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Platelet-rich autologous plasma: what is it and for what?

https://doi.org/10.21886/2308-6424-2020-8-2-67-77

Abstract

Platelet-rich autologous plasma (PRP) is often used in various branches of medicine. The scope of PRP therapy has expanded from stimulating bone regeneration, healing wounds and ulcers, and musculoskeletal injuries to improving the ability to engrave various types of grafts. Due to the natural properties of platelet-rich plasma, its introduction into the human body is one of the most promising procedures for tissue restoration. After the destruction of platelets, PRP contains α-granules, from which many factors are released after activation, such as transforming growth factor-beta (TGF-β), vascular endothelial growth factor (VGFF) and epidermal growth factor (EGF). The current state of the problem of using APOT has a huge perspective on the development of the methodology, which is due to many aspects that make this procedure simple. PRP can improve the course of many urological diseases, such as erectile dysfunction, Peyronie’s disease, urethral stricture, vesicovaginal fistulas, interstitial cystitis, and stress urinary incontinence. There are many protocols for preparing PRP, each of which has its standardized parameters and stated results. The article presents a review of the literature on the use of platelet-rich plasma in urology, focuses on the definition of PRP, various methods of preparation and activation, as well as the concentration of growth factors.

About the Authors

V. L. Medvedev
Kuban State Medical University; Prof. S.V. Ochapovsky Scientific and Research Institute – Krasnodar Regional Clinical Hospital No. 1; Rostov State Medical University
Russian Federation

Vladimir L. Medvedev – M.D., Dr.Sc.(M), Full Prof.; Head, Dept. of Urology, Kuban State Medical University; Prof., Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology course)

Head, Urology & Nephrology Center and Urology

Division No. 2, Deputy Chief Medical Officer for the Urological Service



M. I. Kogan
Rostov State Medical University
Russian Federation
Mikhail I. Kogan – Honored Scientist of Russian Federation, M.D., Dr.Sc.(M), Full Prof.; Head, Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology course)


I. V. Mihailov
Kuban State Medical University; Prof. S.V. Ochapovsky Scientific and Research Institute – Krasnodar Regional Clinical Hospital No. 1
Russian Federation
Igor V. Mihailov – M.D., Dr.Sc.(M), Full Prof.; Prof., Dept. of Urology


S. N. Lepetunov
Kuban State Medical University; Prof. S.V. Ochapovsky Scientific and Research Institute – Krasnodar Regional Clinical Hospital No. 1
Russian Federation

Sergey N. Lepetunov – M.D.; Assist., Dept. of Urology,

Urologist, Urology Division No. 2,



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Review

For citations:


Medvedev V.L., Kogan M.I., Mihailov I.V., Lepetunov S.N. Platelet-rich autologous plasma: what is it and for what? Urology Herald. 2020;8(2):67-77. (In Russ.) https://doi.org/10.21886/2308-6424-2020-8-2-67-77

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ISSN 2308-6424 (Online)