Laparoscopic retropubic adenomectomy in patients with giant prostate adenoma

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Resumo

A clinical case of operative treatment of a 71-year-old patient with diagnosis «Prostate hyperplasia. Cystoma from 26.06.2023» is described. According to the MRI of the small pelvis with intravenous contrast, the prostate volume was 557 cm3. The patient underwent a laparoscopic ovarian adenomectomy. Intraoperative blood loss was 500 ml, and the operation time was 3 hours and 25 minutes. The postoperative period passed without complications due to conservative therapy. The maximum urination rate reached 33 ml/cek. The patient was discharged for the sixth day after the operation in a satisfactory condition under the supervision of the urologist at the place of residence.

Sobre autores

A. Podoynicin

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)

Autor responsável pela correspondência
Email: a4955145801@gmail.com

PhD, MD, Head of the Urologic Department

Rússia, Moscow

E. Mamedov

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)

Email: elvin_mammadli@mail.ru

PhD, Head of the Department of Urology, Associate Professor at the Department of Urology

Rússia, Moscow

N. Amosov

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)

Email: Nikita_amosov@mail.ru

PhD, Senior Researcher of Department of Urology

Rússia, Moscow

D. Romanov

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)

Email: urology.ru@mail.ru

PhD, Senior Researcher at the Department of Urology, Assistant at the Department of Urology

Rússia, Moscow

D. Kuznetsova

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)

Email: dasha_kuzn96@mail.ru

PhD Student at the Department of Urology

Rússia, Moscow

I. Kurkayakov

Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI)

Email: kurkayakov@gmail.com

Resident at the Department of Urology

Rússia, Moscow

Bibliografia

  1. Apolikhin O.I., Sivkov A.V., Komarova V.A., Nikulina A.A. Diseases of the prostate gland in the Russian Federation: statistical data 2008–2017. Experimental and Clinical Urology. 2019;4–10. (Аполихин О.И., Сивков А.В., Комарова В.А., Никулина А.А. Болезни предстательной железы в Российской Федерации: статистические данные 2008–2017 гг. Экспериментальная и клиническая урология. 2019;4–10).
  2. Alyaev Yu.G., Glybochko P.V., Pushkar D.Yu. Urology. Russian Clinical Guidelines. 2016; 17, 18, 30, 31-33. ISBN 978-5-9704-3649-3. (Аляев Ю.Г., Глыбочко П.В., Пушкарь Д.Ю. Урология. Российские клинические рекомендации. 2016; 17, 18, 30, 31–33. ISBN 978-5-9704-3649-3).
  3. Clinical recommendations of the Russian Society of Urologists. Benign prostatic hyperplasia. 2024; 45. (Клинические рекомендации Российского общества урологов. Доброкачественная гиперплазия предстательной железы. 2024; 45).
  4. EAU Guidelines. Edn. presented at the EAU Annual Congress, Amsterdam, the Netherlands, 2020. ISBN 978-94-92671-07-3. (European Association of Urology Guidelines. 2020).
  5. Dall’Oglio M.F., Srougi M., Antunes A.A., et al. An improved technique for controlling bleeding during simple retropubic prostatectomy: a randomized controlled study. BJU Int. 2006;98(2):384–387. doi: 10.1111/j.1464-410X.2006.06236.x.
  6. Porpiglia F., Fiori C., Cavallone B., Morra I., Bertolo R., Scarpa R.M. Extraperitoneoscopic transcapsular adenomectomy: complications and functional results after J Urol. 2011;185:1668–1673. doi: 10.1016/j.juro.2010.12.047.
  7. Seroukhov A.Yu., Pronkin E.A., Glinin K.I., Mamaev I.E. Laparoscopic adenomectomy (preliminary results). Bulletin of Urology. 2016;(1):24–31. doi: 10.1234/XXXX-XXXX-2016-1-24-31 (Сероухов А.Ю., Пронкин Е.А., Глинин К.И., Мамаев И.Э. Лапароскопическая аденомэктомия (предварительные результаты). Вестник урологии. 2016;(1):24–31. doi: 10.1234/XXXX-XXXX-2016-1-24-31).
  8. Mariano M.B., Graziottin T.M., Tefili M.V. Laparoscopic Prostatectomy With Vascular Control for Benign Prostatic Hyperplasia. J Urol. 2002;167(6):2528–2529. doi: 10.1016/s0022-5347(05)65025-2.
  9. García-Segui A., Gascón-Mir M. Comparative study between laparoscopic extraperitoneal and open adenomectomy. Actas Urol. Esp. 2012;36(2):110-116. doi: 10.1016/j.acuroe.2012.04.008.
  10. McCullough T.C., Heldwein F.L., Soon S.J., Galiano M., Barret E., Cathelineau X., et al. Laparoscopic versus open simple prostatectomy: an evaluation of morbidity. J Endourol. 2009;23:129–133. doi: doi.org/10.1089/end.2008.0401.
  11. Mustafaev A.T., Kyzlasov P.S., Dianov M.P., Martov A.G., Ergakov D.V., Sevryukov F.A. Surgical treatment of benign prostatic hyperplasia: past and present. Urological Bulletin. 2019;47–56. Doi: doi.org/10.17816/uroved9147-56. Russian (Мустафаев А.Т., Кызласов П.С., Дианов М.П., Мартов А.Г., Ергаков Д.В., Севрюков Ф.А. Хирургическое лечение доброкачественной гиперплазии предстательной железы: прошлое и настоящее. Урологические ведомости. 2019;47–56. doi: doi.org/10.17816/uroved9147-56).

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2. Fig. 1. MPT of the pelvis: axial projection

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3. Fig. 2. MRI of the pelvis: sagittal projection

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4. Fig. 3. Intraoperative picture. Dissection of the prostate capsule with a transverse incision throughout its entire length

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5. Fig. 4. Macro preparation of the removed prostate adenoma

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