The history of the background and modification of surgical methods for treatment of benign prostate hyperplasia

2021 ◽  
pp. 61-69
Author(s):  
Mark Albertovich Volodin ◽  
Maya Andreevna Kuzmina ◽  
Daria Dmitrievna Vasina ◽  
Evgeny Nikolaevich Bolgov ◽  
Vladimir Aleksandrovich Perchatkin
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Surgical Techniques ◽  
Prostatic Hyperplasia ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Literary Sources ◽  
Surgical Methods ◽  
History Of ◽  
Methods Of Treatment

The article presented an overview of literary sources, which include a description of various surgical techniques for the treatment of benign prostatic hyperplasia in different historical periods. The assessment of the disadvantages and advantages of various surgical methods for the treatment of benign prostatic hyperplasia has been made. Modification and improvement of surgical interventions, changes in methods and approaches to surgical treatment of benign prostatic hyperplasia made the surgeon’s work more accessible and of high quality. The development of surgical methods of treatment has made it possible to increase the efficiency of surgical interventions, which, in turn, has a positive effect on the quality of life of urological patients.

scholarly journals Historical and modern methods of treatment of patients with bladder stones with benign prostatic hyperplasia

2021 ◽  
Vol 22 (2) ◽  
pp. 13-23
Author(s):  
T. Kh. Nazarov ◽  
I. V. Rychkov ◽  
V. A. Nikolaev ◽  
A. I. Tursunov ◽  
U. V. Abulboqiev
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Historical Data ◽  
Prostatic Hyperplasia ◽  
Review Of Literature ◽  
Social Significance ◽  
Working Age ◽  
History Of ◽  
Prostate Adenoma ◽  
Methods Of Treatment

In this review of literature the authors provide information on the history of the development of treatment of patients with cystolithiasis with benign prostatic hyperplasia (prostate adenoma), as well as basic information regarding the most common and effective methods of treating this nosology. Cystolithiasis is one of the forms of manifestation of urolithiasis, characterized by the presence of stones in the bladder. Almost 70 % of this pathology occurs in patients with benign prostatic hyperplasia. Medical, economic and social significance is that the majority of patients from this group are of active, working age. Historical data show that this pathology has always been a serious problem requiring surgical intervention and often leading to the patient's disability. In turn, this pathology gave a serious impetus to the development of surgery and urology in particular. Only in the twentieth century it was possible to achieve a significant result in the treatment of this disease due to the improvement in the quality of nutrition, the beginning of the use of antibacterial therapy and the development of endourology.

The first experience of bipolar transurethral operations in surgery of benign prostatic hyperplasia

2018 ◽  
pp. 10-20
Author(s):  
Н.А. Глотов ◽  
Н.Е. Соколов ◽  
Ю.Б. Смоляков
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostatic Hyperplasia ◽  
Medium Term ◽  
Significance Level ◽  
The Road ◽  
Surgical Methods ◽  
The Comparative Study ◽  
Endoscopic Methods ◽  
Qualitative Characteristics

Представлены результаты внедрения в хирургическую практику урологического отделения Дорожной клинической больницы г. Ярославль биполярной техники трансуретральной резекции (БТУР) и энуклеации простаты (ТУЭБ) для лечения доброкачественной гиперплазии предстательной железы (ДГПЖ) средних и больших размеров. В сравнительное исследование включено 164 пациента, разделенных по методам операции на 2 основные группы (ТУЭБ - 33 человека, БТУР - 49) и 2 контрольные (открытая простатэктомия - ОПЭ - 38 и монополярная ТУР - 44). Для новых эндоскопических методов установлено значимое снижение объема кровопотери, частоты геморрагических осложнений, сроков послеоперационной катетеризации и госпитализации. Для количественной оценки различий средних и относительных показателей использо-вали непараметрический критерий Манна-Уитни, оценка качественных признаков проводилась с применением критерия Пирсона (χ2), уровень значимости различий для исследования выбран р ≤ 0,05. Анализ послеоперационной динамики клинических показателей в среднесрочной перспективе показал сходную радикальность и эффектив-ность сравниваемых методов. Установленные меньшая инвазивность, большая безопасность и лучшая переносимость биполярных эндоскопических операций демонстрируют перспективность их внедрения взамен бывших стандартных хирургических методов, что позволит повысить качество оперативного лечения и сократить затраты стационара. The results of the introduction into surgical practice of the urological Department of the road clinical hospital of Yaroslavl bipolar technique of transurethral resection (BTTR) and enucleation of the prostate (EOTP) for the treatment of benign prostatic hyperplasia (BPH) of medium and large sizes are presented. The comparative study included 164 patients, divided by the methods of surgery into 2 main groups (EOTP - 33 people, BTTR - 49) and 2 control (open prostatectomy - OPE - 38 and monopolar TTR - 44). For new endoscopic methods, a significant reduction in the volume of blood loss, the frequency of hemorrhagic complications, the timing of postoperative catheterization and hospitalization was established. Nonparametric Mann-Whitney test was used to quantify the differences in mean and relative indicators, qualitative characteristics were evaluated using Pearson test (χ2), the significance level of the differences for the study was chosen p ≤ 0.05. Analysis of postoperative dynamics of clinical parameters in the medium term showed similar radicality and effectiveness of the compared methods. The lower invasiveness, greater safety and better tolerability of bipolar endoscopic operations demonstrate the prospects of their implementation instead of the former standard surgical methods, which will improve the quality of surgical treatment and reduce the costs of the hospital.

scholarly journals Prostatic Artery Embolization for Benign Prostatic Hyperplasia Treatment: A Russian Multicenter Study in More Than 1,000 Treated Patients

2020 ◽  
Vol 14 (3) ◽  
pp. 155798832092391
Author(s):  
Armais Kamalov ◽  
Sergei Kapranov ◽  
Alexander Neymark ◽  
Dmitry Kurbatov ◽  
Boris Neymark ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostate Gland ◽  
Prostatic Hyperplasia ◽  
Urethral Strictures ◽  
Minimally Invasive Surgical ◽  
Surgical Methods ◽  
Superselective Embolization ◽  
Postembolization Syndrome ◽  
Observation Period

Benign prostatic hyperplasia (BPH) is one of the most common diseases of the genitourinary system. The prevalence of BPH increases in men with advancing age. While transurethral resection of the prostate gland entails complications such as retrograde ejaculation, urinary incontinence, hematuria, urethral strictures, bladder neck sclerosis, and other adverse events, it is necessary to apply minimally invasive surgical methods such as superselective embolization of the prostatic arteries (PAE), particularly Proximal Embolization First Then Distal Embolization (PErFecTED). The data from 1,015 BPH patients who underwent endovascular surgery demonstrate the benefits of PErFecTED treatment during 24 months after surgery. Both Quality of Life score and International Prostate Symptom Score were around three times better in the PErFecTED group and remained stable during the entire observation period. However, the technique needs to be improved due to the high risk of postembolization syndrome.

LASER TECHNOLOGIES IN SURGERY BENEFICIAL PROSTATE HYPERPLASIA

2021 ◽  
pp. 144-153
Author(s):  
Rakhimov S.A. ◽  
Feofilov I.V. ◽  
Arbuzov I.A.
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Prostate Gland ◽  
Prostatic Hyperplasia ◽  
Prostate Hyperplasia ◽  
Advantages And Disadvantages ◽  
Laser Technologies ◽  
Surgical Methods ◽  
Laser Systems

Benign prostatic hyperplasia is one of the most common diseases in urological practice. The classical method of surgical treatment of benign prostatic hyperplasia is transurethral resection of the prostate gland. However, this operation is accompanied by a fairly large number of postoperative complications and is not recommended for patients with a large prostate volume, with a high cardiovascular risk, and receiving anticoagulant therapy. In recent years, the medical community has been paying close attention to laser technologies. The article provides an overview of the literature on laser methods for the treatment of benign prostatic hyperplasia. Modern laser systems are considered: holmium, thulium, diode, «green» lasers. The advantages and disadvantages of each technique are described. The results of studies of the efficacy and safety of laser surgical methods for the treatment of benign prostatic hyperplasia and their influence on the indicators of urodynamics, symptoms of the disease, and the quality of life of patients are presented. Based on the analysis of scientific literature sources, it was concluded that laser methods of surgical treatment of benign prostatic hyperplasia are clinically effective and safe. Compared with transurethral resection of the prostate, laser technologies can shorten the period of hospitalization and catheterization of patients, have a low number of complications, provide good hemostasis, and can be used regardless of the volume of the gland in patients with concomitant diseases who are taking anticoagulants. Laser methods of surgical treatment of benign prostatic hyperplasia are currently a full-fledged worthy alternative to transurethral resection of the prostate gland. Among the disadvantages of using laser systems are the duration of the operation and the need to train specialists in the technique of surgical intervention.

scholarly journals Surgical treatment of benign prostatic hyperplasia: the past and the present

2019 ◽  
Vol 9 (1) ◽  
pp. 47-56
Author(s):  
Ali T. Mustafaev ◽  
Pavel S. Kyzlasov ◽  
Maksim P. Dianov ◽  
Aleksej G. Martov ◽  
Dmitrij V. Ergakov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Minimally Invasive ◽  
Prostatic Hyperplasia ◽  
Surgical Interventions ◽  
The Past ◽  
Minimally Invasive Surgical ◽  
History Of

The article reflects the history of treatment of benign prostatic hyperplasia from the age of antiquity to the present day. Approaches to surgical treatment have undergone significant changes in the last century – from traumatic open operations to minimally invasive surgical interventions using innovative endoscopic technologies. However, some issues in the treatment of benign prostatic hyperplasia remain unresolved which leads to the search for new, safer and more effective methods of surgical treatment of the disease.

scholarly journals Actual aspects of the use of thulium laser as a promising method in the treatment of prostatic hyperplasia

2021 ◽  
pp. 579-584
Author(s):  
Arseniy A. Shiryaev ◽  
◽  
Alexander V. Govorov ◽  
Aleksandr O. Vasilyev ◽  
Aleksandr O. Vasilyev ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Recovery Period ◽  
Massive Bleeding ◽  
Prostatic Hyperplasia ◽  
The Body ◽  
Urinary Flow ◽  
Male Population ◽  
Surgical Interventions ◽  
Minimally Invasive Surgical ◽  
Surgical Methods

Lower urinary tract symptoms caused by benign prostatic hyperplasia are the most widespread and frequent urological problem among men, affecting about a third of the male population of Russia over 50 years of age. Surgical intervention is the most effective method of treating benign prostatic hyperplasia, and about 75,000 surgical interventions are performed annually in Russia. Today, of all available surgical treatments, monopolar transurethral resection of the prostate (TURP), in which enlarged prostate tissue is resected with a monopolar electrode, has been the preferred surgical method since the 1970s. This method of therapy can significantly improve the maximum urinary flow rate (Qmax), reduce obstructive symptoms assessed on the basis of the international questionnaire on the severity (IPSS) and improve the quality of life of patients. However, monopolar TURP is a rather risky procedure due to the possibility of developing serious complications such as massive bleeding or TURP syndrome (water intoxication syndrome of the body). Consequently, practicing urologists all over the world are faced with the urgent task of developing minimally invasive surgical methods of treatment, the results of which would be at least similar to those after monopolar TURP, while with fewer intra- and postoperative complications, side effects and a shorter recovery period for the patient.

scholarly journals Modern views on endometriosis surgery. Literature review

2021 ◽  
pp. 45-52
Author(s):  
M.M. Chernyak ◽  
О.О. Korchynska
Keyword(s):  
Reproductive Potential ◽  
Uterine Cavity ◽  
Optimal Strategies ◽  
Previous Treatment ◽  
Surgical Interventions ◽  
Surgical Methods ◽  
Peritoneal Endometriosis ◽  
Endometriosis Surgery ◽  
Methods Of Treatment

Endometriosis is a disease associated with the presence of tissue morphologically similar to the endometrium outside the uterine cavity and it is an important medical and social problem. Statistical analysis of the endometriosis prevalence is complicated by polymorphism of manifestations a gradual increase of symptoms and a long period of time from the first symptoms to diagnosis. Manifestations of endometriosis are chronic pain, algodismenorea, dyspareunia, decreased fertility. All these manifestations worsen the quality of life and do not allow a woman to realize her reproductive potential. The most common forms of endometriosis are superficial peritoneal endometriosis, endometrioid ovarian cysts and deep infiltrative endometriosis. Treatment tactics depends on the form and stage of disease, woman's age, presence or absence of reproductive plans, previous treatment. It is possible to use both medical and surgical methods of treatment. Surgical methods can be organ-preserving and radical. The optimal surgical approach should weigh the risks of the surgery itself and the likelihood of recurrence in the radicalism absence. Modern techniques of surgical intervention are considered as one of the main methods of endometriosis treatment. Severe forms of endometriosis are a serious challenge for the surgical team, as chronic inflammation and adhesions alter the normal pelvis anatomy. Such operations often require the involvement of surgeons, urologists and other specialists, and the decision about final operation scope is made during the operation. Endometriosis surgery aims at the maximum possible in each case, the removal of pathological foci, which leads to relief of pain and increase the likelihood of reproductive plans. This article describes the rational scope of surgical interventions and optimal strategies for the management of patients with various forms of endometriosis. The data of international researches of efficiency of various methods of surgical interventions, influence of degree of radicalism on a disease course, probability of recurrence and quality of patient’s life are resulted.

Use of laser technologies in surgical treatment of benign prostate hyperplasia

2021 ◽  
pp. 36-45
Author(s):  
Mark Albertovich Volodin ◽  
Evgeny Nikolaevich Bolgov ◽  
Maya A. Kuzmina ◽  
Darya Dmitrievna Vasina
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Prostatic Hyperplasia ◽  
Surgical Instruments ◽  
Prostate Hyperplasia ◽  
Minimum Diameter ◽  
Surgical Interventions ◽  
Laser Technologies ◽  
Laser Devices ◽  
Benign Prostate

The use of laser technology in the surgical treatment of patients with benign prostatic hyperplasia has recently become widespread and introduced into practice. This area of surgery uses a large range of laser modifications and methods of their application when performing surgical interventions on the prostate. The article discusses laser devices for minimally invasive operations on patients with benign prostatic hyperplasia in comparison with traditional methods of BPH surgical treatment. The advantages of using laser technologies include the reduction of the time of surgical intervention, the decrease in the number of traumatic complications and bleeding, the absence of the damaging effect of the shock wave, the possibility of using it with surgical instruments of the minimum diameter, and the possibility of using it with flexible surgical instruments.

scholarly journals A Clinical case study on Dhanyak Gokshur Ghrita Yavakshar Uttar basti in the management of Mutraghata w.s.r. to Benign Prostatic Hyperplasia

2021 ◽  
Vol 12 (2) ◽  
pp. 427-430
Author(s):  
Shailesh Jaiswal ◽  
Hemant Toshikhane ◽  
Mukund Dhule ◽  
Parappagoudra M
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Operative Procedure ◽  
Cost Effective ◽  
Operative Management ◽  
Prostatic Hyperplasia ◽  
Prostate Hyperplasia ◽  
Clinical Case Study ◽  
Reductase Inhibitors

Benign Prostatic Hyperplasia is a common senile disease. The present modern conservative management includes use of alpha blockers and 5 alpha reductase inhibitors. In operative management various type of operative procedure may be done, out of which most commonly done now-a-days is TURP. However, both of these modalities cause various side effects. Through Ayurveda we can find solution for this burning problem of society. In Ayurved Samhitas, symptoms of Benign Prostate Hyperplasia described under Mutraghata disease. There are 12 types of Mutraghata; one of them is Vatashthila, which can be correlated with Benign Prostatic Hyperplasia disease. The general treatment of Mutraghata includes Uttar basti . Though Uttar basti is a traditionally used therapy, its efficacy with Dhanyak Gokshur Ghrita Yavakshar is not yet evaluated in the management of BPH. Uttar basti is cost effective and it may avoid surgery which ultimately results in increased quality of life of patients. So, in present clinical study, efficacy of Dhanyak Gokshur Ghrita Yavakshar  Uttar basti in Vatashthila with special reference to Benign Prostatic Hyperplasia is evaluated.

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