Hystoric aspects of introduction of transbladder and retropubic simple prostatectomy in surgical urological practice

Abstract

The article presents the main stages of transvesical and retropubic prostatectomies on benign prostatic hyperplasia in hystorical aspects, beginning from open intervention to minimally invasive laparoscopic and robotic techniques. The development of hemostatic methods during the transvesical and retropubic prostatectomies are highlighted, in particular by Ukrainian urologists. The aim of the study is to present the main stages of transvesical and retropubic prostatectomies in the surgical urological practice according to the literary data. Research methodology and methods. Literature sources were searched using the Medline database from PubMed and Google Scholar using the phrases “open simple transbladder and retropubic prostatectomy”, “hemostasis for open simple transbladder and retropubic prostatectomy”. Presentation of the main research material. According to the obtained data in scientific databases, it becomes clear that the problem of prostate bed hemostasis during transvesical and retropubic prostatectomies in the world was and remains quite relevant. Although interest in a laser enucleation and laparoscopic prostatectomies for the large hyperplastic prostate nodes (more than 80 ml) continues to grow in the world, open transvesical and retropubic prostatectomies are also widely used today. Therefore, individual stages of these operations, which are improved over time, deserve the special attention in order to reduce the risks of complications and improve the results of treatment. Conclusions. Transvesical and retropubic prostatectomies in benign prostatic hyperplasia surgery count more than 125 years of development and improving. These interventions have passed through the period from open intervention to the minimally invasive laparoscopic and robotic techniques in Ukraine and in the world, but even today the choice of the best option for prostatectomy remains with the operating urologist.