urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2024-12-4-5-13urovest-907Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESБезопасность и эффективность трансуретральной баллонной дилатации у пациентов с рецидивирующей контрактурой шейки мочевого пузыря после трансуретральной хирургииTransurethral balloon dilation safety and efficacy in patients with recurrent bladder neck contracture after transurethral interventionshttps://orcid.org/0000-0002-6212-3693АббосовШ. А.AbbosovSh. A.

Аббосов Шухрат Анварович — канд. мед. наук.

Ташкент

Shukhrat A. Abbosov — Cand.Sc.(Med).

Tashkent

shuhrat0770@mail.ruhttps://orcid.org/0000-0001-9271-0808ШомаруфовА. Б.ShomarufovA. B.

Шомаруфов Азизбек Баходирович — канд. мед. наук.

Ташкент

Azizbek B. Shomarufov - Cand.Sc.(Med).

Tashkent

doctor.shomarufov@gmail.comhttps://orcid.org/0009-0005-1729-9429АминоваД. Р.AminovaD. R.

Аминова Дилафруз Рустамовна.

Ташкент

Dilafruz R. Aminova.

Tashkent

dilafruzaminovaa@gmail.comТашкентская медицинская академия; Республиканский специализированный научно-практический медицинский центр урологииУзбекистанTashkent Medical Academy; Republican Specialized Scientific-Practical Medical Center of UrologyUzbekistanТашкентская медицинская академияУзбекистанTashkent Medical AcademyUzbekistan202404092024124513Copyright © Аббосов Ш.А., Шомаруфов А.Б., Аминова Д.Р., 20242024Аббосов Ш.А., Шомаруфов А.Б., Аминова Д.Р.Abbosov S.A., Shomarufov A.B., Aminova D.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/907Введение

Введение. В настоящее время урологи расходятся во мнении, какой метод лечения контрактуры шейки мочевого пузыря (КШМП) является наиболее эффективным: трансуретральная резекция (ТУР) или разрез.

Цель исследования

Цель исследования. Оценить безопасность и эффективность баллонной дилатации у пациентов с рецидивирующей контрактурой шейки мочевого пузыря после эндоскопического лечения доброкачественной гиперплазии простаты (ДГП).

Материалы и методы

Материалы и методы. В исследование включено 110 пациентов с рецидивом КШМП после трансуретральных вмешательств по поводу ДГП. Все пациенты перенесли трансуретральную резекцию (ТУР) шейки мочевого пузыря и были разделены на 2 группы: в группу А (n = 45) вошли мужчины, которым после ТУР дополнительно проводилась повторная баллонная дилатация, а в контрольную группу В (n = 65) — мужчины, получавшие только альфа-блокаторы.

Результаты

Результаты. Через 9 месяцев после ТУР и через 3 месяца после четвертой процедуры баллонной дилатации в группе А средний балл по международной шкале простатических симптомов (IPSS) снизился с 20,1 ± 8,4 до 17,2 ± 7,4, а показатель качества жизни (QoL) по шкале составил 4,2 ± 1,2 (p > 0,05). В группе В эти показатели составили 21,7 ± 7,7 и 4,7 ± 1,1 (p > 0,05), соответственно. Кроме того, средняя скорость потока мочи в группе А составила 13,2 ± 5,4 мл/с, а в группе В — 8,7 ± 4,9 мл/с (p < 0,05). Наблюдалось значительное снижение объёма остаточной мочи после мочеиспускания с 76,2 ± 96,1 мл до 37,6 ± 55,1 мл в группе А, в то время как в группе В он увеличился с 63,0 ± 36,9 мл до 79,4 ± 71,6 мл (p > 0,05). Кроме того, 28,0% пациентов группы В и 13,3% пациентов группы А подверглись повторной ТУР шейки мочевого пузыря через 9 месяцев наблюдения (p < 0,05).

Заключение

Заключение. Процедура баллонной дилатации является относительно безопасной и менее инвазивной процедурой и может снизить частоту рецидивов КШМП, а следовательно, и частоту повторных трансуретральных вмешательств.

Introduction

Introduction. Currently, urologists are divided on which method is most effective for treating bladder neck contracture (BNC) after surgery: transurethral resection (TUR) or incision.

Objective

Objective. The study aimed to assess the balloon dilation safety and success in patients with recurrent bladder neck contracture (BNC) after endoscopic surgery for benign prostatic hyperplasia (BPH).

Materials & Methods

Materials & Methods. This study involved 110 patients with recurrent BNC after transurethral interventions for BPH. All patients underwent TUR of the bladder neck and were divided into 2 groups: group A (n = 45) included men who, after TUR, additionally underwent repeated balloon dilation, while the control group B (n = 65) included men who were treated with alpha-blockers alone.

Results

Results. In 9 months after TUR and 3 months after the fourth balloon dilation procedure in group A, the mean international prostate symptom score (IPSS) decreased from 20.1 ± 8.4 to 17.2 ± 7.4, and the IPSS-quality of life (QoL) was 4.2 ± 1.2 (p > 0.05). In group B, they were 21.7 ± 7.7 and 4.7 ± 1.1 (p > 0.05), respectively. Additionally, the mean flow rate in group A was 13.2 ± 5.4 ml/s, while in group B, it was 8.7 ± 4.9 ml/s (p < 0.05). There was a significant decrease in the post-void residual urine volume (PVR) from 76.2 ± 96.1 ml to 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). Also, 28.0% of patients 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

Conclusion. Balloon dilation procedure is a relatively safe less invasive procedure and can reduce the BNC recurrence rate and consequently the rate of repeated transurethral interventions.

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The authors declare that there are no conflicts of interest present.