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About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: National Medical Research Center for Obstetrics, Gynecology and Perinatology was established as the Union Clinical Scientific-Research Institute for Obstetrics and Gynecology in 1944, as an important part of the policy of demographic revival of the country after the World War II, and since then is the leading scientific, medical and academic institution of Russia in the fields of obstetrics, gynecology, perinatology and reproductology. The Center is the major basis for development and implementation of governmental programs on maternal and child healthcare; producer of the clinical protocols, guidelines and standards of care; coordinator of integration of regional medical facilities.
About the clinic: P.Herzen Moscow Oncology Research Institute was founded on February 12, 1898. It became the oldest scientific and practical institution in Europe and the first oncology institution in Russia, where the foundations were laid for the Russian science and oncology services. The Institute is a recognized leader in providing high-tech medical care to patients with various types of cancer. The Institute performs a unique surgery, uses modern high-tech methods of diagnostics, comprehensive treatment and rehabilitation of patients.
Benign prostate hyperplasia affects the majority of men.
Benign prostate hyperplasia usually develops after 40 years. According to statistics, the morbidity rate among men aged 40-50 is 20 %; among men aged 50-80 – 50 % and among men older than 80 – 90 %. The disease deprives men of their sexual attraction and also seriously affects urination.
The tumor is benign and does not affect neighbouring organs and systems. Tissue growth causes significant urination difficulties. Therefore, patients complain of pain and discomfort.
BPH can be detected when a man suffers the following symptoms, which are typical of the disease:
– Increased pressure to urinate;
– The need for tension in the abdominal muscles for urination;
– The presence of pains, burning, sluggish urine;
– Discomfort and insufficient emptying of the bladder;
– Increased duration of the urination process.
– The following laboratory and instrumental methods are used to diagnose prostate adenoma:
– General blood and urine tests;
– Biochemical tests of blood for kidney markers, urea and creatinine;
– PSA level analysis (to exclude prostate cancer);
– Transrectal ultrasound (ultrasonic);
– Urofluometry (to determine the rate of urine current);
– Measurements of residual urine (by ultrasound);
– Pelvic floor electromiography
– Excretory urography
Surgery provides the best treatment effect. The decision to perform surgery can be made at any stage of the disease.The “golden standard” of surgical treatment is transurethral resection (TURP) – excision of the benign prostate hyperplasia via urinary tract. Alternative of this operation is TUEB.
Laparoscopic adenomectomy (MIA) is performed via the abdominal wall. This method is used to remove large tumors. The endoscopic instrument is triggered by several puncture wounds in the lower abdomen. Adenoma is cut off, shredded and evacuated by a special container.
Laser enucleation by a golmium, tullium laser (HoLEP/ThuLEP) is in many cases an effective method of treating benign prostate hyperplasia. The removal of prostate adenoma by laser is performed without external cuts using endoscopic techniques through the urinary canal. During surgery there is almost no blood loss, it is possible to remove adenomatous tissue of any size, a short rehabilitation period is required, and there are no post-operative sutures.