RISK FACTORS FOR COMPLICATIONS AFTER OPEN ADENOMECTOMY IN BENIGN PROSTATIC HYPERPLASIA IN A PATIENT WITH DIABETES MELLITUS

Vestnik ◽  
2021 ◽  
pp. 166-169
Author(s):  
Е.Б. Толегенов ◽  
Е.М. Коныров ◽  
Ж.К. Даулетбаев ◽  
Р.С. Байрамов ◽  
М.Ж. Ташкеева ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Gold Standard ◽  
European Association ◽  
Lower Urinary Tract ◽  
Conservative Therapy ◽  
Treatment Method ◽  
Prostatic Hyperplasia ◽  
Urinary Tract Symptoms ◽  
New Treatment ◽  
Lower Urinary

Наиболее часто пациенты с наличием симптомов нижних мочевых путей тяжелой степени (по шкале IPSS), которые резистентные к консервативной терапии, а также пациенты с наличием аденомы размерами 80 см3 и более, являются кандидатами на оперативное лечение.[1] Долгие годы трансуретральная резекция гиперплазии предстательной железы является «золотым стандартом» оперативного лечения (с точки зрения эффективности), однако возникновение осложнений стимулировали исследователей к разработке новых методов лечения.[2] Открытая аденомэктомия (чаще всего чрезпузырная), рекомендованная Европейской Ассоциацией Урологов как эффективный метод лечения пациентов с объемом железы >80 см3, характеризуется длительным пребыванием в стационаре и серьезными осложнениями, такими как кровотечение из послеоперационной раны, инфекция, образование рубцов в мочевыводящих каналах, временное недержание мочи, стриктура уретры[3]. Most often, patients with severe lower urinary tract symptoms (according to the IPSS scale) who are resistant to conservative therapy, as well as patients with adenomas of 80 cm3 or more, are candidates for surgical treatment.[1] For many years, transurethral resection of prostatic hyperplasia has been the "gold standard" of surgical treatment (in terms of effectiveness), but the occurrence of complications has stimulated researchers to develop new treatment methods.[2] Open adenomectomy (most often percutaneous), recommended by the European Association of Urologists as an effective treatment method for patients with a gland volume >80 cm3, it is characterized by a long hospital stay and serious complications, such as bleeding from a postoperative wound, infection, scarring in the urinary channels, temporary urinary incontinence, urethral stricture.

scholarly journals Novel Surgical Treatments for Benign Prostatic Hyperplasia

2019 ◽  
Vol 2 (1) ◽  
pp. e17-e23
Author(s):  
Blessing Dhliwayo ◽  
Saheel Mukhtar
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Gold Standard ◽  
Lower Urinary Tract ◽  
Minimal Invasive ◽  
Prostatic Hyperplasia ◽  
Treatment Modalities ◽  
Elderly Men ◽  
Urinary Tract Symptoms ◽  
Surgical Treatments ◽  
Lower Urinary

Transurethral resection of the prostate (TURP) has been the gold standard for the treatment of elderly men with lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH). However, over the last few years, advances in surgical treatment have led to the development of other treatment modalities. These innovations include convective WAter Vapor Energy (WAVE; Rezum System), prostatic urethral lift (PUL; UroLift System), Prostate Artery Embolisation (PAE) and Aquablation (AQUABEAM System). This review provides an update on these current minimal invasive surgical treatments. The evidence of their safety, tolerability and efficacy in clinical practice is reviewed.

Experience in the Treatment of Patients with Sexual Disorders and Lower Urinary Tract Symptoms After Surgical Treatment of Benign Prostatic Hyperplasia

2016 ◽  
pp. 55-63
Author(s):  
Yurii Gurzhenko ◽  
Mykola Kvach
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Reference Group ◽  
Prostatic Hyperplasia ◽  
Sexual Disorders ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

The aim of the research: the choice of treatment for patients with sexual disorders (SD) and lower urinary tract symptoms (LUTS) after surgical treatment of benign prostatic hyperplasia (BPH). Materials and methods. There were examined 270 patients, who were divided into two groups: 75 patients with BPH stage I1II who received medical therapy and 160 after surgical treatment (85 and 75 patients undergoing TUPR and the different types of prostatectomy, respectively). The period between surgery and inclusion in the study was 1-2 months. In addition, the study included 35 healthy men who made up the reference group. All patients received basic therapy according to the standards of the European Association of urology, guidelines regarding healthy lifestyle, avoiding harmful habits, diet and physical therapy methods. In addition, patients received therapy with inhibitors of phosphodiesterase of 5-th type, tailor-made preparations and metabolic stimulation therapy, drugs to improve blood flow of blood to the cavernous bodies, or tools that reduce the outflow of venous blood from them. Results. Treatment results were assessed by the dynamics of changes in LUTS, objective information about the functional status after 3, 6 and 12 months. Dynamics of indicators of SD, psycho1emotional status was assessed at 1, 3, 6 and 12 months. Conclusion. Established the identity of the nature of the assessment of men from both groups’ satisfaction with the treatment was a linear relationship between time and criteria such as overall satisfaction with desire to continue it, with confidence and pleasure, sexual opportunities, quality of erections.

scholarly journals Assessment of copulative function and severity of lower urinary tract symptoms in patients with benign prostatic hyperplasia after transurethral enucleation

2021 ◽  
Vol 11 (2) ◽  
pp. 123-132
Author(s):  
Pavel S. Vydrin ◽  
Svetlana N. Kalinina ◽  
Oleg O. Burlaka ◽  
Michail S. Aleksandrov
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Prostatic Hyperplasia ◽  
Retrograde Ejaculation ◽  
Urinary Tract Symptoms ◽  
Group 1 ◽  
Lower Urinary

AIM: was to conduct a comparative assessment of copulative function and the severity of lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH) who underwent laser and bipolar transurethral enucleation of the prostate and who treated conservatively. MATERIALS AND METHODS: 143 BPH patients aged 50 to 80 years (mean age 65 years) with complaints of copulatory and urinary disorders were under observation. All patients were divided into two groups. The 1st (main) group included 102 patients who underwent surgical treatment: transurethral laser enucleation of the prostate (n = 55) and transurethral bipolar enucleation of the prostate (n = 47). Patients of the 2nd group (n = 41) received conservative treatment. Control examinations were performed before treatment, 4, 12 and 24 weeks after it. RESULTS: All 102 patients of group 1, regardless of the type of surgery, noted retrograde ejaculation four weeks after surgery. In the majority of patients of the 1st group during these periods weakening of orgasm was noted, in a significant number deterioration of erection and decreased libido were noted. Upon further observation, by the 12th week after the operation, restoration of all components of the copulatory function was noted, with the exception of ejaculation. By the 24th week of observation, only in 2 patients of the 1st group the normal mechanism of ejaculation was restored. Surgical treatment of patients in group 1, regardless of the method of surgery, led to a significant decrease in the severity of LUTS, an increase in the maximum urine flow rate, a decrease in the volume of the prostate gland and the amount of residual urine. There were no significant differences in the dynamics of these indicators depending on the method of transurethral enucleation. The patients of the 2nd group also had an improvement in clinical parameters, but it was much less pronounced than in the 1st group. CONCLUSION: Laser and bipolar transurethral enucleation of the prostate are effective surgical techniques that significantly improve the outflow of urine from the bladder, reduce the severity of LUTS and improve the sexual function of patients. Surgery is well tolerated by patients. At the same time, almost all patients operated on by these methods develop retrograde ejaculation.

scholarly journals Recent advances in prostatectomy for benign prostatic hyperplasia

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1528 ◽  
Author(s):  
Alexis E. Te
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Prostatic Hyperplasia ◽  
Current Technology ◽  
Urinary Tract Symptoms ◽  
Available Technology ◽  
Lower Urinary

This review provides a brief overview of and commentary on currently available technology for the surgical treatment of obstructive benign prostatic hyperplasia causing lower urinary tract symptoms. This review provides references relevant to review and understand current technology that is clinically available.

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