scholarly journals Prostate Adenoma

2020 ◽  
Author(s):  
Keyword(s):  
Prostate Adenoma

Atonic iris syndrome in cataract surgery in patients with prostate adenoma

2021 ◽  
Author(s):  
S.Y. Kopaev ◽  
◽  
N.G. Kesisidu ◽  
N.G. Keshishev ◽  
◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Prostate Adenoma

Первая отечественная монография, посвященная влиянию различной длительности приема альфа1-адреноблокаторов на диафрагмальную функцию радужной оболочки у пациентов с возрастной катарактой и аденомой простаты. Представлены прогностические критерии развития синдрома атоничной радужки в ходе факоэмульсификации катаракты, которые обеспечивают выявление пациентов с клинически значимым флоппи-ирис синдромом, способствуя надлежащей его профилактике. Предложен алгоритм хирургии катаракты у данной категории пациентов. Руководство предназначено врачам-офтальмологам и урологам.

scholarly journals Optimization of pharmacotherapy of patients with prostate adenoma with hormonal and metabolic disordes: correction of vitamin D deficiency with “Aquadetrim”

2019 ◽  
Vol 5 (4) ◽  
pp. 57-67
Author(s):  
Oleg I. Bratchikov ◽  
Igor A. Tyuzikov ◽  
Sergey O. Artishchev
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Metabolic Disorders ◽  
Main Group ◽  
Integrative Approach ◽  
Control Group ◽  
Practical Algorithms ◽  
Prostate Adenoma ◽  
Local Parameters

Introduction: Modern studies demonstrate an epidemiological and pathogenetic role of systemic hormonal and metabolic disorders in men with prostate adenoma (PA), so it is obvious that a pharmacotherapeutic correction of these disorders can increase the efficacy of the traditional therapy of the disease. Aim of study: To investigate the frequency, relationships among themselves and with PA local parameters of key systemic hormonal and metabolic disorders (obesity, insulin resistance, testosterone deficiency, vitamin D deficiency) and to develop practical algorithms for optimizing diagnosis and management based on an integrative approach. Material and Methods: The results of a comprehensive examination of 160 patients with PA (main group; average age 62.3 ± 4.2 years) and 30 healthy men without PA of the same age (control group), including: collection of anamnesis and complaints; questionnaires; physical, hormonal and sonographic studies, – are presented. Pharmacotherapeutic correction methods were tested in some patients of the main group. The data was processed using descriptive and comparative statistics. Results and Discussion: In the patients with PA, a significantly higher frequency of concomitant systemic hormonal and metabolic disorders formed at a younger age was established, compared to the men without PA, and significantly worse local characteristics of PA compared to the patients with PA without such (p < 0.05). Reliable connections of some studied systemic hormonal and metabolic disorders with one another and with local parameters of PA (p < 0.05) were revealed. A more severe vitamin D deficiency in the patients with PA compared to the control group was revealed, and the safety and a significant positive effect of its drug compensation on the parameters of hormonal and metabolic status and PA in D-deficient men with PA were shown (p < 0.05). Conclusion: The results of the study confirm an important role of the studied systemic hormonal and metabolic disorders in the pathogenesis of PA and the need for their diagnosis and pharmacotherapeutic correction in all patients with PA on the basis of an integrative approach, according to the proposed algorithms.

scholarly journals Chronobiological features of patients with chronic prostatitis with prostate adenoma

2020 ◽  
Author(s):  
V.A. Lanina ◽  
M.N. Himicheva ◽  
V.V. Kuz'menko ◽  
A.V. Kuz'menko ◽  
T.A. Gyaurgiev
Keyword(s):  
Chronic Prostatitis ◽  
Prostate Adenoma

Systematic approach in performing isolated and simultaneous operations in elderly patients with prostate adenoma

Urologiia ◽  
2017 ◽  
Vol 3_2017 ◽  
pp. 33-39
Author(s):  
I.G. Leshchenko Leshchenko ◽  
O.I. Bratchikov Bratchikov ◽  
O.G. Yakovlev Yakovlev ◽  
I.V. Shatokhina Shatokhina ◽  
E.A. Shumakova Shumakova ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Systematic Approach ◽  
Simultaneous Operations ◽  
Prostate Adenoma

scholarly journals Towards optimizing prostate tissue retrieval following holmium laser enucleation of the prostate (HoLEP): Assessment of two morcellators and review of literature

2015 ◽  
Vol 9 (9-10) ◽  
pp. 618 ◽  
Author(s):  
Ahmed M. Elshal ◽  
Ramy Mekkawy ◽  
Mahmoud Laymon ◽  
Ahmed El-Assmy ◽  
Ahmed R. El-Nahas
Keyword(s):  
Perioperative Complications ◽  
Mucosal Injury ◽  
Prostate Tissue ◽  
Holmium Laser ◽  
Medline Search ◽  
Retrieval Rate ◽  
Significant Difference ◽  
Laser Enucleation ◽  
Prostate Adenoma ◽  
Holmium Laser Enucleation

Introduction: We assess different approaches to retrieve the enucleated adenoma after transurethral enucleation of the prostate, particularly using the holmium laser.Methods: A retrospective review through our prospectively maintained database was performed looking for safety and efficacy of two morcellators. The enucleation phase of the holmium laser enucleation of the prostate (HoLEP) was classically performed followed by retrieval of the intravesical adenoma using either the Piranha (Wolf Inc., Knittlingen, Germany) or VersaCut (Lumenis) morcellator. A PubMed-MEDLINE search was conducted for all transurethral enucleation procedures and relevant data regarding methods of prostate tissue retrieval were extracted.Results: Strictly limiting the study to 3 reusable blades with each morcellator, we performed 67 and 55 consecutive procedures with Piranha and VersaCut, respectively. There was no significant difference between the two morcellators regarding perioperative complications, apart from 5 bladder mucosal injuries with the VersaCut (9%). Furthermore, there were similar retrieved tissue weight, mechanical problems-rate, catheter-time and hospital-stay in both morcellators. However, the Piranha morcellator needed significantly less morcellation-time, needed to use cold loop to remove non-morcellated pieces and to score the adenoma by laser for better bite of the adenoma, and had a higher median morcellation-rate 6.2 (rate: 2.8–12) g/min. Despite little reporting on morcellation, we had data on the tissue retrieval rate (2.6 to 6.5 g/min with Piranha and 1.9 to 11 g/min with VersaCut. Furthermore, bladder mucosal injury was reported in 1.4% and 0.7 to 5.7% with Piranha and VersaCut, respectively; bladder perforation with VersaCut was experienced in about 0.1 to 1.5% of patients. Our study is limited by its non-randomization.Conclusion: The Piranha morcellator was the most efficient and safe way to retrieve tissue after a transurethral enucleation of a prostate adenoma.

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