Predictors of bladder neck contracture after transurethral procedure on the prostate


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Abstract

The development and widespread implementation of modern endourological procedures for the treatment of benign prostatic hyperplasia (BPH) has led to a significant reduction in postoperative complications, but these interventions are associated to an increase of bladder neck contracture (BNC) rate. Various data on the frequency, pathogenesis, and risk factors for the development of BNC after endourological interventions are presented in the literature review. The prevalence of BNC after transurethral procedures depending on the type of energy used reaches up to 10%. Risk factors of BNC included the presence of chronic prostatitis and urinary tract infections, as well as small volume BPH. The age, cardiovascular diseases, type 2 diabetes, obesity, and a long-term smoking are considered as additional risk factors. A detailed study of the risk factors for BNC will further minimize BNC rate after transurethral procedures, thus improving the quality of life of patients.

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About the authors

Sh. A Abbosov

Lomonosov Moscow State University; Tashkent Medical Academy

Email: shuhrat0770@mail.ru
urologist, PhD student, Department of Urology and Andrology, Faculty of Fundamental Medicine

N. I Sorokin

Lomonosov Moscow State University

Email: nisorokin@mail.ru
Dr.Sc.(Med), professor, Department of Urology and Andrology, Faculty of Fundamental Medicine, leading researcher in the Department of Urology and Andrology, Faculty of Fundamental Medicine

A. V Kadrev

Lomonosov Moscow State University

Email: akadrev@yandex.ru
Ph.D., Head of Ultrasound Diagnostics Department; Researcher, Department of Urology and Andrology, Medical Research and Education Center

A. B Shomarufov

Lomonosov Moscow State University

Email: doctor.shomarufov@gmail.com
urologist, PhD student, Department of Urology and Andrology, Faculty of Fundamental Medicine

O. Yu Nesterova

Lomonosov Moscow State University

Email: oy.nesterova@gmail.com
resident physician at the Department of Urology and Andrology of the Faculty of Fundamental Medicine

F. A Akilov

Tashkent Medical Academy

Email: akilovmd@gmail.com
Dr.Sc.(Med), Professor, Head of the Department of Urology of TMA, consultant at RSSPMCU

A. A Kamalov

Lomonosov Moscow State University

Email: priemnaya@mc.msu.ru
Academician of the Russian Academy of Sciences, Professor, Dr.Sc.(Med), Head of the Department of Urology and Andrology, Faculty of Fundamental Medicine

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