Prostatectomy

Chisholm, G. D.

doi:10.1007/978-1-4612-5476-8_6

Cited by 6 publications

(3 citation statements)

References 27 publications

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“…История разработки активной (хирургической) тактики лечения ДГПЖ насчитывает около двух столетий, с тех пор, как в 1827 г., французский хирург Jean Zuléma Amussat (Амюсса) впервые провел частичную промежностную аденомэктомию [6]. Благодаря эволюции изобретений и методов доказательной медицины, в распоряжении клиницистов находится огромный компендиум данных о сравнительных характеристиках методик лечения ДГПЖ.…”

Section: Discussionunclassified

“…Ключевым историческим моментом стало изобретение ирландским хирургом Terence Millin (1903Millin ( -1980 безопасного позадилонного доступа, позволявшего сохранять целостность дорзального венозного комплекса, сосудисто-нервных пучков и детрузора мочевого пузыря [5]. Первоначальный предложенный вариант исполнения данного оперативного пособия претерпел ряд модификаций [6]. В свете непрестанной борьбы за достижение устойчивого положительного результата лечения особо актуален вопрос о соотношении «риск-польза» при выполнении лапароскопической позадилонной аденомэктомии.…”

Section: Introductionunclassified

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Arterial-mediated modifications of surgical treatment for benign prostatic hyperplasia.

Volkov,

Tereshchenko,

Stepanchenko

et al. 2023

ECU

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Introduction. Benign prostatic hyperplasia (BPH) still stays one of the most common diseases in the male population. Aim of research. To compare efficacy of 3 surgical treatments (laparoscopic retropubic simple prostatectomy combined with provisional clamping of internal iliac arteries and urethrocystoanastomosis [LRP+CIIA+UCA], open [ОAE] and laparoscopic [LAE] Millins’s simple prostatectomy) of benign prostatic hyperplasia (BPH). Materials and methods. 48 patients who underwent surgical treatment of benign prostatic hyperplasia in theNational Research Centre of Endocrinology of the Russian Ministry of Health have been observed during period since 2021 until 2022; 16 patients have been underwent LRP+CIIA+UCA, 16 – ОAE, 16 – LAE. Pre-operative observation included such parameters as body mass index, PSA level, prostatic volume, IPSS score, quality of life (QoL) score, maximal urinary flow rate (Qmax), volume of residual urine, erectile function score (IIEF-5). Operation longevity, catheterization and hospitalization period time, complications rate (Clavien-Dindo I, II, III degree) and blood loss have been evaluated during operative and early postoperative period. Efficacy of surgical treatment of BPH has been found as summary of all included parameters. Results. Despite relatively long period of operation, providing of LRP+CIIA+UCA managed to decrease blood loss (p<0,046), catheterization (p=0,001) and hospitalization (p=0,001) period, complications rate (Clavien-Dindo I, II, III degree). LRP+CIIA+UCA triggers to more expressed symptomatic regression (LRP+CIIA+UCA=15 [93,75%]; ОAE=13[81,25%]; LAE=11[68,75%], p=0,001) and clinical remission (LRP+CIIA+UCA=14 [87,5%]; ОAE=11 [68,75%]; LAE=10 [62,5%], p<0,001) after 6 months against to ОAE and LAE. Conclusions. Laparoscopic retropubic simple prostatectomy combined with provisional clamping of internal iliac arteries and urethrocystoanastomosis has shown to be more effective than open (ОAE) and laparoscopic (LAE) Millin’s simple prostatectomy due to decreased blood loss, shortened catheterization and hospitalization period, prevention of lower urinary tract cicatricial deformity.

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Section: Discussionunclassified

Section: Introductionunclassified

Arterial-mediated modifications of surgical treatment for benign prostatic hyperplasia.

Volkov,

Tereshchenko,

Stepanchenko

et al. 2023

ECU

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“…By the 1920s, most surgeons were using this technique. However, by the 1930s it became apparent that the uraemic patient represented only a small proportion of the total, and indeed a two‐stage operation worsened the prognosis in the nonuraemic patient [ 25]. The pendulum then swung back in favour of a single‐stage operation for most patients.…”

Section: The Period Of Enlightenment (1890–1950)mentioning

confidence: 99%

A century of prostatic surgery

Shackley

1999

BJU International

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Medical outcomes research and benign prostatic hyperplasia

Barry

1990

Prostate

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Increasing health care costs and growing interest in quality care have focused attention on medical outcomes research. With regard to symptomatic BPH, patients deciding between different treatment choices need to know the likely outcomes of these alternatives, including chances for symptom responses and improved functional health and well-being. There is a paucity of high-quality outcomes research in medicine, including research that would clarify treatment outcomes for BPH.The relationship between physiologic and anatomic bladder outlet obstruction due to BPH and its symptoms, as well as quality of life, needs further study to elucidate how BPH affects health. A number of ongoing studies should provide information on the outcomes of alternative treatment strategies for BPH, the relationship between anatomic and physiologic BPH, and higher-level outcomes, such as symptom levels and quality of life.

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Prostatectomy

Cited by 6 publications

References 27 publications

Arterial-mediated modifications of surgical treatment for benign prostatic hyperplasia.

Arterial-mediated modifications of surgical treatment for benign prostatic hyperplasia.

A century of prostatic surgery

Medical outcomes research and benign prostatic hyperplasia

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