Economic aspects of treatment for lower urinary tract symptoms associated with benign prostatic  hyperplasia

Startsev, V.I.; Дударев, В. А.; Sevryukov, F A; Забродина, Н. Б.

doi:10.18565/urology.2019.6.115-119

Cited by 18 publications

(1 citation statement)

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“…If the LUTS are not severe, they can be treated with only oral medications, without surgical treatments. However, patients unresponsive to oral medications eventually undergo surgery to prevent or treat problems such as urinary tract obstructions, urinary tract infections, and bladder stones [ 1 2 ].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy and Safety of ‘Inverted Omega En-bloc’ Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: A Size-Independent Technique for the Surgical Treatment of LUTS

Kim

Kang

Choi

et al. 2023

World J Mens Health

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Purpose To evaluate the safety, efficiency, and size-dependency of the ‘Inverted omega En-bloc (Ʊ)’ holmium laser enucleation of the prostate (HoLEP) in benign prostate hyperplasia (BPH) with lower urinary tract symptoms. Materials and Methods A retrospective analysis of 716 consecutive patients who underwent HoLEP under the care of a single surgeon from 2014–2021. These patients were treated using the ‘Inverted omega En-bloc ’ HoLEP technique for BPH. The patients were divided into 3 groups: Group 1 (<40 mL, n=328), Group 2 (40–60 mL, n=221), and Group 3 (≤60 mL, n=167). Perioperative parameters, safety, and functional outcomes were assessed and analyzed. Results The perioperative parameters, like enucleation time (45.8±26.9 min), morcellation time (13.2±47.5 min), and catheterization duration (1.6±1.2 d) significantly differed to favor smaller prostate sizes (p<0.01). Significant improvements in the IPSS (total, voiding, storage, and quality of life), post-void residual urine, and maximum flow rate were observed 3 months post-HoLEP and continued during the 1-year follow-up period in all groups (p<0.01). The postoperative complications included urethral stricture in 11 patients (1.5%), bladder neck contracture in 12 (1.7%), urinary incontinence in 14 (2.0%), and bladder injuries in 4 (0.6%). Bladder neck contractures occurred only in Group 1. The postoperative surgical management for complications included urethral sounding (n=9, 1.3%), endoscopic internal urethrotomy (n=2, 0.3%), and re-HoLEP for bladder neck contractures in (n=12, 1.7%). The rate of re-HoLEP for regrowing adenomas was 15 (2.1%). Postoperative medications exceeding 6 months were α-blocker (n=22, 3.1%), cholinergics (n=16, 2.2%), anticholinergics (n=58, 8.1%), antidiuretics (n=18, 2.5%), and daily PDE5 inhibitor (n=38, 5.3%). Thirty-four patients (4.7%) had postoperative incidental prostate cancer. Conclusions The inverted omega En-bloc HoLEP technique is safe and effective for the treatment of BPH. Moreover, ‘Inverted omega En-bloc ’ HoLEP is a size-independent and effective method for all prostate sizes.

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Section: Introductionmentioning

confidence: 99%

The Efficacy and Safety of ‘Inverted Omega En-bloc’ Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: A Size-Independent Technique for the Surgical Treatment of LUTS

Kim

Kang

Choi

et al. 2023

World J Mens Health

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Experimental and clinical substantiation of the combined use of resin infiltrate and flowable composite material in minimally invasive treatment of dental fluorosis

Tiunova,

Naberezhnova,

Daurova

et al. 2024

Russian Journal of Dentistry

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Обоснование. Для устранения белых пятен при флюорозе зубов на сегодняшний день применяются методики реминерализирующей терапии, микроабразии и инфильтрации, которая имеет особенности проведения при данной патологии вследствие глубокого расположения зоны гипоминерализации. Целью данного исследования является изучение адгезионной прочности текучего композитного пломбировочного материала к инфильтранту ICON и эмали зуба при флюорозе, а также оценка результатов сочетанного применения инфальтрации смолой и композитного материала в клинике. Методы. Изучение адгезионной прочности на отрыв при применении различных материалов проведено на 60 удаленных зубах с флюорозом, а именно с поражениями в виде пятен белого цвета. Методом случайной выборки зубы с флюорозом были разделены на 4 группы по 15 зубов в каждой (1, 2, 3, 4 группы). Для формирования дефекта с целью изучения адгезионной прочности с помощью пескоструйного аппарата (Rondoflex, CAVO, Германия) проводили обработку в центре вестибулярной поверхности порошком на основе оксида алюминия с размером частиц 27 микрон на расстоянии 1 см в течение 3 секунд. Результаты. Наилучшие показатели адгезионной прочности на отрыв получены при применении универсальной адгезивной системы и низкомодульного композитного материала, а также при сочетании применения инфильтранта и низкомодульного композитного материала, содержащего МDP-мономер. Полученные в экспериментальном исследовании результаты позволили рассмотреть сочетание инфильтранта и низкомодульного композитного материала на основе МDP-мономера как перспективный вариант для применения в клинике при минимально-инвазивном лечении флюороза зубов. После проведенного лечения по ранее описанной схеме при осмотре через 1 месяц не выявлено нарушения краевого прилегания, окрашивания границы и вторичного кариеса, отмечен 1 случай чувствительности. При осмотре через 1 год не наблюдалось нарушения краевого прилегания и развития кариеса по границам проведенного лечения и не отмечено случаев развития чувствительности. Заключение. Результаты проведенного экспериментально-клинического исследования свидетельствуют о высокой эффективности минимально-инвазивного лечения флюороза зубов с применением сочетания инфильтрации и низкомодульного композитного материала на основе MDP-мономера.

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Features of the organization of dental care in besieged Leningrad

Polevaya,

Zheleznyak,

Borisova

et al. 2023

Russian Journal of Dentistry

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There is not much information about the provision of dental care during the Great Patriotic War, even fewer publications concerning dental care in besieged Leningrad. Three frontline evacuation hospitals were located in the clinics of the Military Medical Academy, where doctors and the entire medical staff of the Academy worked. The main responsibility for the organization of dental care and specialized assistance to servicemen with wounds of the maxillofacial region was assigned to the chief dentist of the Red Army David Abramovich Entin and the Navy Vladimir Ivanovich Uvarov. The hospitals were formed on the basis of clinics of the 1st Leningrad Medical Institute, including clinics of maxillofacial surgery. At the II Leningrad Medical Institute during the blockade, extremely urgent problems of combating scurvy were developed. An important place in the provision of surgical and orthopedic care in besieged Leningrad was occupied by the Central State Institute of Traumatology named after Professor R.R. Vreden, where A.A. Limberg and his colleagues worked. Dental care in besieged Leningrad was provided as part of medical and preventive institutions, as of November 1, 1942, dental outpatient clinics of Vasileostrovsky, Volodarsky, Kuibyshevsky, Petrogradsky districts were successfully functioning. After the end of the blockade of the city in 1944, active work began on the restoration of the city. During the reconstruction of the city, the number of new medical institutions has also increased. In the autumn of 1944, the construction of the 2nd clinical base of GIDUVA was completed, in which the clinic of reconstructive maxillofacial surgery was located. The problem of the health of people who survived the blockade of the city of Lenin remains relevant today - many decades later. Numerous publications were devoted to generalizing the experience of treating wounded with maxillofacial injuries in combat conditions.

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Economic aspects of treatment for lower urinary tract symptoms associated with benign prostatic hyperplasia

Cited by 18 publications

References 0 publications

The Efficacy and Safety of ‘Inverted Omega En-bloc’ Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: A Size-Independent Technique for the Surgical Treatment of LUTS

The Efficacy and Safety of ‘Inverted Omega En-bloc’ Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: A Size-Independent Technique for the Surgical Treatment of LUTS

Experimental and clinical substantiation of the combined use of resin infiltrate and flowable composite material in minimally invasive treatment of dental fluorosis

Features of the organization of dental care in besieged Leningrad

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