Minimally invasive surgical treatment of large-sized benign prostatic hyperplasia in gerontological patients with severe concomitant pathology

Volkov A.A.

State Budget Institution «Hospital of War Veterans» Rostov region;
Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow

Budnik N.V.

State Budget Institution «Hospital of War Veterans» Rostov region

Petrichko M.I.

State Budget Institution «Hospital of War Veterans» Rostov region

Zuban’ O.N.

Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow

Mustapayev I.D.

State Budget Institution «Hospital of War Veterans» Rostov region

Minimally invasive surgical treatment of large-sized benign prostatic hyperplasia in gerontological patients with severe concomitant pathology

Authors:

Volkov A.A., Budnik N.V., Petrichko M.I., Zuban’ O.N., Mustapayev I.D.

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Journal: Endoscopic Surgery. 2021;27(1): 18‑24

DOI: 10.17116/endoskop20212701118

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To cite this article:

Volkov AA, Budnik NV, Petrichko MI, Zuban’ ON, Mustapayev ID. Minimally invasive surgical treatment of large-sized benign prostatic hyperplasia in gerontological patients with severe concomitant pathology. Endoscopic Surgery. 2021;27(1):18‑24. (In Russ.)
https://doi.org/10.17116/endoskop20212701118

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OBJECTIVE

Analysis of own experience of surgical treatment of patients with benign prostatic hyperplasia (BPH) of large size and old age or with severe concomitant pathology in whom conservative therapy was ineffective, obstructive type of urination or cystostomy persisted and surgical treatment in the proper volume was impossible because of the aggravated somatic condition.

MATERIALS AND METHODS

59 patients with BPH underwent surgery in the volume of bipolar minimally invasive transurethral resection of the prostate with low-dose spinal anesthesia on the background of long-term dutasteride therapy.

RESULT

The average duration of the surgery was 9 minutes, the lavage system was used 14.0+1.5 hours, the volume of removed tissue was 6—12 grams, the urethral catheter was removed within 24 hours in most of patients. The number of complications according to the classification of surgical complications by Clavien—Dindo in the early postoperative period was 24.8% and was mainly represented by complications of I and II degrees.

CONCLUSION

This method of combined treatment of BPH made it possible to improve the quality of life of patients, restore natural urination, significantly reducing the risks of surgery.

Keywords:

bipolar transurethral resection of the prostate

BPH

dutasteride

Authors:

Volkov A.A.

State Budget Institution «Hospital of War Veterans» Rostov region;
Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow

Budnik N.V.

State Budget Institution «Hospital of War Veterans» Rostov region

Petrichko M.I.

State Budget Institution «Hospital of War Veterans» Rostov region

Zuban’ O.N.

Moscow City Scientific and Practical Center for Tuberculosis Control of the Department of Health of Moscow

Mustapayev I.D.

State Budget Institution «Hospital of War Veterans» Rostov region

Received:

27.02.2020

Accepted:

06.10.2020

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