Peculiarities of infravesical obstructions caused by surgery of benign prostatic hyperplasia and their treatment in a single center

Introduction. The standard surgical approach to the treatment of benign prostatic hyperplasia (BPH) is transurethral resection of the prostate (TURP) or open prostatectomy. In some cases, surgical treatment of BPH is accompanied by the development of postoperative complications leading to recurrence of the infravesical obstruction, such as urethral stricture (US) and bladder neck contracture (BNC). Aim. To investigate the features of late obstructive complications after the open prostatectomy and TURP, their surgical correction and the effectiveness of treatment. Materials and methods. This study includes an analysis of the surgical treatment of 68 patients aged 66 (61.5-73) years with US and (or) BNC caused by surgery of BPH. All patients were divided into 2 groups: 1 group - 30 patients after the previously performed open prostatectomy, 2 group - 38 patients after TURP. Results. Infravesical obstructions after open prostatectomy and TURP in the form of US and BNC have the features of their origin and development, differ in a number of characteristics: development time, localization, extent, degree of obstruction, and the type of the performed surgery to eliminate this obstruction. Conclusion. In each case it is possible to achieve effective surgical result in the liquidation of urethral obstruction and recovery of urination. However the comorbidity of mental and neurological lesions limits the functional success of the operation.