The role of the outpatient urological service in timely diagnosis prostate cancer

The relevance of research. Prostate cancer (PCa) is an actual medical and social problem. The aim of the study is to analyze the incidence of prostate cancer in Moscow and summarize the experience of organizing the work of the outpatient urological service of the Western District of Moscow on the active detection of PCa. Materials and methods. With the help of the statistical method, the materials of official statistical reporting (f. No. 7, f. No. 35), summarized in Moscow for 2006-2015, annual reports on the work of the urological service of the Western District of Moscow for 2011-2015 are analyzed., Materials of a special study that included 2550 patients who underwent transrectal biopsy of the prostate on the basis of a day hospital at the out-patient urology department in ZAO Moscow. Results of the study. It has been established that the incidence of prostate cancer in Moscow is significantly higher than the national average and has a pronounced tendency to increase (by 33.6% from 2006 to 2015, from 52.7 to 70.4 cases of prostate cancer per 100 000 male Of the population). It is shown that the leading role in the timely detection of PCa belongs to the outpatient unit of the urological service, and individual preventive examinations are an effective method of secondary prevention of PCa. The active detection of prostate diseases among the male population made it possible to diagnose 96% of cases of prostate cancer at the I and II stages. The experience of organizing the work of the outpatient urological service of CJSC Moscow also indicates the feasibility and effectiveness of prostate biopsy in order to verify the diagnosis of prostate cancer in a day hospital. According to the results of histological studies of biopsy material, the diagnosis of prostate cancer was made by 34.4% of patients who underwent biopsy of the prostate gland. Conclusions. The introduction of programs for the active detection of prostate diseases and the creation of the necessary material and technical basis for performing biopsy of the prostate gland in outpatient settings are important organizational components for the timely detection of PCa.