nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical Universitynefr-20Research ArticleЖУРНАЛ В ЖУРНАЛЕ (актуальные вопросы урологии, педиатрии, гериатрии)JOURNAL IN THE JOURNAL (ACTUAL PROBLEMS OF UROLOGY, PEDIATRICS, GERIATRICS)Анализ осложнений радикальной простатэктомииAnalysis of the complications of radical prostatectomyАль-ШукриС. Х.Al'-ShukriS. Kh.noemail@neicon.ruНевировичЕ. С.NevirovichE. S.noemail@neicon.ruКузьминИ. В.KuzminI. V.noemail@neicon.ruАнанийИ. А.AnaniyI. A.irina.ananii@mail.ruАмдийР. Э.AmdiyR. E.noemail@neicon.ruБорискинА. Г.BoriskinA. G.noemail@neicon.ruПервый Санкт-Петербургский государственный медицинский университет им. акад. И.П.ПавловаRussian Federation2014010320141828588Copyright © Аль-Шукри С.Х., Невирович Е.С., Кузьмин И.В., Ананий И.А., Амдий Р.Э., Борискин А.Г., 20142014Аль-Шукри С.Х., Невирович Е.С., Кузьмин И.В., Ананий И.А., Амдий Р.Э., Борискин А.Г.Al'-Shukri S.K., Nevirovich E.S., Kuzmin I.V., Ananiy I.A., Amdiy R.E., Boriskin A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/20

В статье представлены результаты анализа проведенного лечения 128 пациентов, которым была выполнена радикальная простатэктомия в клинике урологии ПСПбГМУ им. акад. И.П. Павлова в период с 2005 по 2012 год. Средний возраст больных составил 66 лет ( от 52 до 81 года). Осложнения были разделены на три группы: интраперационные, ранние (до 1 мес после операции) и поздние (более 1 мес после оперативного лечения). Интраоперационные осложнения включали травму прямой кишки у 4 пациентов (2,3%) и повреждение мочеточника у 1 пациента (0,7%). К поздним осложнениям относились стриктура пузырно-уретрального анастомоза - у 5 больных (3,9%), недержание мочи более 12 мес после операции - у 5 больных (3,9%). На удержание мочи в послеоперационном периоде влияли продолжительность операции и объем интраоперационной кровопотери. Внедрение новых технологий во время проведения операции, усовершенствование техники оперативного лечения и накопление опыта позволили уменьшить объем интраоперационной кровопотери и сократить длительность операции. Использование техники наложения непрерывного шва при формировании пузырно-уретрального анастомоза способствовало более раннему удалению уретрального катетера, а также снизило процент развития послеоперационной несостоятельности анастомоза. При статистическом анализе не было выявлено факторов, влияющих на развитие стриктуры анастомоза.

Complications of the radical prostatectomy were analyzed. Radical prostatectomy was performed to 128 patients in urology department FSPMU in period from 2005 to 2012 years. The mean age of patients was 66 years (from 52 to 81 years). Complications were divided into three groups: intaoperative, early (up to 1 month after surgery) and late (more than 1 month after surgical treatment). Intraoperative complications included rectum injury at 4 patients (2.3%) and damage to the urethra in 1 patient (0.7%). Late complications were: stricture urethrovesical anastomosis - in 5 patients (3.9%), urinary incontinence after 12 months after the operation - in 5 patients (3.9%). Continence in the postoperative period was affected by the duration of the procedure and volume of intraoperative blood loss. Introduction of new operative technologies, improvement of the techniques of surgical treatment and the accumulation of experience has abled to reduce the amount of intraoperative blood loss and to reduce the duration of the operation. The technique of a continuous suturing vesicourtehral anastomosis was allowed early removal of urethral catheter and reduced the percentage of postoperative anastomosis insolvency. In the statistical analysis did not identify factors influencing to the development of anastomotic strictures.

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The authors declare that there are no conflicts of interest present.