Vol 3, No 2 (2013)

Articles
The experience of 100 robotic assisted operations in da Vinci complex inSt.-Petersburg: resection of kidney,nephrectomy, prostatectomy
Al-Shukri S.H., Mosoyan M.S., Semenov D.Y., Tiktinskiy N.O., Danilin V.N., Mamsurov M.E., Ilin D.M.

Abstract

Introduction. Robot-assisted procedures become popular all over the world. In the current article we share our experience of 100 surgeries, performed for the kidney and prostate cancer. Patients and methods. Operations were performed on da Vinci S system (Intuitive Surgical, USA) and enclosed 31 radical nephrectomies, 22 partial nephrectomies and 49 radical prostatectomies. All procedures were made through transperitoneal approach. Partial nephrectomy was performed under total ischemia and under regional ischemia via clamping renal parenchyma or segmental renal artery. Results. The mean operation time was 105, 133 and 165 minutes and the mean blood loss was 110, 140 and 150 ml for radical nephrectomy, partial nephrectomy and radical prostatectomy respectively. The mean warm ischemia time during partial nephrectomy was 15 minutes. Cancer-specific and overall survival rate was 100% though all the period of observation
Urology reports (St. - Petersburg). 2013;3(2):7-11
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The usage of intravesical laser therapy in chronic cystitis combined treatment
Slesarevskaya M.N., Zharkikh A.V., Sokolov A.V., Kuzmin I.V.

Abstract

The purpose of the research. Evaluating the effectiveness of intravesical laser therapy in the treatment of chronic cystitis. Patient and methods. 76 women with chronic recurrent cystitis were appointed standard antibacterial together with intravesical laser therapy (10 sessions). The parameters of the laser radiation were selected individually depending on the severity of pain syndrome.The duration of laser irradiationwas from 3 to 5 minutes. Results. Urinary frequency and intensity of pain syndrome decreased in 1.8 times and 2.2 times to 3-month and in 2 and 2.4 times to 6 month after the end of treatment, respectively. During the observation the relapses of chronic cystitis developed only at 3 (3,9%) of 76 treated patients. Conclusion. The research results showed the possibility and expediency of inclusion of intravesical laser therapy in complex treatment of patients with chronic recurrent cystitis.
Urology reports (St. - Petersburg). 2013;3(2):12-15
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The experience of robot-assisted and laparoscopic resection of kidney in condition of regional ischemia
Mosoyan M.S., Al-Shukri S.H., Semenov D.Y., Ilin D.M.

Abstract

Introduction. The aim of the study is to share the experience in performing robotic and laparoscopic partial nephrectomy in the conditions of regional ischemia by placing a special surgical clamp on renal parenchyma or by selective clamping of segmental renal artery. We describe the main pros for performing regional ischemia, i. e. lower risk of acute kidney injury in the postoperative period. Matherials and methods. Laparoscopic and robot-assisted partial nephrectomy under regional ischemia was performed in 7 cases aged 35–72. The tumor size varied from 2 to 4 cm. Special surgical clamp was used in 6 cases and segmental renal artery clamping was performed in 1 case. Results. The operative time varied from 120 to 190 minutes, regional ischemia time was 13–30 minutes and blood loss — 30–270 ml. The were neither conversions nor complications. The serum creatinine level did not vary significantly before and after the procedure. Conclusion. Partial nephrectomy under regional ischemia prevents the onset of acute kidney injury. The special surgical clamp makes the surgery easier and reduce the operative time and blood loss.
Urology reports (St. - Petersburg). 2013;3(2):16-19
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The assessment of the lower urinary tract function in women after pelvis organ prolapse operations: objective and subjective criteria
Korshunov M.Y.

Abstract

Analysis of the results of surgical correction of pelvic organs prolapsed of 107 women with symptoms of lower urinary tract and connection between the measure of prolapse of pelvic organs and the nature of these symptoms was conducted. The role of urodynamics research in predicting the dynamics of the clinical manifestations of the women’s lower urinary tracts after surgical correction of pelvic organ prolapse was shown. It is noted that the results of urodynamic researches often do not coincide with subjective complaints of patients. Consequently women’s urodynamic examination of pelvic organ prolapse in conjunction with dysfunction of the lower urinary tract is advantageously carried out in conjunction with the analysis of subjective information receiveddue to filling in thequality life questionnaires by the patients. Such integrated approach allows us better understand the nature of the dysfunctions of the lower urinary tracts and to create appropriate expectations of the patient from the treatment.
Urology reports (St. - Petersburg). 2013;3(2):20-23
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The vesicular seminal secretion diagnostic value at chronic prostatitis in case of experimental research on the small laboratory animals
Al-Shukri S.H., Gorbachev A.G., Knyazkin I.V., Borovets S.Y., Tyurin A.G., Rybalov M.A.

Abstract

The aim of the study: to clarify the diagnostic value of the seminal vesicles mucus in chronic prostatitis using an experiment in small laboratory animals. Material and methods. The research was carried out on 98 not purebred white male rats in two series of experiments (acute and chronic prostatitis — 46 and 52 rats respectively). In both series rats were divided into four groups. In the 1st group there were intact rats (controls). The 2nd group rats received 0,25 ml of dymexide through rectum. The 3rd group rats received 0,25 ml of turpentine same administration. The 4th group rats received 1 ml of the mix of turpentine and dymexide through rectum. The nature and characteristics of macro- and microscopic changes in the prostate in acute and chronic prostatitis were analyzed (in 10 and 35 days from the beginning respectively). Results. In 10 days a clear inflammatory process was seen in the prostates of 3rd and 4th group rats. It was accompanied by acute inflammation of the seminal vesicles, which was confirmed by their increase and seal. The analysis of weight factor indicators of the prostate and seminal vesicles showed its increase in 3rd and 4th groups in comparison with corresponding factors in 1st and 2nd groups. In 35 days from the beginning of the experiment these factors became significantly higher in 3rd and 4th groups comparing with the controls. Histological examination of the prostate and seminal vesicles showed signs of chronic inflammation (in 80 and 57% respectively) in 3rd and 4th group rats. Mucus stretch between the jaws of tweezers increased to a level, which was 5 times higher than normal (controls) in seminal vesicles chronic inflammation. Conclusion. The sign, indirectly indicating the presence of inflammation in the seminal vesicles in this experiment can be regarded as an increase in the size of the seminal vesicles, increased mucus stretch between the jaws of tweezers as well as an increase in weight factor indicators. The basis for this conclusion has served as a direct dependence of the frequency of the above symptoms occurrence with evidence to confirm the presence of inflammation obtained by morphological study.
Urology reports (St. - Petersburg). 2013;3(2):24-30
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The diagnostics of the superficialtransitional cell bladder carcinoma
Al-Shukri S.H., Korneyev I.A.

Abstract

The literature review is devoted to current methods of transitional cell urinary bladder cancer diagnosis and is based on European association of urology guidelines. Perspectives of the future development of diagnostic tests aimed towards higher sensitivity and specificity in early stages of bladder cancer development are shown.
Urology reports (St. - Petersburg). 2013;3(2):31-34
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Endovideokhirurgicheskoe lechenie nefroptoza
Antonov A.V.

Abstract

Лекция посвящена эндовидеохирургическому лечению патологической подвижности почки — нефроптоза. Рассмотрены причины и факторы риска развития нефроптоза, клиническая симптоматика, диагностика, показания к оперативному лечению. Подробно описана техника эндовидеохирургической нефропексии и особенности послеоперационного ведения больных.
Urology reports (St. - Petersburg). 2013;3(2):35-40
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