title: [Diagnosis and treatment of urolithiasis in combination with infravesical obstruction in presenile and senile patients].
abstract: The analysis of the results of examination and treatment of 510 urolithiasis patients with organic infravesical obstruction (IVO) treated in the urological clinic of M. F. Vladimirsky Moscow Regional Research Clinical Institute and in the urological department of Zhukovsky city hospital from 1995 to 2009 made it possible to arrive at the following conclusions: the above patients have obstruction symptoms in 100% cases, irritative symptoms--in more than 2/3 of the patients; combined use of low invasive, endoscopic and open methods reestablishes urodynamics of the lower urinary tract in more than 90% patients; the decision on the treatment policy and techniques depends on severity of clinical symptoms caused by IVO and urolithiasis as well as disturbance of upper and lower urinary tract urodynamics. In adequate choice of the patients and correct indications combined use of low invasive, endoscopic and open methods provides good treatment effect in patients with IVO and urolithiasis.
authors.forename: M F
authors.initials: MF
authors.lastname: Trapeznikova
authors.forename: V V
authors.initials: VV
authors.lastname: Dutov
authors.forename: A A
authors.initials: AA
authors.lastname: Gal'ko
authors.forename: A A
authors.initials: AA
authors.lastname: Rumiantsev
authors.forename: A N
authors.initials: AN
authors.lastname: Zlobin
authors.forename: V V
authors.initials: VV
authors.lastname: Beliaev
authors.forename: M Iu
authors.initials: MIu
authors.lastname: Shvedov
mesh_terms: D058891:5-alpha Reductase Inhibitors / Q000008:administration & dosage / Q000627:therapeutic use; D058668:Adrenergic alpha-1 Receptor Antagonists / Q000008:administration & dosage / Q000627:therapeutic use; D000368:Aged; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D016896:Treatment Outcome; D001748:Urinary Bladder Neck Obstruction / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D014563:Urodynamics; D052878:Urolithiasis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male
chemical_list: D058891:5-alpha Reductase Inhibitors; D058668:Adrenergic alpha-1 Receptor Antagonists