Introduction & Objectives: The choice of surgical treatment in patients with BPH is one of the most discussed issues in urology. In recent years, the surgical treatment of prostates of medium and large sizes by means of enucleation has become increasingly popular. The emergence of special loops to perform bipolar and monopolar enucleation using standard equipment for TURP has opened up new possibilities for the treatment of patients with BPHtransurethral monopolar enucleation BPH.
Material & Methods: In the period from December 2014 to the current time 25 monopolar enucleations were performed in the clinic of urology Sechenov FMSMU. The mean age was 70,3 ± 3,7 years; Prostate volume was 60,3 ± 12,5 cm3; IPSS / Qol 24,6 ± 3,3 / 5,1 ± 1,1; Qsr 7.7 ± 2.1 ml / s. We used resectoscope 26 Ch with constant irrigation, Hook-electrode, pusher-electrode, as well as a standard set of electrodes for mono- and bipolar surgery during the procedure. Enucleated adenomatous nodes were resected either by mono- or bipolar TURP and were laundered by ReneAlexander syringe, or morcellated.
Results: The average operative time was 97 ± 21.5 min. Urethral catheter was removed 3-4 days after surgery. 1 month after surgery IPSS / Qol was 8,1 ± 2,2 / 2,3 ± 0,3; Qmax was 17.6 ± 1.4 ml / s. There was a complication in one of the clinical cases – stress incontinence grade 1 (Clavien-Dindo classification Degree 1), lasting for one month.
Conclusions: Monopolar enucleation of prostate hyperplasia is a radical, as well as a safe and effective surgical method in the treatment of patients with BPH. Further observation of the operated patients will allow us to make a final conclusion about the place of this technique in the treatment of patients with BPH and adequacy of data.
