[Retropubic urethro- and vessel-preserving extraurethral adenomectomy].

The article presents the results of an advanced method for retropubic removal of adenomatous prostate tissue. Retropubic extraurethral adenomectomy (REUA) was performed in 29 patients with benign prostatic hyperplasia. Distinctive features of REUA from Lidsky-Millin surgery consist in the fact that the new method of prostatectomy preserve dorsal and urethral vascular plexus and the integrity of the prostatic urethra.

[High-technology extraurethral adenomectomy].

The article presents a method of organ-sparing radical transvesical extraurethral adenomectomy in which adenomatous prostate tissue are removed as individual fragments from semi-oval or wedge-shaped incision of the bladder neck and initial part of the prostatic urethra. Preservation ofprostatic urethra and its vascular plexus provides minimal intraoperative blood loss and less traumatic treatment. Correction of vesico-urethral segment is carried out with full preservation ofthe closing apparatus of the bladder.

[On the question of the so-called gold standard of surgical treatment of benign prostatic hyperplasia].

The article presents the comparative analysis of results of surgical methods used for the treatment of patients with BPH. The standardization of surgical TURP interventions as the "gold standard" in comparison with transvesical extraurethral adenomectomy is estimated. After TURP, according to the data from domestic and foreign authors, taking into account own author's data, complications develop in 28.

[Current views on surgical treatment of patients with prostatic adenoma].

The article focused on the urgent problem of surgical treatment of patients with BPH. Drug therapy is ineffective in some cases and is mainly used for the initial stages of the disease. Therefore, in urological practice using methods of surgical treatment.

[Transvesical extraurethral adenomectomy and transurethral prostatic resection in adenoma: specific features].

The procedure of transvesical extraurethral adenomectomy (EUA) and the results of its application were characterized in comparison with transurethral resection (TUR) of the prostate in adenoma. EUA is made via the approach through the extraperitoneal cut of the soft tissues of the anterior abdominal wall, anterior wall of the urinary bladder, semioval or sphenoid incision of the vesicourethral segment. Dissection is conducted of the affected posterior half-round of only proximal prostatic part of the urethra in unaffected anterior and lateral urethral surface.