FORECASTING AND PROPHYLAXIS OF COMPLICATIONS IN PATIENTS AFTER THE RADICAL PROSTATECTOMY

Abstract

One of the most widespread oncological diseases in men is the prostate cancer (PC). PC takes the second place in the world among oncological diseases and the sixth cause of mortality in men induced by oncopathology. The purpose of the research is to improve surgical treatment of a prostate gland cancer. “The gold standard” of surgical treatment of PC is radical prostatectomy which is one of the most difficult operations in Oncology. It is caused by intricate topographo-anatomic relations. Materials and methods of a research. 80 patients who had undergone surgical treatment of prostate cancer were chosen by continuous sampling method within the years of 2014-2016. The retrospective analysis of major risk factors of intra- and post-operative complications has been carried out. Bleeding in the excision site, injury of the neck of the urinary bladder, injury of the rectum are the commonest intra-operative complications The postoperative period is often complicated by urinary tract inflammation, lymphorrhea, lymphocele, urine incontinence, erectile dysfunction. Improvement in quality of life is the most important task of any treatment modality, thus prognosis and development of preventive measures in case of radical prostatectomy is topical. Results. We have performed optimization of the surgical technique for prostate cancer. All patients have been divided into the main and control groups. In the main group we used the complex method of prevention of complications by means of fibrin glue. The offered method of prevention of a lymphorrhea after a radical prostatectomy allows to reduce incidence of postoperative complications, development of lymphocele, diminish the time of lymphorrhea up to 1-3 days as well as postoperative rehabilitation, and to promote early activation of patients.