Economic aspects of treatment for lower urinary tract symptoms associated with benign prostatic hyperplasia


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Abstract

A review of the literature dedicated to the economic aspects of drug and surgical treatment of lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) is presented in the article. Currently, symptomatic therapy, which usually leads to an increase in the financial costs associated with the complications and surgical treatment, is most commonly used. The pathogenetic treatment of BPH (5-alpha reductase inhibitors), including combination therapy, requires an increase in costs, but it is also considered the most cost-effective approach. Despite the continuous growing of therapeutic armamentarium, the surgical treatment is still relevant and holds an important place. A lot of studies have shown that open procedures are inferior to endoscopic and minimally invasive interventions by both clinical and cost-effective results. At the same time, transurethral interventions on the prostate does not exclude economic losses due to the necessity of expensive laser technologies and the development of complications in the early postoperative period. Thus, currently, the best treatment option should be chosen not only on individual basis, but also depending on economic aspects based on a balanced medical and economic analysis of each treatment method.

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About the authors

V. Yu Startsev

GBOU VO «Saint-Petersburg State Pediatric Medical University»; FGBNU “Institute of Experimental Medicine” of Russian Academy of Science

Email: doc.urolog@gmail.com
MD, associate professor, professor at the Department of Oncology, Pediatric Oncology and Radiation Therapy, Head of the Surgical Department Saint-Petersburg, Russia

V. A Dudarev

FGbOu VO «Chita State Medical University»

Email: dudarevv94@gmail.com
assistant at the Department of Faculty Surgery with the course of Urology Chita, Russia

F. A Sevryukov

Privolzhsky Research Medical University of the Ministry of Health of the Russia; 'Clinical Hospital at Nizhny Novgorod Railway Station of JSC «RZD»

Email: fedorsevrukov@mail.ru
MD, associate professor, professor at the Department of Urology named after E.V. Shakhov, Head of the Department of Urology Nizhny Novgorod, Russia

N. B Zabrodina

FGBOU DPO RMANPO; Central Clinical Hospital of civil aviation

Email: nbzabrodina@gmail.com
MD, professor at the Department of endoscopic urology, Chief of Central Clinical Hospital of civil aviation Moscow, Russia

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