New method for the treatment of cavernous prostate tuberculosis
- Authors: Kholtobin D.P.1,2, Kul'chavenya E.V.1,3
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Affiliations:
- Novosibirsk Research Institute of Tuberculosis of the Ministry of Healthcare of the Russian Federation
- Avicenna Medical Center
- Novosibirsk State Medical University of the Ministry of Healthcare of the Russian Federation
- Issue: Vol 10, No 4 (2020)
- Pages: 355-359
- Section: Сlinical observations
- URL: https://bakhtiniada.ru/uroved/article/view/44213
- DOI: https://doi.org/10.17816/uroved44213
- ID: 44213
Cite item
Abstract
Prostate tuberculosis (PT) is not uncommon, but rarely diagnosed. Treatment of PT is a difficult task, since it is difficult to achieve an adequate concentration of antibacterial drugs in the parenchyma of even a healthy organ, and in the case of the formation of prostate caverns, their fibrous walls almost completely prevent the penetration of anti-tuberculosis drugs into the destruction focus. The method of combined surgical treatment of PT is described in detail on the example of the patient. During polychemotherapy, the cavity is opened by means of transurethral electroresection, followed by coagulation of the cavity wall by radiation of a high-energy diode laser with a wavelength of 940 nm and a power of 150 W. This approach allows to cleanse the prostate cavity from purulent-necrotic detritus and interrupt the pathological infectious and inflammatory process in its wall due to coagulation with laser radiation. The proposed method of surgical treatment of PT is both radical, since the walls of the cavities are excised and coagulated, and is minimally invasive, therefore it can be recommended for wider application.
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##article.viewOnOriginalSite##About the authors
Denis P. Kholtobin
Novosibirsk Research Institute of Tuberculosis of the Ministry of Healthcare of the Russian Federation; Avicenna Medical Center
Email: urology-avicenna@mail.ru
Cand. Sci. (Med.), Senior Research Fellow, Head of Urological Clinic
Russian Federation, 630040, Novosibirsk, ul. Okhotskaya, 81A; 630099, Novosibirsk, ul. Kommunisticheskaya, 17/1Ekaterina V. Kul'chavenya
Novosibirsk Research Institute of Tuberculosis of the Ministry of Healthcare of the Russian Federation; Novosibirsk State Medical University of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: urotub@yandex.ru
ORCID iD: 0000-0001-7965-2711
Dr. Sci. (Med.), Professor, Chief Researcher, Head of the Urology Department, Professor of the Department of Tuberculosis
Russian Federation, 630040, Novosibirsk, ul. Okhotskaya, 81A; 630091, Novosibirsk, Krasnyi Prospekt, 52References
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