Preview

Nephrology (Saint-Petersburg)

Advanced search

THE CHANGES IN THE BLOOD FLOW CIRCULATION IN THE PROSTATE GLAND IN THE PATIENTS WITH BENIGN HYPERPLASIA IN TREATMENT WITH INHIBITORS OF 5-ALFA REDUCTASE (DUTASTERID)

https://doi.org/10.24884/1561-6274-2008-12-3-85-88

Abstract

THE AIM. To study the changes of indices of the prostate gland blood flow of the patients with the benign hyperplasia, during the treatment with Dutasterid. PATIENTS AND METHODS. 29 patients with benign hyperplasia of prostate gland (BHPG) (mean age 65, 21±6,27) were examined. In all patients by means of ultrasound and dopplerometry was examined the maximal systolic and final diastolic velocities of arterial blood flow, venal velocity, resistance index and pulsating index before the treatment, and also after 1, 3 and 6 month of treatment. RESULTS. The decrease of arterial and venous blood flow velocities in prostate gland, resistance index and pulsating index (p < 0,005), with its maximum in the first two month of treatment was noted. CONCLUSION. The use of Dutasterid in patients with BHPG during 1-2 month leads to statistically significant decrease in its blood flow, which allows to think about the decrease of blood loss during and after transurethral resection (TUR). The use of Dutasterid can serve as one of the stages of preoperative preparation of the patients with BHPG.

About the Authors

E. T. Goloshapov
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


G. B. Lukichev
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


N. U. Krukova
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation


References

1. Бадалянц ИЮ. Особенности изменения системы гемостаза у больных пожилого и старческого возраста на фоне лечения доброкачественной гиперплазии предстательной железы. Автореф. дис. … канд. мед. наук: 14. 00. 05, Самарс-кий гос. Мед. ин-т, Самара, 2000; 24

2. Голощапов ЕТ. Состояние гемокоагуляции у больных аденомой предстательной железы и особенности гемостаза при аденомэктомии. Автореф. дис. … канд. мед. наук: 14.00.40, Киев, 1978; 16

3. Лопаткин НА. Осложнённая аденомэктомия и ТУР предстательной железы. В: Доброкачественная гиперплазия предстательной железы. М., 1999; 210-214

4. Crea G, Sanfilippo G, Anastasi G et al. Pre-surgical finasteride therapy in patients treated endoscopically for benign prostatic hyperplasia. Urol Int2005; 74(1): 51-53

5. Hagerty JA, Ginsberg PC et al. Pretreatment with finasteride decreases perioperative bleeding associated with transurethral resection of the prostate. Urology 2000; 55(5): 684-689

6. Новиков ИФ, Александров ВП, Артёмов ВВ. Эндоскопические методы лечения урологических больных. СПб., 2002

7. Feneley MR, Span PN, Schalken JA et al. A prospective randomized trial evaluating tissue effects of finasteride therapy in benign prostatic hyperplasia. Prostate Cancer Prostatic Dis 1999; 2(5/6): 277-281

8. Оzdal ОL, Оzden C, Benli K et al. Effect of short-term finasteride therapy on peroperative bleeding in patients who were candidates for transurethral resection of the prostate (TUR-P): a randomized controlled study. Prostate Cancer and Prostatic Diseases 2005; 8: 215-218

9. Lund L, Mёller Ernst-Jensen K, Tёrring N, Erik Nielsen J. Impact of finasteride treatment on perioperative bleeding before transurethral resection of the prostate: a prospective randomized study. Scand J Urol Nephrol2005; 39(2): 160-162

10. Donohue JF, Barber NJ. How do we investigate haematuria and what role has finasteride? BJU Int2004; 93(1): 3-4

11. Kashif KM, Foley SJ, Basketter V, Holmes SA. Haematuria associated with BPH-Natural history and a new treatment option. Prostate Cancer Prostatic Dis 1998; 1(3): 154-156

12. Bell CR, Cox DJ et al. Thromboelastographic evaluation of coagulation in transurethral prostatectomy. Br J Urol 1996; 78(5): 737-741

13. Sandfeldt L, Bailey DM, Hahn RG. Blood loss during transurethral resection of the prostate after 3 months of treatment with finasteride. Urology 2001; 58(6): 972-976

14. Palou Redorta J, Gausa Gascon L, Salvador Bayarre J et al. Efficacy of finasteride in the treatment of hematuria associated with benign prostatic hypertrophy. Arch Esp Urol 2002; 55(8): 895-899

15. Kamalov AA, Riaboi AV, Ignashin NS et al. Use of proscar in preoperative preparation of patients with benign prostatic hyperplasia before transureteral resection. Urologiia 2002; (5): 16-18

16. Liu XD, Li H, Bu H et al. Effects of finasteride on capillary in the ventral prostate of rat. Sichuan Da Xue Xue Bao Yi Xue Ban 2004; 35(2): 226-228

17. Donohue JF, Hayne D, Karnik U et al. Randomized, placebo-controlled trial showing that finasteride reduces prostatic vascularity rapidly within 2 weeks. BJU Int 2005; 96(9): 1319-1322

18. Kaya C, Ozyurek M, Turkeri LN. Comparison of microvessel densities in rat prostate tissues treated with finasteride, bicalutamide and surgical castration: a preliminary study. Int J Urol 2005; 12(2): 194-198


Review

For citations:


Goloshapov E.T., Lukichev G.B., Krukova N.U. THE CHANGES IN THE BLOOD FLOW CIRCULATION IN THE PROSTATE GLAND IN THE PATIENTS WITH BENIGN HYPERPLASIA IN TREATMENT WITH INHIBITORS OF 5-ALFA REDUCTASE (DUTASTERID). Nephrology (Saint-Petersburg). 2008;12(3):85-88. (In Russ.) https://doi.org/10.24884/1561-6274-2008-12-3-85-88

Views: 320


ISSN 1561-6274 (Print)
ISSN 2541-9439 (Online)