektif untuk menurunkan nyeri pasien post operasi BPH. Saran kepada perawat diharapkan dapat memberikan Teknik Relaksasi Benson sebagai alternatif untuk menurunkan nyeri pada pasien post operasi BPH.Kata kunci: Relaksasi Benson, Nyeri, Post Operasi BPH.

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