Minimally invasive surgery for benign prostatic hyperplasia: causes, forms, and prevention of urinary disorders (literature review)-Reference-Cited by-同舟云学术

Minimally invasive surgery for benign prostatic hyperplasia: causes, forms, and prevention of urinary disorders (literature review)

Published:2021-09-01 Issue:9 Volume: Page:47-65
ISSN:2074-742X
Container-title:Vrač skoroj pomoŝi (Emergency Doctor)
language:ru
Short-container-title:

Author:

Volodin Mark Albertovich¹,Malykhina Anastasiya Sergeevna¹,Semenychev Dmitriy Vladimirovich¹,Bolgov Evgeniy Nikolaevich²,Perchatkin Vladimir Aleksandrovich³

Affiliation:

1. Privolzhsky Research Medical University of the Ministry of Health of Russia

2. Stavropol State Medical University of the Ministry of Health of Russia

3. KSMA — Branch Campus of the FSBEI FPE RMACPE of the Ministry of Health of Russia

Abstract

Benign prostatic hyperplasia (BPH) ranks 4th among all diagnoses in the group of men 50 years of age and older. With an increase in prostate volume of more than 20 cm³, patients develop lower urinary tract symptoms (LUTS), which negatively affect the quality of life of men. Currently, minimally invasive endovideosurgical methods of treating BPH have proven themselves successfully: transurethral resection (TUR) of monopolar or bipolar type, transurethral bipolar enucleation of the prostate (TUEP), holmium laser enucleation of the prostate (HoLEP). However, despite the clinical efficiency of endoscopic operations, the incidence of postoperative complications remains quite significant. After surgical intervention, the main causes of urinary disorders are detrusor overactivity or a decrease in its functional activity, as well as bladder obstruction. Prolonged bladder catheterization in the postoperative period prevents early recovery of independent urination, which is a risk factor for the development of urinary disorders. Stress urinary incontinence has a significant impact on patients, both physically and mentally. For the treatment of postoperative stress urinary incontinence, behavioral therapy, drug treatment of disorders, minimally invasive methods of treatment are used: injections of hyaluronic acid into the submucous layer of the urethra, botulinum toxin into the detrusor, as well as the technique of sacral neuromodulation. Surgical methods include the implantation of a synthetic sphincter or the installation of male sling.

Publisher

PANORAMA Publishing House

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