[Transurethral endoscopic dissection of the bladder neck and prostate].
Transurethral endoscopic incision of the neck of the bladder and the prostate was conducted for elimination of infravesical obstruction due to benign prostatic hyperplasia (BPH) of a small size and sclerosis of the bladder neck or prostate. 37 patients aged 22-85 years were treated: 17 had BPH and 20 had bladder neck sclerosis (primary in 2 and secondary in 18 patients). In 4 cases the incision was combined with internal urethrotomy, in 4 with cystolithotripsy and in 2 with transurethral resection of the bladder. The diagnosis was made basing on routine blood counts, urinalysis, x-ray, ultrasonic, uroflowmetry and pathomorphological investigations. The last stage of the examination was urethrocystoscopy made shortly before operation. The symptoms were evaluated according to answers in the J-PSS questionnaire. Anesthesia was only intravenous or epidural. A spicular Collins electrode cut at 5 and 7 of the assumed dial. After hemostasis an urethral catheter was inserted for 24-48 hours. The intervention lasted 15 minutes, no lethal outcomes occurred. Marked symptomatic improvement was achieved in 36 patients (97%). BPH cut was uneffective in one patient who subsequently underwent transurethral resection.
Martov
A G
AG
Gorilovskiĭ
M L
ML
Kamalov
A A
AA
Gushchin
B L
BL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000767:Anesthesia, Epidural; D000771:Anesthesia, Intravenous; D004598:Electrosurgery / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery; D012598:Sclerosis / Q000601:surgery; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery*; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery
Transuretral'noe éndoskopicheskoe rassechenie sheĭki mochevogo puzyria i predstatel'noĭ zhelezy.