Plasma transurethral enucleation of prostate adenoma measuring 640 cm3

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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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作者简介

Ivan Zubkov

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

编辑信件的主要联系方式.
Email: vmeda@ya.com

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Kirov; Kirov

Pavel Korotaev

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

Email: pk-kirov@bk.ru

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Kirov; Kirov

Yurii Goloviznin

Clinical Hospital “Russian Railways-Medicine”

Email: yura.gol822@gmail.ru
俄罗斯联邦, Kirov

Aleksei Ovsyukov

Clinical Hospital “Russian Railways-Medicine”

Email: 03109310kl@bk.ru
俄罗斯联邦, Kirov

Natalya Zubkova

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

Email: zubkovanatalia1976@gmail.com
俄罗斯联邦, Kirov; Kirov

Andrei Kultygin

Clinical Hospital “Russian Railways-Medicine”

Email: andr93kylt@gmail.com
俄罗斯联邦, Kirov

Vladimir Biteev

Kirov State Medical University

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

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

俄罗斯联邦, Kirov

Aleksandra Shevchenko

Kirov State Medical University

Email: ShevchenkoAA@mail.ru

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Kirov

Fedor Sevryukov

Privolzhsky Research Medical University

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

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Nizhny Novgorod

参考

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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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