INTERVENTIONAL SURGERY IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA AND PROSTATE CANCER
https://doi.org/10.21886/2308-6424-2015-0-3-54-67
Abstract
During the period from 2004 to 2014, prostatic artery embolization was performed in 59 patients with benign prostatic hyperplasia (BPH) and superselective chemoembolization in 36 patients with prostate cancer. After the embolization in BPH cases, the number of symptoms according to IPSS significantly decreased, and Qmax increased. The volume of the prostate and hyperplastic lesions decreased on the average by 53% and 47% on the average, respectively. The positive effect of chemoembolization was achieved in 30 patients (83.3%). The objective response was observed by the reduced PSA levels, prostate volume reduction and the improvement of urination parameters.In 12 months, check biopsy was performed in 16 patients. In 12 cases, fibrosis and epithelial dystrophy without atypia signs were observed, in 2 cases, therapeutic pathomorphism was observed.The application of the methods of embolization in BHP cases and chemoembolization in localized prostate cancer cases has showed their high effectiveness and safety in the patients who are not amenable to conventional therapy.
About the Authors
A. I. Neymark
Altai State Medical University (Barnaul)
Russian Federation
Department of Urology and Nephrology
Russian Federation
Department of Urology and Nephrology
M. A. Tachalov
Regional Clinical Hospital at the Barnaul Station of the OAO ―RZhD‖ (Russian Railways‖)
Russian Federation
Urology Department (Barnaul)
Russian Federation
Urology Department (Barnaul)
B. A. Neumark
Altai State Medical University (Barnaul)
Russian Federation
Department of Urology and Nephrology
Russian Federation
Department of Urology and Nephrology
D. V. Torbik
Altai State Medical University (Barnaul)
Russian Federation
Department of Urology and Nephrology
Russian Federation
Department of Urology and Nephrology
D. D. Arzamastsev
KGBUZ ―Regional Clinical Hospital‖
Russian Federation
Department of Roentgen Operative Diagnosis and Therapy Methods (Barnaul)
Russian Federation
Department of Roentgen Operative Diagnosis and Therapy Methods (Barnaul)
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Review
For citations:
Neymark A.I., Tachalov M.A., Neumark B.A., Torbik D.V., Arzamastsev D.D. INTERVENTIONAL SURGERY IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA AND PROSTATE CANCER. Urology Herald. 2015;(3):54-67. (In Russ.) https://doi.org/10.21886/2308-6424-2015-0-3-54-67
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