CLINICAL AND HISTOLOGICAL COMPARISON OF THE RESULTS OF POSTSURGICAL TREATMENT IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA ON THE BASIS OF RETROSPECTIVE ANALYSIS
DOI:
https://doi.org/10.54890/.v3i3.741Abstract
The aim of this article is a retrospective comparative analysis of case histories of the patients operated on an occasion of BPH by the different methods of surgical treatment. Case histories of 187 patients with BPH at the age of 50 and more years (with the conclusion of histological elamination of remote sites of adenoma) were studied. Connection of level of PSA (general) is conducted to the operation depending on age and pathological changes prostate in patients with proposed and reasonable diagnosis of BPH and indications for operation are made.
In 55,6% cases the diagnosis of BPH is set without his divergence after histological research, in 42,2% in combination with prostatitis and in 2,1% there is divergence with prostate cancer.
Keywords:
BPH, surgical treatment, adenomectomy, TURN of prostate, PSA in blood, biopsy.References
1. Oelke M., Bachmann A., Descazeaud A. et al. EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms in-cluding benign prostatic obstruction / M.Oelke, A.Bachmann, A.Descazeaud et al.// Eur. Urol. - 2013. - Vol. 64. - № 1. - P. 118–140.
2. Сергиенко Н.Ф. К вопросу о выборе способа опе-рации при аденоме предстательной железы /Н.Ф. Сергиенко, А.И. Бегаев, А.В.Щекочихин и др. //Военно-медицинский журнал. - 2006.-№7.-С.38-42.
3. Современные аспекты оперативного лечения доброкачественной гиперплазии предстательной железы/А.А.Камалов и др.// Урология. - 2004. - №1.- С.30-34.
4. Comparison of dutasteride and finasteride for treat-ing benign prostatic hyperplasia: the Enlarged Pros-tate International Comparator Study (EPICS) /J.C. Nickel, P. Gilling, T.L. Tammela et al. // BJU Int. - 2011. - Vol. 108. - № 3. - P. 388–394.
5. The impact of self-management of lower urinary tract symptoms on frequency-volume chart measures / Yap, T.L., Brow C., Cromwell, D.A. et al. //BJU Int. - 2009. - Vol. 104. - № 8. - P. 1104–1108.
6. The effects of combination therapy with dutasteride and tamsulosin on clinical outcomes in men with symptomatic benign prostatic hyperplasia: 4-year results from the CombAT Study / C.G. Roehrborn, P. Siami, J. Barkin et al. //Eur. Urol. - 2010. - Vol. 57. - №1. - P. 123–131.