Assessment of the Balloon Dilation Efficiency in Bladder Neck Contracture after Transurethral Interventions on the Prostate

Abbosov, S.A.; Sorokin, N.I.; Shomarufov, A.B.; Kadrev, A.V.; Mikheev, K.V.; Fozilov, A.A.; Najimitdinov, Y.S.; Ohobotov, D.A.; Giyasov, S.I.; Mukhtarov, S.T.; Akilov, F.A.; Kamalov, A.A.

Авторы: Abbosov Sh A., Sorokin N.I., Shomarufov A.B., Kadrev A.V., Mikheev K.V., Fozilov A.A., Najimitdinov Y.S., Ohobotov D.A., Giyasov S.I., Mukhtarov Sh T., Akilov F.A., Kamalov A.A.
Журнал: Urological Science
Том: 33
Номер: 3
Год издания: 2022
Издательство: Elsevier BV
Местоположение издательства: Netherlands
Первая страница: 130
Последняя страница: 135
DOI: 10.4103/UROS.UROS_148_21
Аннотация: Purpose: The aim was to assess the results of balloon dilation in patients with bladder neck contracture (BNC) after endoscopic surgery for benignprostatic hyperplasia (BPH). Materials and Methods: The study involved 120 patients with recurrent BNC after transurethral interventionsfor BPH. All patients underwent transurethral resection (TUR) of the bladder neck and were divided into two groups: Group A (n = 45)included men who, after TUR, additionally underwent repeated balloon dilation, whereas the control group B (n = 75) included men who weretreated with alpha-blockers alone. Results: In 9 months after TUR and 3 months after the 4th balloon dilation procedure in Group A, the meaninternational prostate symptom score (IPSS) decreased from 20.1 ± 8.4 to 17.2 ± 7.4, and the IPSS-quality of life was 4.2 ± 1.2 (P > 0.05). InGroup B, they were 21.7 ± 7.7 and 4.7 ± 1.1 (P > 0.05), respectively. In addition, the mean flow rate in Group A was 13.2 ± 5.4 ml/s, whereasin Group B, it was 8.7 ± 4.9 ml/s (P < 0.05). There was a significant decrease in the postvoid residual urine volume from 76.2 ± 96.1 mlto 37.6 ± 55.1 ml in Group A, whereas, in Group B, it increased from 63.0 ± 36.9 ml to 79.4 ± 71.6 ml (P > 0.05). Furthermore, 28.0% ofpatients of Group B and 13.3% of patients of Group A underwent repeated TUR of the bladder neck in 9 months follow-up period (P < 0.05).Conclusion: Balloon dilation is a safe less invasive procedure and can reduce the possibility of BNC recurrence and thus the rate of repeatedtransurethral interventions.
Добавил в систему: Кадрев Алексей Викторович

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