Comparative analysis of the efficiency of plasma transusretral methods of treatment of benign prostatic hyperplasia
DOI:
https://doi.org/10.25726/NM.2019.49.40.004Keywords:
benign prostatic hyperplasia, plasmokinetic transurethral resection, plasmokinetic transurethral enucleation, open prostatectomy, blood loss, surgical treatmentAbstract
The article presents a comparative study of the results of plasma endoscopic technologies and open prostatectomy in the treatment of benign prostatic hyperplasia (BPH) of medium and large sizes.
Foundation on which the study was conducted, was the Center of endourology at REGIONAL clinical hospital №7, Kazan. Evaluation of perioperative results of endoscopic treatment of BPH was carried out on the basis of current observation for the period 2015-2018.
With equal surgical efficiency of the methods, the team of authors found that the use of endourethral techniques gives a significant reduction in the number of intra- and postoperative complications. Reduction of hemorrhagic, infectious and inflammatory complications during surgery and in the early postoperative period leads to a reduction in the duration of bladder drainage and the average duration of hospitalization. The use of modern equipment operating on the platform "PLASMA", in comparison with the previously used equipment for bipolar operations can reduce the time of surgical intervention in the performance of endoscopic enucleation.
The revealed advantages of transurethral methods of treatment of BPH indicate a higher profile of their safety and efficiency, which gives grounds for the inclusion of plasma kinetic endourethral methods of operations in the standard urological treatment of patients of this profile.
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