Русский
Intravesical prostatic protrusion as a predictor of the functional outcome of surgical treatment of benign prostatic hyperplasia
DOI: https://dx.doi.org/10.18565/urology.2022.3.58-62
I.A. Chehonackii, O.B. Loran, I.V. Lukianov, A.V. Seregin, A.D. Morozov
1) FSBEI FPE Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia; 2) City Clinical Hospital named after S.P. Botkin, Moscow, Russia
Aim. To evaluate the effect of intravesical prostatic protrusion on the functional results of bipolar transurethral resection of the prostate and retropubic adenomectomy.
Materials and methods. From September 2019 to December 2021 in the clinic of urology on the basis of the GKB. S.P. Botkin, 210 patients underwent surgical treatment of prostatic hyperplasia, 101 of them – bipolar transurethral resection of the prostate (group I), 109 patients – retropubic adenomectomy (group II). Depending on the size of intravesical prostatic protrusion – more than 5 mm and less than 5 mm, the corresponding subgroups «a» and «b» are distinguished. Functional results were assessed 6 months after the operation: IPSS scores, including filling and emptying IPSS, QoL, maximum urination rate, residual urine volume.
Results. Comparing the functional results of the quality of urination 6 months after surgical treatment by the method of bipolar TURP in patients with PPI, a significantly significant decrease in IPSS scores, including both emptying and filling, a decrease in QoL scores, and improvements in maximum urination rate in patients (p<0.05). There were no significant differences in the reduction in residual urine volume (p=0.89). Similar functional results were demonstrated in the group of patients who underwent retropubic adenomectomy. Six months after surgery, in patients with PPI >5 mm, a significantly significant decrease in IPSS scores was found, including emptying and filling, a decrease in QoL scores, and an improvement in maximum urination rate (p<0.05). There were no significant differences in the volume of residual urine (p=0.49).
Conclusion. A significantly more significant decrease in the results of the IPSS scale was revealed, especially in emptying symptoms, QoL and an increase in the maximum urination rate after 6 months in patients with intravesical prostatic protrusion over 5 mm. Comparing bipolar transurethral resection of the prostate and retropubic adenomectomy, the latter showed a significantly more significant decrease in the above indicators in the group with intravesical prostatic protrusion over 5 mm, while in the group with intravesical prostatic protrusion less than 5 mm, there were no significant differences between the quality of urination.
Materials and methods. From September 2019 to December 2021 in the clinic of urology on the basis of the GKB. S.P. Botkin, 210 patients underwent surgical treatment of prostatic hyperplasia, 101 of them – bipolar transurethral resection of the prostate (group I), 109 patients – retropubic adenomectomy (group II). Depending on the size of intravesical prostatic protrusion – more than 5 mm and less than 5 mm, the corresponding subgroups «a» and «b» are distinguished. Functional results were assessed 6 months after the operation: IPSS scores, including filling and emptying IPSS, QoL, maximum urination rate, residual urine volume.
Results. Comparing the functional results of the quality of urination 6 months after surgical treatment by the method of bipolar TURP in patients with PPI, a significantly significant decrease in IPSS scores, including both emptying and filling, a decrease in QoL scores, and improvements in maximum urination rate in patients (p<0.05). There were no significant differences in the reduction in residual urine volume (p=0.89). Similar functional results were demonstrated in the group of patients who underwent retropubic adenomectomy. Six months after surgery, in patients with PPI >5 mm, a significantly significant decrease in IPSS scores was found, including emptying and filling, a decrease in QoL scores, and an improvement in maximum urination rate (p<0.05). There were no significant differences in the volume of residual urine (p=0.49).
Conclusion. A significantly more significant decrease in the results of the IPSS scale was revealed, especially in emptying symptoms, QoL and an increase in the maximum urination rate after 6 months in patients with intravesical prostatic protrusion over 5 mm. Comparing bipolar transurethral resection of the prostate and retropubic adenomectomy, the latter showed a significantly more significant decrease in the above indicators in the group with intravesical prostatic protrusion over 5 mm, while in the group with intravesical prostatic protrusion less than 5 mm, there were no significant differences between the quality of urination.
Keywords: bipolar transurethral resection of the prostate, intravesical prostatic protrusion, personalized approach, retropubic adenomectomy
About the Autors
Corresponding author: I.A. Chehonackii – postgraduate student at the Department of Urology and Surgical Andrology, FSBEI FPE Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia; e-mail: ilyae.devp@gmail.com
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