Endovideoscopic simple prostatectomy via extraperitoneal research as treatment of benign prostatic hyperplasia

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Abstract

Aim. To estimate the efficacy of endovideoscopic simple prostatectomy via extraperitoneal research as treatment of benign prostatic hyperplasia.

Materials and methods. In the period since January 2021 until May 2022 45 males with prostatic volume >60 g have underwent extraperitoneal endovideoscopic retropubic prostatectomy was. Endovideoscopic research consisted of standard technical steps: the creation of preperitoneal workspace, hemostasis control in the area of lateral peduncles and dorsal venous complex, anterior transverse incision of prostatic capsule, simple prostatectomy and organ extraction.

Results. Mean weight of resected prostatic tissue was 79.3±17.4 g. Mean operation time was 104.3±25.4 min. No conversion into open prostatectomy was needed. Blood transfusion was provided in 3 patients. After 6 months 40 patients demonstrated decrease of mean IPSS (International Prostate Symptom Score) from 25.5±2.4 to 6.2±2.1, increase of Qmax from 6.1±2.8 to 18.7±3.4 ml/s. No patients had urinary incontinence.

Conclusion. Endovideoscopic retropubic simple prostatectomy via extraperitoneal research (Millin’s method) is workable and technically simple surgical method.

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, Moscow

Vitaly I. Tereshchenko

Endocrinology Research Centre

Email: dr_tereshchenko@mail.ru
ORCID iD: 0000-0002-4478-5968

urologist-andrologist

Russian Federation, Moscow

Vladimir S. Stepanchenko

Endocrinology Research Centre

Email: markvovka2019@gmail.com
ORCID iD: 0000-0003-2799-2241

urologist-andrologist

Russian Federation, Moscow

Robert K. Mikheev

Endocrinology Research Centre

Author for correspondence.
Email: iceberg1995@mail.ru
ORCID iD: 0000-0001-5826-3186
SPIN-code: 9767-8468

Graduate Student

Russian Federation, Moscow

Olga R. Grigoryan

Endocrinology Research Centre

Email: iceberg1995@mail.ru
ORCID iD: 0000-0003-4979-7420
SPIN-code: 3060-8242

D. Sci. (Med.)

Russian Federation, Moscow

Elena 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; Moscow

Konstantim B. Kolontarev

Yevdokimov Moscow State University of Medicine and Dentistry

Email: iceberg1995@mail.ru
ORCID iD: 0000-0003-4511-5998
SPIN-code: 2352-1103

D. Sci. (Med.)

Russian Federation, Moscow

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