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Complications and urinary disorders after surgical treatment of ÂÐÍ by laser enucleation DOI: 10.29188/2222-8543-2024-17-3-86-93
- Kotov S.V. – Dr. Sci., Head of the Department of Urology and Andrology, N.I. Pirogov Russian National Research Medical University, Head of the University Urology Clinic of N.I. Pirogov RNRMU; Moscow, Russia; RSCI Author ID 667344, https://orcid.org/0000-0003-3764-6131
- Bogdanov D.A. – postgraduate student of the Department of Urology and Andrology of the RSMU named after N.I. Pirogov, urologist of the Urological Department of GBUZ MMCC Kommunarka DZM; Moscow, Russia; RSCI Author ID 1121821, https://doi.org/000-0001-6847-5684
- Yusufov A.G. – PhD, Associate Professor of the Department of Urology and Andrology of the RSMU named after N.I. Pirogov; urologist, Head of the Department of Urology of GBUZ «MMCC Kommunarka DZM»; Moscow, Russia; RSCI Author ID 902934, https://doi.org/0000-0001-8202-3844
- Guspanov R.I. – PhD, Associate Professor of the Department of Urology and Andrology of the RSMU named after N.I. Pirogov, urologist of the urological department of the GBUZ «GKB No. 1 named after N.I. Pirogov DZM», oncologist of the 4th oncological department (oncourology) GBUZ «MMCC Kommunarka DZM»; Moscow, Russia; RSCI Author ID 875574, https://doi.org/0000-0002-2944-2668
- Mamaev I.E. – PhD, Associate Professor of the Department of Urology and Andrology of the RSMU named after N.I. Pirogov, urologist, Head of the Department of Urology of «GKB named after V.M. Buyanov»; Moscow, Russiа; RSCI Author ID 965579, https://doi.org/0000-0002-5755-5950
40 Introduction. Benign prostatic hyperplasia (BPH) is a common disease in elderly men, manifested by symptoms of the lower urinary tract. Drug treatment of BPH often allows you to delay or even avoid performing surgery. Laser endoscopic enucleation, which shows excellent functional results regardless of the patient's age and prostate volume, can be considered the modern «gold standard» of surgical treatment of BPH. However, complications and urinary disorders after surgical treatment are also inherent in this method.
The purpose of this article was to systematize information on the quality of urination and the preservation of symptoms of the lower urinary tract in patients after endoscopic enucleation of BPH.
Materials and methods. The literature review was compiled from analyzed materials from three scientific databases (PubMed, Scopus and Web of Science, eLibrary), focusing on the following keywords: «laser enucleation», «lower urinary tract symptoms», «complications after enucleation of prostate».
Results. The obtained results of many studies allow us to state the existence of a new «gold standard» of surgical treatment of BPH and to consider the possibility of introducing HoLEP into the standards of medical care for urological patients with BPH. In the postoperative period, long-term monitoring of patients is necessary. Currently, there are no clear standards for the necessary examinations and the timing of their implementation in the postoperative period.
Conclusion. Laser enucleation is a reliable method of surgical treatment of LUTS due to BPH.
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