Endovideoscopic urethra-sparing simple prostatectomy via an extraperitoneal approach as treatment of benign prostatic hyperplasia
- Authors: Volkov S.N.1, Tereshchenko V.I.1, Stepanchenko V.S.1, Mikheev R.K.1, Grigoryan O.R.1, Andreeva E.N.1,2, Kolontarev K.B.2
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Affiliations:
- Endocrinology Research Centre
- Yevdokimov Moscow State University of Medicine and Dentistry
- Issue: Vol 25, No 7 (2023): Урология
- Pages: 439-442
- Section: Articles
- URL: https://ogarev-online.ru/2075-1753/article/view/252599
- DOI: https://doi.org/10.26442/20751753.2023.7.202067
- ID: 252599
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Abstract
Aim. To evaluate the efficacy of endovideoscopic urethra-sparing simple prostatectomy via an extraperitoneal approach (EUSP) for patients with benign prostatic hyperplasia.
Materials and methods. In the period from January 2021 until September 2022 8 patients underwent EUSP. Initial clinical datas, perioperative and postoperative outcomes, implications, IPSS questionnaires, IIEF-5 and ejaculatory datas have been evaluated. The technique of the present method was adopted from Ping Wang, Dan Xia, SunYi Ye, DeBo Kong, Jie Qin, TaiLe Jing, YeQing Mao, HongZhou Meng, Shuo Wang (2018).
Results. Seven (87.5%) patients underwent EUSP successfully, 1 (12.5%) patient needed conversion into open simple prostatectomy. Mean time of operation was 171 minutes (150–185), mean blood loss was 232 ml (180–300). In 2 (25%) cases urethral reconstruction after damage was needed. Mean catheterization time was 1.5 days (1–4). According to Clavien–Dindo classification (2004) such complications were found: low degree – 2 (1 or 2 group), 3а group – 1 (severe hematuria, when bladder infusion is needed). Mean management time was 8.4 months (6–11). Results from post-operative questionnaire IPSS (p<0.1) и QoL (p<0.1) significantly improved. Totally 4 patients had secure erectile function: 3 of them had normal erection, the last one (1) – retrograde ejaculation.
Conclusion. EUSP is technically applicable for patients with benign prostatic hyperplasia. Patients have shorter time of catheterization, risk profile, significant improvement of urination и support of antegrade ejaculation.
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##article.viewOnOriginalSite##About the authors
Stanislav N. Volkov
Endocrinology Research Centre
Email: volkov_stas08@mail.ru
ORCID iD: 0000-0002-2049-2191
Cand. Sci. (Med.)
Russian Federation, MoscowVitaliy I. Tereshchenko
Endocrinology Research Centre
Email: dr_tereshchenko@mail.ru
ORCID iD: 0000-0002-4478-5968
urologist-andrologist
Russian Federation, MoscowVladimir S. Stepanchenko
Endocrinology Research Centre
Email: markvovka2019@gmail.com
ORCID iD: 0000-0003-2799-2241
urologist-andrologist
Russian Federation, MoscowRobert K. Mikheev
Endocrinology Research Centre
Email: iceberg1995@mail.ru
ORCID iD: 0000-0001-5826-3186
SPIN-code: 9767-8468
Graduate Student
Russian Federation, MoscowOlga R. Grigoryan
Endocrinology Research Centre
Email: iceberg1995@mail.ru
ORCID iD: 0000-0003-4979-7420
SPIN-code: 3060-8242
D. Sci. (Med.)
Russian Federation, MoscowElena N. Andreeva
Endocrinology Research Centre; Yevdokimov Moscow State University of Medicine and Dentistry
Email: endogin@mail.ru
ORCID iD: 0000-0001-8425-0020
SPIN-code: 1239-2937
D. Sci. (Med.), Endocrinology Research Centre, Yevdokimov Moscow State University of Medicine and Dentistry.
Russian Federation, Moscow; MoscowKonstantin B. Kolontarev
Yevdokimov Moscow State University of Medicine and Dentistry
Author for correspondence.
Email: iceberg1995@mail.ru
ORCID iD: 0000-0003-4511-5998
SPIN-code: 2352-1103
D. Sci. (Med.)
Russian Federation, MoscowReferences
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