Актуальные хирургические методы лечения гиперплазии предстательной железы
Автор: Ширяев А.А., Говоров А.В., Васильев А.О., Соловьев В.В., Пушкарь Д.Ю.
Журнал: Московский хирургический журнал @mossj
Статья в выпуске: S1, 2022 года.
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Доброкачественная гиперплазия предстательной железы (ДГПЖ) является одним из наиболее распространенных состояний, поражающих мужчин среднего возраста. До 15-25% мужчин в возрасте от 50 до 65 лет имеют симптомы нижних мочевыводящих путей (СНМП), которые обычно связаны с доброкачественным разрастанием ткани предстательной железы. Хотя СНМП часто ассоциируются с ДГПЖ, СНМП также могут быть вызваны различными не связанными синдромами, такими как сердечная недостаточность, инфекции мочевыводящих путей и сахарный диабет. В данной статье проведен обзор публикаций по теме современных и актуальных методов лечения гиперплазии простаты, а также проведен анализ их эффективности и безопасности. Появление большого количества хирургических методов лечения гиперплазии простаты предопределило поиск наиболее эффективных и безопасных из них. Данные проведенного нами проспективного, сравнительного исследования на кафедре урологии МГМСУ имени А.И. Евдокимова на базе ГКБ имени С.И. Спасокукоцкого позволили резюмировать, что все представленные в данной статье методы хирургического лечения ДГПЖ продемонстрировали свою эффективность, но, при этом, только методики тулиевой энуклеации и ТУРП позволяют провести операцию эндоскопически, сохраняя целостность кожных покровов, безопасно и радикально.
Гиперплазия, предстательная железы, хирургические методы лечения, трансуретральная резекция
Короткий адрес: https://sciup.org/142236598
IDR: 142236598 | DOI: 10.17238/2072-3180-2022-71-78
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