FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to operative surgery. Access to the prostate gland, enucleation and removal of hyperplastic nodes, reconstruction of the bladder neck are carried out. In this case, access to the prostate gland is carried out by the transperitoneal transvesicular route. Enucleation is carried out through a circular incision of the bladder neck, reconstruction of the bladder neck is performed by forming an intraprostatic vesicourethral anastomosis by applying a circular suture to the bladder neck and urethra. In this case, the suture is started from the posterior semicircle of the bladder neck from 6 o'clock of the conditional dial clockwise, directing the needle through all layers in the outside-in direction, followed by stitching of the urethral tissues, starting from the posterior semicircle in the area of the seminal tubercle in the direction from the inside-out, forming, thus, a continuous seam.
EFFECT: method allows to recreate the anatomical integrity of the lower urinary tract, minimize the risks of postoperative bleeding and the formation of bladder neck stenosis, thereby accelerating the early recovery of adequate urination in the postoperative period and preventing complications such as deterioration of erectile function and the development of urinary incontinence.
1 cl, 2 ex
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Authors
Dates
2022-10-17—Published
2022-06-27—Filed