Wa'el H. The correction of homeostasis, prophylaxis and improving the complex therapy of transvesical prosatectomy complications in patients with benign hyperplasia of prostate

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0406U001054

Applicant for

Specialization

  • 14.01.06 - Урологія

21-03-2006

Specialized Academic Board

Д 26.615.01

Essay

We had in our observation 147 patients with benign hyperplasia of prostate (BHP) and previously been operated with transvesical prostatectomy. The age of patients was oscillated between 59 and 80 years old. The period of having the pathology (BHP) was oscillated from 1 to 10 years. We founded that every patient had accompanying diseases from 3 to 7. Most of accompanying diseases were cardiovascular (78%). The least were in lungs, liver, kidneys and blood systems. Therefore, we elaborated a plan of complex treatment to recover the normal level of homeostasis indices and so we could notify complications quantity. We proved that the using of both preparations monural (antibiotic) and tiotriazoline (antioxidant) can decrease the number of complications after transvesical prostatectomy (36,2-19,2%). On the other hand, we used the computer system (CC 200) to get more clear picture about the bladder wall statement by studying morphologic mycropreparations been previously taken during the operation time. It was settled that transfering of bladder wall muscular tissue into conjuctive starts in the firsts-seconds years of BHP then it nearly to totally (90,2%) transfers into conjuctive tissue in the 4-th - 5-th years of BHP with parallely having hemocirculation breach more than 80%. So, we think according to our treatment algorithm that using conservative therapy in more prolonged time than 4-5 years is not effective.

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