The efficiency of modern endoscopic methods of treatment of benign prostatic hyperplasia of medium and large sizes

The article presents the results of the study of the effectiveness of new endosurgical methods of treatment of benign prostatic hyperplasia of large size (on average 137.4 cm3) - bipolar transurethral enucleation (TUEB; 8 patients) in comparison with retroperitoneoscopic prostatectomy (RPS PE; 7) and medium size (78.2 cm3) - bipolar transurethral resection (BTUR; 110) in comparison with monopolar transurethral resection MTUR; 95). The smallest volume of blood loss during surgery, frequency of intra- and postoperative complications, duration of postoperative bladder drainage and hospital stay were noted for BTUR. At the same time, all the studied new methods have shown almost equal efficacy in radical treatment and removal of infravesical obstruction, which indicates the appropriateness of their choice in accordance with the initial size of prostate hyperplasia instead of the previously used traumatic open surgeries and MTUR.