EXPERIENCE OF PERFORMING THE EXTRAURETHRAL TRANSVESICAL ADENOMECTOMY IN PATIENTS WITH BPH
- Authors: Vasilchenko M.I1, Shershnev S.P1, Zelenin D.A1, Zagarova V.I1, Proletarsky A.V1
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Affiliations:
- Issue: No 6 (2012)
- Pages: 84-87
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/279646
- ID: 279646
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Abstract
Despite the development of endourology, issues of open surgical treatment of prostate adenoma remain relevant. It is not always possible to perform transurethral electro-resection of prostate or other minimally invasive surgery. Urologists performing the transvesical adenomectomy still often face serious complications in both early and late in the postoperative period. This article presents a 15-year experience of performing the extraurethral transvesical adenomectomy according to N.F. Sergienko procedure in 308 patients with BPH. Assessment of functional results was performed using uroflowmetry and IPSS score. The effectiveness of extraurethral transvesical adenomectomy (EUTA) was statistically confirmed. The use of EUTA technique allows minimizing intraoperative injury, maintaining the integrity of the front semicircumference and lateral sides of the vesico-urethral segment, which provides early rehabilitation of damaged tissues and contributes to a significant reduction in the number of early and late postoperative complications.
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About the authors
M. I Vasilchenko
S. P Shershnev
D. A Zelenin
Email: d_zelenin@inbox.ru
V. I Zagarova
A. V Proletarsky
References
- Tammela T. Benign prostatic hyperplasia. Practical treatment guidelines: Drugs-Aging 1997; 10 (5): 349-366.
- McConnell J.D., Barry M.J., Bruskewitz R.C. Benign prostatic hyperplasia: diagnosis and treatment. Agency for Health Care Policy and Research: Clin. Pract. Guidel. Quick. Ref. Guide Clin. 1994; (8): 1-17.
- Berry S.J. et al. J. Urol. 1984;474-479.
- Liu G.F. et al. In: Chatelain (ed). BPH International Consultation. Health Publication Ltd, 2001: 19-57.
- Ali M.N. The outcome of transurethral resection of prostate. J. Coll. Physician Surg. Pak. Dec. 2001;11(12):743-746.
- Ahmad M. Retropubic prostatectomy for benign prostatic hyperplasia. An analysis of 140 cases. J. Coll. Physicians Surg. Pak. 2001; 11 (6): 389.
- Ioannis V. et al. Long-term results of open transvesical prostatectomy from a contemporary series of patients. J. Urol. 2004; 64 (2): 306-310.
- Сергиенко Н.Ф. Чреспузырная экстрауретральная аденомэктомия. Урол. и нефрол. 1979;2:30-34.
- Сергиенко Н.Ф., Васильченко М.И., Бегаев А.И. и др. Отличительные особенности чреспузырной экстрауретральной аденомэктомии от трансуретральной резекции простаты при аденоме. Урология. 2010;5:29-35.
- Сергиенко Н.Ф. Экстрауретральная аденомэктомия. Иллюстрированное руководство. М.: Практическая медицина; 2010.
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