Vol 6, No 4 (2016)

We observed 830 patients with chronic prostatitis who got vitaprost suppositories or tablets in the 2004-2016. We studied immediate and long-term outcomes. It turned out that vitaprost significantly improves blood flow in the prostate and reduces the severity of symptoms and in the long-term reduces the likelihood of exacerbation of chronic prostatitis in next 3-5 years.

The study analyzed the results of treatment of 32 patients with autosomal dominant polycystic kidney disease (PKD). In the period from 2014 to 2016 these patients underwent nephrectomy for clinical indications and in preparation for renal transplantation. The first group (15 patients) performed open surgery using midline laparotomy and lumbotomy (16 operations), of which: bilateral nephrectomy - 11 (68.7%), monolateral nephrectomy - 5 (31.3%). In the second group (17 patients) to perform a monolateral nephrectomy used laparoscopic transabdominal access (24 operations). The average duration of laparoscopic and open surgical interventions were not significantly different and amounted to 146 ± 14 and 134±15 min (p > 0.05). The maximum size of the deleted polycystic-changed kidneys in the first group amounted to 22.5 ± 4.27 cm, in the second of 21.5 ± 3.9 cm (p > 0.05). The frequency of postoperative complications in the first and second groups consisted of 43.75% and 12.5%, respectively. Was observed in 1 (6.25%) case of lethal outcome in the first group. Average postoperative hospital stay in the first group 13-14 (to 13.7 ± 1.3), in the second - 7-8 (7.6 ± 0.4, p < 0.05). Patients after laparoscopic procedures activated in 2-3 days (2.5 ± 0.13) after open procedures on 4-5 (4.13 ± 0.39, p < 0.05). Laparoscopic technology can significantly reduce the frequency of postoperative complications and increase the possibility of the use of nephrectomy in the treatment of patients with PKD. Laparoscopic transabdominal approach is characterized by a more favorable course of the postoperative period after nephrectomy, can reduce the duration of inpatient treatment and to activate patients in the early stages.

Urological dysfunction, primarily in form of bladder overactivity, is highly prevalent amongst individuals with IPD. This may arise from direct effects of the disease, as a result of Parkinson’s treatment or indirectly (for example as a result of impaired mobility). The mainstay of treatment for detrusor overactivity is anticholinergic medication.

We present two clinical cases of penile trauma. In the first case there is an infringement base of the penis which required surgical treatment. In the second case there is stab wound of the head of the penis also require emergency surgery