[The therapeutic preparation and management characteristics of patients following emergency prostatic adenomectomy].
Basing on the analysis of 136 urgent radical surgeries for acute retention of urine in prostatic adenoma patients, the author specifies indications for immediate and delayed adenomectomies. These were combined in a group of urgent adenomectomies because they were not preceded with cystostomy, being performed in one-stage for acute urologic disorders. Immediate operations (36.1%) were conducted within 3 post-admission days unless radical surgery was contraindicated. Delayed operations (63.9%) needed preoperative drug correction of complicating disorders, mainly cardiovascular. The operative risk arose due to complications of the adenoma itself, urological and cardiovascular diseases. Among the latter cardiac and cerebral ischemia occurred most commonly. It was proved useful to drain the bladder with a permanent urethral catheter when preparing patients for delayed adenomectomy. High efficacy (91.9%) of urgent adenomectomy for acute retention of urine in preexisting somatic diseases suggests its significant practical value.
Dovlatian
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D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D011468:Prostatectomy / Q000451:nursing*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000451:nursing / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology / Q000451:nursing / Q000601:surgery