Improvement of the technique of surgery in the treatment of patients with benign prostatic hyperplasia (literature review)

Malykhina Anastasia Sergeevna, Volodin Mark Albertovich, Bolgov E. N.

Currently, the data of prostate diseases is growing: clinical signs of BPH are found in men over 40 in 14% of cases, and reach 90% by 80 years. The main manifestations of BPH include such disorders of urination (nocturia, weakening of the stream of urine, a feeling of incomplete emptying of the bladder, etc.), which reduce the quality of life of men. Currently, the main treatment for BPH is surgical method. This method allows reducing the frequency of intra- and postoperative complications, to reduce the patient’s rehabilitation time and the number of bed-days spent in the hospital. Improving surgical techniques allows you to use an individual approach to patients, reduce the frequency of complications, and also improve long-term treatment results. The article discusses the techniques of surgery that are used for the surgical treatment of patients with BPH, and also presents a retrospective review of their improvement.

Keywords:benign prostatic hyperplasia, transurethral resection with a bipolar loop, transvesical adenomectomy, bipolar transurethral enucleation, holmium laser enucleation.