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Vol 6, No 4 (2016)


The results of 12-year study of the efficacy of Vitaprostin patients with chronic prostatitis

Tkachuk V.N., Tkachuk I.N., Borovets S.Y.


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.
Urology reports (St. - Petersburg). 2016;6(4):5-9
pages 5-9 views

Electrical stimulation of the pelvic floor in the treatment of patients with urinary incontinence after radical prostatectomy

Al-Shukri S.K., Ananiy I.A., Amdiy R.E., Kuzmin I.V.


The efficacy of electrical stimulation of the pelvic floor in the treatment of 32 patients with urinary incontinence after radical prostatectomy was investigated. Treatment was initiated within 6 months after surgery. The amperage was selected for each patient individually, values range from 50 to 110 mA. All patients underwent 10 daily sessions, coordinate the duration was gradually increased from 10 to 30 minutes. Patients with insufficient effect got a second course of electrostimulation in 3 months. The positive effect of the treatment was achieved in 26 (81.25%) patients treated.
Urology reports (St. - Petersburg). 2016;6(4):10-13
pages 10-13 views

The use of laparoscopic nephrectomy in patients with autosomal dominant polycystic kidney disease

Reznik O.N., Ananiev A.N., Nevirovich E.S., Dayneko V.S., Skvortsov A.E., Shiganov M.Y., Kuzmin D.O., Kutenkov A.A.


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.
Urology reports (St. - Petersburg). 2016;6(4):14-20
pages 14-20 views

The infectious factor in the genesis of urinary stone formation

Goloschapov E.T., Chetverikov A.V., Belozerov E.S.


The role of infectious factors in lithogenesis in patients with nephrolithiasis was investigated. The results obtained bacteriological examination of 492 urinary stones by gas chromatography the mass spectrometry and compared with the data of the analysis of the urine of patients in the control group. All patients with nephrolithiasis confirmed the presence of the infectious agent. It is shown that urine nephrolithiasis microbiota in its characteristics significantly differs from that of a healthy person. Thus, specific antimicrobial therapy is an important component of metaphylaxis of nephrolithiasis.
Urology reports (St. - Petersburg). 2016;6(4):21-27
pages 21-27 views

Urinary dysfunction in Parkinson’s disease

Kuzmina S.V., Dobroskok A.M., Kuzmin I.V.


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.
Urology reports (St. - Petersburg). 2016;6(4):28-32
pages 28-32 views

Photodynamic therapy for nonhealing wound of scrotum

Slesarevskaya M.N., Sokolov A.V.


Presented clinical case of the use of photodynamic therapy (PDT) for nonhealing wound of scrotum after surgery by Bergman approach. PDT in the process of healing of purulent nonhealing wound has several advantages over conventional antibiotic therapy of surgical infection. However, this technique PDT still little known wide range of practitioners.
Urology reports (St. - Petersburg). 2016;6(4):33-36
pages 33-36 views

The trauma of the penis (the description of the clinical observations)

Kazarov R.L., Abilov A.A., Bekr H.A., Dubinskiy V.Y.


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
Urology reports (St. - Petersburg). 2016;6(4):37-39
pages 37-39 views

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