Endoscopic Treatment of  Urethral Obliterations

Ghicavii, Vitalii

doi:10.18007/gisap:msp.v0i9.1269

Cited by 1 publication

(2 citation statements)

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“…Today, the gold standard is transurethral endoscopic method (TUR) [29,32], which is performed in many countries, including for BPH ≥80 mm 3 . Similar opinions can be found in the local literature [31,70]. However, we must mention that in lumpy nodular BPH, open adenomectomy interventions are preferred, partly due to the difficulty of making a long resection, but also due to the high risk of larger postoperative complications.…”

Section: Resultssupporting

confidence: 72%

“…Also, BPH surgery in recent decades has benefited from mini invasive surgical techniques such as: transurethral vaporization -TUVP being an alternative to TURP/TUIP; Laser enucleation: Nd:YAG, KTP:YAG, with diode, Holmium: YAG; HoLEP; Cryosurgery -bipolar electrocoagulation, intermittent coagulation resection, rotoresection. A dynamic evaluation study 5 years after the application of HoLEP and open transvesical prostatectomy established a promising evolution with the need for follow-up surgeries at a low rate [4,[30][31][32]. However, for prostates with nodules larger than 80-100 g, TURP had a rate of re-surgery rate of 55% and mortality rates of 6% [33,34].…”

Section: Resultsmentioning

confidence: 99%

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Benign prostatic hyperplasia - etiology, clinical features and management. Historical and contemporary aspects

Bobu¹,

Tanase²,

Zota³

2023

MJHS

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Introduction. Benign prostatic hyperplasia and chronic prostatitis are the most common conditions in men, the frequency of which varies with age. Chronic prostatitis (infectious or inflammatory) has a frequency of 8-35% in patients aged 20-50 years, reaching a maximum of 60-70% in those aged over 50 years. Materials and methods. Materials for the study served the medical literature regarding benign prostatic hyperplasia and chronic inflammation, published in the local and international scientific journals. Scientific databases like Cochrane Library, Medline, Scopus, Medicus, NCBI, PubMed, Google Scholar were used to find the necessary articles. Research methods – analysis, synthesis, systematization, and description. Results. After analyzing the available data, a review of the literature was conducted which highlighted both the strong and weak points of the historical medical approaches to addressing benign prostatic hyperplasia, as well as the ontogenetics and anatomical characteristics of the prostate gland. This included examining the incidence rates, concepts of causation and development, principles of diagnosis and classification of benign prostatic hyperplasia. The review also revealed the pros and cons of using mini-invasive treatment strategies versus traditional transvesical approaches in treating this condition, as well as the ongoing and significant socioeconomic impact in underdeveloped countries. Conclusions. There remains the issue of reducing intra- and post-operative complications after benign prostatic hyperplasia surgery, especially a voluminous one, which imposes itself as a very critical problem in the development of an effective treatment strategy. For the first time, a problem was described by assessing the particularities of some biochemical criteria at local surgical site and in blood serum, histological - at the level of nodular prostatic hyperplasia and at the border of the surgical site. This requires a complex correlational study to assess the biochemical, histological and immunohistochemical parameters, including the evaluation of the associations or coexistence of benign prostatic hyperplasia and chronic prostatitis.

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Section: Resultssupporting

confidence: 72%