Mitomycin in the complex treatment of strictures of vesicourethral anastomosis after radical prostatectomy


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Abstract

The study involved 189 patients aged 40 to 80 years, which underwent retropubic radical prostatectomy for localized prostate cancer in the period from 2009 to 2013. 26 (13.8%) patients required repeated surgery due to the deterioration of urination. In primary detection or recurrent nature of the cicatrical process in vesico-urethral anastomosis, in places of dissection by urethrotomic knife (or transurethral resection), surgery was complemented by submucosal injection of mitomycin, previously diluted in saline to a concentration of not more than 0.2 mg/ ml. Effectiveness of additional interstitial administration of mitomycin in primary application was 85%. Systemic infusion reactions have not been reported, that allows to consider this method as safe method for prevention of cicatricial complications.

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About the authors

A. V Artemov

First MSMU n.a. I.M. Sechenov Author for contacts: A.V. Artemov

Email: artie@mail.ru
SRI of Uronephrology and Human Reproductive Health

Yu. G Alyaev

First MSMU n.a. I.M. Sechenov Author for contacts: A.V. Artemov

SRI of Uronephrology and Human Reproductive Health

L. M Rapoport

First MSMU n.a. I.M. Sechenov Author for contacts: A.V. Artemov

SRI of Uronephrology and Human Reproductive Health

D. G Tsarichenko

First MSMU n.a. I.M. Sechenov Author for contacts: A.V. Artemov

SRI of Uronephrology and Human Reproductive Health

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