Abstract

Introduction. The article presents an improved method of percutaneous cystolithotripsy. The results of its application are described and a comparison is made with the traditional method of transurethral cystolithotripsy with lithoextraction. The study objective is development of a comprehensive method of treating patients with bladder stones arising against the background of bladder outlet obstruction caused by benign prostatic hyperplasia (BPH), assessment of its effectiveness and safety.Materials and methods. The treatment was carried out in 56 patients with bladder stones arising on the background of BPH at the age from 42 to 89 years. According to the proposed method, 20 patients with BPH (main group) were operated on. Transurethral cystolithotripsy (control group) was performed in 36 patients. The results of the performed operations were compared with each other.Results. According to the comparison results, it is noted that the proposed method of percutaneous cystolithotripsy is performed faster and more efficiently, due to the fixation of the calculus in the basket. Due to the presence of a laparoscopic bag that completely isolates the stone from the bladder wall, there were no intraoperative complications. Drug therapy made it possible to quickly level the symptoms of cystitis. The patients were discharged 4-6 days after surgery with a cystostomy, which was removed after treatment for BPH.Conclusion. The proposed complex treatment of patients with bladder stones on the background of BPH is a safe method and has clear advantages over traditional transurethral, contact cystolithotripsy with lithoextraction.

Highlights

  • The article presents an improved method of percutaneous cystolithotripsy

  • The results of its application are described and a comparison is made with the traditional method of transurethral cystolithotripsy with lithoextraction

  • The study objective is development of a comprehensive method of treating patients with bladder stones arising against the background of bladder outlet obstruction caused by benign prostatic hyperplasia (BPH), assessment of its effec‐ tiveness and safety

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Summary

АНДРОЛОГИЯ ANDROLOGY

ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. В работе представлен усовершенствованный метод перкутанной цистолитотрипсии, описаны результа‐ ты его применения и проведено сравнение с традиционным методом трансуретральной цистолитотрипсии с лито‐ экстракцией. Цель исследования – разработка комплексного метода лечения пациентов с камнями мочевого пузыря, возник‐ шими на фоне инфравезикальной обструкции, вызванной доброкачественной гиперплазией предстательной желе‐ зы (ДГПЖ), оценка его эффективности и безопасности. Проведено лечение 56 пациентов в возрасте от 42 до 89 лет с камнями мочевого пузыря, возникшими на фоне ДГПЖ. С использованием предложенного способа оперированы 20 пациентов с ДГПЖ (основ‐ ная группа). У 36 пациентов выполнена трансуретральная цистолитотрипсия (контрольная группа). Предложенное комплексное лечение пациентов с камнями мочевого пузыря на фоне ДГПЖ – без‐ опасный метод, имеющий явные преимущества перед традиционной трансуретральной, контактной цистолитотрип‐ сией с литоэкстракцией. Применение усовершенствованного метода перкутанной цистолитотрипсии у пациентов с доброкачественной гиперплазией предстательной железы.

Introduction
Materials and methods
Findings
Military Medical Academy

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