Analysis of complications of various methods of surgery in patients with benign large-size prostatic hyperplasia
The work analyzes complications developing after removal of the prostate gland by traditional and videoendoscopic methods in 122 patients with large-size BPH (larger than 80 ml). Intraoperational, short-term and long-term perioperational results of extraperitoneoscopic (EA), traditional adenomectomy (TVA and RA) and TUR are analyzed. As was found, early and late post-surgery complications were most frequent in patients after TUR - 93.2% and traditional adenomectomy (TVA) - 65%, as compared with RA and EA - 20.5 and 41.9%, respectively. It is noteworthy that complications after TUR most frequently were of infectious-inflammatory nature, and they were eliminated conservatively. Therefore, the need for introduction of other methods of operative treatment of large-size BPH remains topical.