Transurethral resection of the prostate for benign prostatic hyperplasia and urynary disorders

Shkodkin S.V., Idashkin Yu.B., Shaderkin I.A., Shaderkina V.A., Polischuk A.V., Chirkov S.V.

According to the literature benign prostatic hyperplasia (BPH) frequently serves the cause of lower urinary tract symptoms (LUTS). In most patients, conservative therapy provides a good quality of life. In some patients progressing symptoms that require surgical treatment. Transurethral resection (TUR) is most commonly used in the treatment of BPH. However, according to studies the frequency of long-term persistence of LUTS after TUR may be more than 30%.

Material and methods. We performed a retrospective analysis of medical records and prospective evaluation of TUR in the long term, which was carried out in patients with BPH. To assess the real picture of the possibilities of examination and treatment of patients with LUTS together with urological portal UroWeb.ru. A survey of urologists in the public domain was conducted.

Results. Such an indication, as the ineffectiveness of conservative therapy has been established for young patients with a small volume of the prostate. TUR in this group of patients often continue LUTS and requires further medical treatment. The probability of the development of urethral strictures after TUR BPH is 15.4%. Conducting functional diagnosis of lower urinary tract will narrow the indications for surgery of BPH and in the postoperative period to choose the rational approach to treatment.

Authors declare lack of the possible conflicts of interests.

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benign prostatic hyperplasia, transurethral resection, long-term results, lower urinary tract symptoms