| Title: |
Comparative analysis of laparoscopic retropubic simple prostatectomy combined with provisional clamping of internal iliac arteries, urethrocystoanastomosis and transurethral resection of benign prostatic hyperplasia ; Сравнительный анализ лапароскопической позадилонной аденомэктомии с временным пережатием внутренних подвздошных артерий и наложением уретроцистоанастомоза и трансуретральной резекции предстательной железы при доброкачественной гиперплазии предстательной железы |
| Authors: |
S. N. Volkov; R. K. Mikheev; O. R. Grigoryan; V. I. Tereshchenko; V. S. Stepanchenko; E. N. Andreeva; K. B. Kolontarev; С. Н. Волков; Р. К. Михеев; О. Р. Григорян; В. И. Терещенко; В. С. Степанченко; Е. Н. Андреева; К. Б. Колонтарев |
| Source: |
Andrology and Genital Surgery; Том 24, № 2 (2023); 109-115 ; Андрология и генитальная хирургия; Том 24, № 2 (2023); 109-115 ; 2412-8902 ; 2070-9781 |
| Publisher Information: |
"PH "ABV-Press"", LLC |
| Publication Year: |
2023 |
| Collection: |
Andrology and Genital Surgery (E-Journal) / Андрология и генитальная хирургия |
| Subject Terms: |
хирургия; comparative analysis; urology; surgery; сравнительный анализ; урология |
| Description: |
Aim. To provide comparative analysis of laparoscopic retropubic simple prostatectomy combined with provisional clamping of internal iliac arteries, uretherocystoanastomosis (LRP + CIIA + UCA) and transurethral resection of prostate (TURP) for surgical treatment benign prostatic hyperplasia (BPH).Materials and methods. 103 patients of age ³40 years old with refracted symptoms of urinary tract compression caused by BPH. The period of observation: from 2019 until the May 20, 2022; 48 and 51 patients were primary observed before and 6 months after LRP + CIIA + UCA and TURP. Criteria of inclusion: prostatic volume 60–80 cm3.Pre-operative treatment included such parameters as prostate-specific antigen level. Volume of prostate, volume of residual urine, urodynamic parameters, IPSS (International Prostate Symptom Score) + quality of life (QoL) scale result. Postoperative observation after 6 months included uroflowmetry, residual urine volume, evaluation of lower urinary tract symptoms and their influence on IPSS and QoL scale result. Efficacy of treatment of BPH is a summary of all earlier described parameters.Results. Symptomatic regression in patients who underwent LRP + CIIA + UCA and TURP was found among 15 (93.75 %) and 13 (81.25 %) patients relatively; complications distributed throughout 1, 2 and 3 classes by Clavien-Dindo criteria: after TURP – among 71.4, 22.9 and 5.7 % patients, after LPA + CIIA + UCA – among 35.4, 24.2 and 11.3 %, relatively. After 6 months maximal urine flow improved up to 22.7 ± 2.2 ml/seс, 16.8 ± 1.5 ml/seс, relatively.Conclusion. LRP + CIIA + UCA is effective for urodynamic and life quality improvement like TURP. LRP + CIIA + UCA has shown statistically significant advantages of such parameters as blood loss, bladder neck contractures and urethral strictures. ; Цель исследования – провести сравнительный анализ лапароскопической позадилонной аденомэктомии с временным пережатием внутренних подвздошных артерий и наложением уретроцистоанастомоза (ЛПА + ВПА + УЦА) и трансуретральной резекции ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
Russian |
| Relation: |
https://agx.abvpress.ru/jour/article/view/667/527; Berry S.J., Coffey D.S., Walsh P.C., Ewing L.L. The development of human benign prostatic hyperplasia with age. J Urol 1984;132(3):474–9. DOI:10.1016/s0022-5347(17)49698-4; Taub D.A., Wei J.T. The economics of benign prostatic hyperplasia and lower urinary tract symptoms in the United States. Curr Urol Rep 2006;7(4):272–81. DOI:10.1007/s11934-996-0006-0; Van Exel N.J., Koopmanschap M.A., McDonnell J. et al. Medical consumption and costs during a one-year follow-up of patients with LUTS suggestive of BPH in six european countries: report of the TRIUMPH study. Eur Urol 200;49(1):92–102. DOI:10.1016/j.eururo.2005.09.016; Malaeb B.S., Yu X., McBean A.M., Elliott S.P. National trends in surgical therapy for benign prostatic hyperplasia in the United States (2000–2008). Urology 2012;79(5):1111–6. DOI:10.1016/j.urology.2011.11.084; Gravas S., Cornu J.N., Drake M.J. et al. EAU Guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO). European Association of Urology Guidelines. EAU, 2019. Available at: https://d56bochluxqnz.cloudfront.net/documents/EAU-Guidelines-on-the-Management-of-Non-Neurogenic-Male-LUTS-2019.pdf; Carnevale F.C., Iscaife A., Yoshinaga E.M. et al. Transurethral resection of the prostate (TURP) versus original and PErFecTED prostate artery embolization (PAE) due to benign prostatic hyperplasia (BPH): preliminary results of a single center, prospective, urodynamic-controlled analysis. Cardiovasc Intervent Radiol 2016;39(1):44–52. DOI:10.1007/s00270-015-1202-4; Abt D., Hechelhammer L., Müllhaupt G. et al. Comparison of prostatic artery embolisation (PAE) versus transurethral resection of the prostate (TURP) for benign prostatic hyperplasia: randomised, open label, non-inferiority trial. BMJ 2018;361:k2338. DOI:10.1136/bmj.k2338; Sergi F., Falavolti C., Bove A.M., Buscarini M. Robotic-assisted laparoscopic simple prostatectomy and bladder diverticulectomy with temporary clamping of internal iliac arteries. J Robot Surg 2014;8(1):81–3. DOI:10.1007/s11701-012-0390-z; https://agx.abvpress.ru/jour/article/view/667 |
| DOI: |
10.17650/2070-9781-2023-24-2-109-115 |
| Availability: |
https://agx.abvpress.ru/jour/article/view/667; https://doi.org/10.17650/2070-9781-2023-24-2-109-115 |
| Rights: |
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| Accession Number: |
edsbas.FF48FA07 |
| Database: |
BASE |