Authors
Lebedev N.N., Shikhmetov A.N., Khabardokov A.Kh., Nagornyuk V.N.
MChU Branch Clinical Diagnostic Center of PJSC Gazprom, Moscow
Abstract
The authors analyzed the results of treatment of 68 patients with benign prostatic hyperplasia who underwent transurethral photoselective vaporization using a 80 watt Laserscope, San Jose, CA CT Green Light PVP laser under stationary substitution conditions. The average age of the patients was 63 years (from 57 to 67 years). Indications and contraindications to the implementation of this intervention in outpatient settings were determined. To do this, a multimodal, individualized approach to assessing the patient’s condition using all the necessary instrumental, laboratory and clinical survey methods was used. Particular attention was paid to assessing the severity of patients on the scale of the American Society of Anesthesiologists. The peculiarities of the technique of performing surgical intervention are considered. The results of treatment were assessed using the IPSS scale (before surgery – 23,7±1,5, after – 4,7±0,6), QoL quality of life index (before surgery – 4,7± 0,3, after – 1,2±0,1), assessment of the rate of urination (before the operation – 6,8±0,2 ml/s, after – 25,8±1,0 ml/s), ultrasound of the kidneys, bladder, prostate, uroflowmetry, as well as mixed cystourethrography and mixed ultrasound urethroscopy in combination with uroflowmetry. The received data testify to high efficiency and safety of application of transurethral photoselective vaporization of the prostate gland in stationary substitution conditions.
Keywords: prostate adenoma, photoselective vaporization, quality of life, stationary substitution technologies.
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