ORIGINAL ARTICLES
REVIEWS ARTICLE
The diagnostic consideration of the most commonly used methods of radial diagnostics in identifying local recurrence of prostate cancer after radical prostatectomy in patients with biochemical recurrence is reflected in the literature review. The identified level of PSA after radical prostatectomy can argue for both local recurrence, the presence of tumor dissemination, and a residual prostate tissue without tumor that was left on the edge of the cut. With the purpose of early diagnosis of prostate cancer recurrence, it is advisable to monitor PSA levels after 3 months after radical prostatectomy. In case of growth of PSA levels after radical prostatectomy, it is necessary to answer the question: whether the recurrence is local or metastatic. Modern imaging methods, such as transrectal ultrasound examination, bone scanning, multislice computed tomography, positron emission tomography and endorectal magnetic resonance imaging provide excluding or establishing the presence of recurrence of prostate cancer after radical prostatectomy. It should be noted that none of the methods of radiodiagnostics are not ahead of the results of PSA in the identification of local recurrence of prostate cancer after radical prostatectomy; however, in their complex application, prostate cancer recurrent after radical prostatectomy can be visualized at its earliest stages.
Tuberculosis remains important medical and social problem. Prostate TB is often underdiagnosed disease in patients with pulmonary TB: in fact every third pulmonary TB patient had prostate TB, confirmed by pathomorphological investigation of prostate biopsies, although clinical symptoms were absent. Seventy seven percents of men died from TB any localization had prostate TB, mostly overlooked alive. Chronic inflammation of the prostate gland – both nonspecific and TB etiology, - leads to decreasing of a quality of ejaculate; in low basic fertility of population it may have dramatic consequences. Infertility may be a first symptom which stimulates a TB patient to address a doctor. But now the influence of prostate TB on a quality of ejaculate is not evaluated. It was showed a positive role of selenium and zinc on a quality of ejaculate in patients with chronic prostatitis, with idiopathic infertility – but there is no knowledge of the influence these elements on fertility in patients with prostate TB.