Plasma transurethral enucleation of prostate adenoma measuring 640 cm3

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Abstract

A case report of successful plasma transurethral enucleation of a giant prostate adenoma (640 cm3) is presented. The short term postoperative follow-up showed the absence of functional and organic complications. The comparison was made with the results of surgical treatment of giant prostate adenoma by classical transurethral prostate enucleation methods obtained at “RZD Meditsina” Nizhny Novgorod Urological Clinic in 2015, it revealed a decrease in the intraoperative period by 55 minutes without an increase in intraoperative blood loss and surgical complications. The results obtained demonstrate the prospects for the widespread introduction of plasma methods of transurethral surgery into urological practice.

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About the authors

Ivan V. Zubkov

Kirov State Medical University; Clinical Hospital “Russian Railways-Medicine”

Author for correspondence.
Email: vmeda@ya.com

MD, Cand. Sci. (Medicine)

Russian Federation, Kirov; Kirov

Pavel N. Korotaev

Kirov State Medical University; Clinical Hospital “Russian Railways-Medicine”

Email: pk-kirov@bk.ru

MD, Cand. Sci. (Medicine)

Russian Federation, Kirov; Kirov

Yurii V. Goloviznin

Clinical Hospital “Russian Railways-Medicine”

Email: yura.gol822@gmail.ru
Russian Federation, Kirov

Aleksei A. Ovsyukov

Clinical Hospital “Russian Railways-Medicine”

Email: 03109310kl@bk.ru
Russian Federation, Kirov

Natalya V. Zubkova

Kirov State Medical University; Clinical Hospital “Russian Railways-Medicine”

Email: zubkovanatalia1976@gmail.com
Russian Federation, Kirov; Kirov

Andrei I. Kultygin

Clinical Hospital “Russian Railways-Medicine”

Email: andr93kylt@gmail.com
Russian Federation, Kirov

Vladimir Kh. Biteev

Kirov State Medical University

Email: biteev_vh@mail.ru
SPIN-code: 3479-2351

MD, Cand. Sci. (Medicine), Associate Professor

Russian Federation, Kirov

Aleksandra A. Shevchenko

Kirov State Medical University

Email: ShevchenkoAA@mail.ru

MD, Cand. Sci. (Medicine)

Russian Federation, Kirov

Fedor A. Sevryukov

Privolzhsky Research Medical University

Email: fedor_sevryukov@mail.ru
ORCID iD: 0000-0001-5120-2620
SPIN-code: 5508-5724

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Nizhny Novgorod

References

  1. Sevryukov FA, Malinina OYu, Yelina YuA. Peculiar features of morbidity of the population with disorders of the genitourinary system and diseases of the prostate gland, in particular, in the Russian federation, in the Privolzhsky (Volga) Federal district, and in the Nizhni Novgorod region. Social aspects of population health. 2011;(6):8. EDN: OPGNQF
  2. Shestaev AU, Sivashchenko PP, Kormakov VA, et al. Gender epidemiological features of urolithiasis in the military. Military medical journal. 2014;335(12):45–47. EDN: VUANNR
  3. Apolikhin OI, Sevrukov FA, Sorokin DA, et al. Dynamics and prognosis of the benign prostatic hyperplasia morbidity in Nizhegorodsky region. Experimental and clinical urology. 2013;(3):4–7. EDN: REDDGB
  4. Rusev IT, Karailanov MG, Fedotkina SA, et al. Hospital substituting technologies in military medical organizations. Military medical journal. 2019;340(10):14–21. EDN: JBBVUG
  5. Sevryukov FA, Kamaev IA, Grib MN, et al. Risk factors and quality of life in patients with benign prostatic hyperplasia. I.P. Pavlov Russian medical biological herald. 2011;19(3):48–52. EDN: OYKKID
  6. Rusev IT, Karailanov MG, Fedotkina SA, et al. Assessment of the effectiveness of military medical organizations providing primary health care. Military medical journal. 2018;339(2):4–10. EDN: YWMQAY
  7. Karailanov MG, Rusev IT, Prokin IG, et al. Efficient use of hospital technology in the provision of primary health care. Bulletin of the Russian Military Medical Academy. 2016;(4):152–157. EDN: XHUBRV
  8. Kochkin AD, Gallyamov EA, Popov SV, et al. Laparoscopic ileal ureteral substitution. Results of the first 40 operations. Urologiia. 2018;(5):5–12. EDN: VQRWFE doi: 10.18565/urology.2018.4.5-12
  9. Kamalov AA, Sevrukov FA. Study of the effectiveness of bipolar transurethral resection of medium and small size prostate adenoma. Modern technologies in medicine. 2012;(4):68–72. EDN: PUVLZR (In Russ.)
  10. Kochkin AD, Gallyamov EA, Medvedev VL, et al. Horseshoe kidney tumor laparoscopic surgery. First 19 cases. Urologiia. 2019;(2):36–39. EDN: TBBXCL doi: 10.18565/urology.2019.2.36-39
  11. Kochkin AD, Sevrukov FA, Sorokin DA, et al. Combined laparoscopic surgery on kidney: two in one. Experimental and clinical urology. 2013;(4):82–85. EDN: RVFGHN
  12. Kochkin AD, Gallyamov EA, Medvedev VL, et al. Laparoscopic pyelolithotomy for staghorn kidney stones. А multi-center study. Urologiia. 2017;(3):40–45. doi: 10.18565/urol.2017.3.40–45 EDN: ZAGTTZ
  13. Enikeev DV, Glybochko PV, Alyaev YuG, et al. Holmium laser enucleation of the prostate (HOLEP) for small, large and giant prostatic hyperplasia. Practice guidelines. Experience of more than 450 surgeries. Urologiia. 2016;(4):63–69. EDN: XBKEYH
  14. Alyaev YuG, Glybochko PV, Pushkar DYu, editors. Urology. Russian clinical recommendations. Moscow: GEOTAR-Media., 2016. 496 p. (In Russ.)
  15. Cornu JN, Gacci M, Hashim H, et al. EAU guidelines on non-neurogenic male lower urinary tract symptoms (LUTS). European Association of Urology, 2024. Available from: https://uroweb.org/guidelines/management-of-non-neurogenic-male-luts
  16. Kaplan SA. Re: EAU guidelines on the assessment of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. J Urol. 2016;196(6):1712–1714. doi: 10.1016/j.juro.2016.09.017
  17. Gratzke C, Bachmann A, Deskazeaud A, et al. EAU Guidelines on the assessment of non-neurogenic male lower urinary tract simptoms including benign prostatic obstruction. Eur Urol. 2015;67(6):1099–1109. doi: 10.1016/j.eururo.2014.12.038
  18. Li M, Qiu J, Hou Q, et al. Endoscopic enucleation versus open prostatectomy for treating large benign prostatic hyperplasia: a meta-analysis of randomized controlled trials. PLoS One. 2015;10(3): e0121265. doi: 10.1371/journal.pone.0121265
  19. Geavlete B, Stanescu F, Iacoboaie C, Geavlete P. Bipolar plasma enucleation of the prostate vs open prostatectomy in large benign prostatic hyperplasia cases — a medium term, prospective, randomized comparison. BJU Int. 2013;111(5):793–803. doi: 10.1111/j.1464-410X.2012.11730.x
  20. da Silva RD, Bidikov L, Michaels W, et al. Bipolar energy in the treatment of benign prostatic hyperplasia: a current systematic review of the literature. Can J Urol. 2015;22(S1):30–44.
  21. Rao J-M, Yang J-R, Ren Y-X, et al. Plasmakinetic enucleation of the prostate versus transvesical open prostatectomy for benign prostatic hyperplasia >80 mL: 12-month follow-up results of a randomized clinical trial. Urology. 2013;82(1):176–181. doi: 10.1016/j.urology.2013.02.032
  22. Chen S, Zhu L, Cai J, et al. Plasmakinetic enucleation of the prostate compared with open prostatectomy for prostates larger than 100 grams: a randomized noninferiority controlled trial with long-term results at 6 years. Eur Urol. 2014;66(2):284–291. doi: 10.1016/j.eururo.2014.01.010
  23. Alivizatos G, Skolarikos A, Chalikopoulos D, et al. Transurethral photoselective vaporization versus transvesical open enucleation for prostatic adenomas >80 ml: 12-mo results of a randomized prospective study. Eur Urol. 2008;54(2):427–437. doi: 10.1016/j.eururo.2007.11.044
  24. Kostenkov NY, Al-Shukri SK, Nevirovich ES, et al. Thulium laser enucleation of the prostate in patients with large benign prostate hyperplasia and acute urinary retention. Urology reports (St. Petersburg). 2023;13(2):109–115. EDN: JCLEGS doi: 10.17816/uroved501787
  25. Kostenkov NY, Nevirovich ES, Gorelik SG, et al. Comparative assessment of the intra- and early postoperative period in patients of elderly and old age after various methods of surgical treatment of large benign prostatic hyperplasia. Consilium Medicum. 2022;24(7):447–450. EDN: AYNMLQ doi: 10.26442/20751753.2022.7.201876
  26. Kuzmin IV, Novitsky AV, Nevirovich ES, et al. Peculiarities of treatment of gerontological patients with benign prostate hyperplasia of large sizes in combination with stric asthenia syndrome. Current problems of health care and medical statistics. 2021;(2):97–107. EDN: XCYGGT doi: 10.24412/2312-2935-2021-2-97-107

Supplementary files

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2. Fig. 1. Magnetic resonance image of the huge middle prostate lobe covering almost the whole bladder cavity of: a — side scan; b — direct scan

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3. Fig. 2. The surgery stages: a — the initial stage (the mucosa is dissected in the apical zone circularly from 13 to 23 hours of the conventional dial with a plasma electrode “needle”); b — ongoing surgery (enucleation of the left prostate lobe; the arrow indicates the seminal hillock); c — ongoing surgery (enucleation of the right prostate lobe; the arrow indicates the prostate capsule on the right); d — the final stage of the surgery (the arrow indicates the area of the external urethral sphincter)

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4. Fig. 3. Macropreparation of the removed adenomatous tissue. On the left, the middle lobe, on the right, the lateral lobes

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5. Fig. 4. Cystography on the 3rd day after surgery

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