APPLICATION OF THULIUM FIBER LASER IN TREATMENT OF PATIENTS WITH BENIGN PROSTATE HYPERPLASIA AND BLADDER STONES
Abstract
Purpose: to study the use of thulium fiber laser for transurethral enucleation of the prostate and cystolithotripsy in patients with benign prostatic hyperplasia and bladder stones. Material and methods: 32 patients aged 68,8 (54-79) were operated on, with prostate 95,9 (78-140) mm3 and bladder stones18,1 (10-30) mm.Results and discussion. The total operation time was on average 82,0 (43-148) minutes, the time of cystolithotripsy - 12,6 (3-28) minutes, enucleation with morcellation - 69,4 (40-120) minutes. Damage to the prostate capsule was observed in 2 (6,3%) cases, in 1 (3,1%) case - bladder mucosa, which did not require interrupting the operation. The duration of urethral drainage was 2,1 (1-5) days, uroflowmetry 1 month after surgery was 16,4 (10-21) ml/sec. The duration of hospitalization averaged 4,4 (2-8) days.Conclusions. Simultaneous thulium fiber laser cystolithotripsy and prostate enucleation is an effective and safe method of treating patients with benign prostatic hyperplasia and bladder stones.
About the Authors
V. N. Dubrovin
ГБУ Республики Марий Эл «Республиканская клиническая больница»; ФГБОУ ВО «Казанский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. V. Tabakov
ГБУ Республики Марий Эл «Республиканская клиническая больница»
Russian Federation
Russian Federation
R. R. Shakirov
ГБУ Республики Марий Эл «Республиканская клиническая больница»
Russian Federation
Russian Federation
A. V. Egoshin
ГБУ Республики Марий Эл «Республиканская клиническая больница»
Russian Federation
Russian Federation
O. V. Mikhailovsky
ГБУ Республики Марий Эл «Республиканская клиническая больница»
Russian Federation
Russian Federation
G. M. Khasanova
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Dubrovin V.N., Tabakov A.V., Shakirov R.R., Egoshin A.V., Mikhailovsky O.V., Khasanova G.M. APPLICATION OF THULIUM FIBER LASER IN TREATMENT OF PATIENTS WITH BENIGN PROSTATE HYPERPLASIA AND BLADDER STONES. Bashkortostan Medical Journal. 2021;16(5):9-13. (In Russ.)
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