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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.
Prostate cancer is a malignant tumor, which mostly often affects men over 50 years old. Such a tumor is characterized by slow development, but at the same time rapid spread to nearby organs (hip bones, pelvis, spine, etc.).
If the tumor does not go beyond the prostate, then it is completely curable. If metastases enter other organs and tissues, the oncological process can be suspended, prolonging the patient’s life for years and decades.
Among the first signs of prostate cancer are:
– rapid weight loss;
– urination difficulties;
– frequent and painful urination;
– pain in perineum, back, scrotum, pelvis;
– presence of blood impurities in urine and semen.
The following diagnostic measures are assigned:
– Prostate biopsy;
– CT (computed tomography);
– PET (positron emission tomography) with CT;
– Prostate ultrasound;
– Radioisotope studies;
The method of treating prostate cancer is selected individually for each patient, taking into account the stage of oncopathology, the general condition of the patient, the presence of metastases and concomitant diseases.
Laparoscopic nerve-sparing prostatectomy. The endoscopic instrument is inserted through several punctures in the lower abdomen. The prostate is cut off, crushed and evacuated with a special container.
Robotic-assisted prostatectomy da Vinci. The doctor has the ability to perform surgery to remove the prostate delicately, without damaging the small anatomical structures. The interactive robot platform provides 3D visualization of the surgical field and corrects movements.
Brachytherapy. Impact of directed neutron irradiation on a tumor. Titanium capsules with a radioactive element (Iodine-125) are “dropped” into the tumor with special needles according to a computer-calculated scheme. It is considered a radical treatment for prostate cancer.
Radiation therapy. The use of radiation therapy is advisable for patients with localized prostate cancer, in the absence of a metastatic process.
HIFU ablation. Impact on the tumor with focused high-intensity ultrasound. Recommended for patients with severe concomitant diseases.
Cryoblation. Impact on the tumor with cold (argon up to -40-60 ° C) and warm (helium) gases. As a result of the change in temperature, the membranes of cancer cells rupture. Gas is injected through cryoprobes – special needles with a knitting needle diameter. Recommended for patients with severe somatic status, when general anesthesia is difficult or impossible due to severe concomitant diseases. For example, heart or lung disease.
Open prostatectomy. The prostate gland is removed through an incision in the lower abdomen (retropubic prostatectomy) or through an incision between the scrotum and anus (perineal prostatectomy). As a rule, an open operation is used involuntarily. For example, with severe sudden bleeding during laparoscopic surgery.