METHOD OF PERFORMING EXTRAURETHRAL RETROPUBIC ADENOMECTOMY Russian patent published in 2023 - IPC A61B1/313 A61N7/00 

FIELD: medicine; operative urology.

SUBSTANCE: removal of adenomatous nodes of the prostate is carried out. Laparoscopic trocars are installed under the navel, on the left along the pararectal line, on the right along the pararectal line, on the left in the iliac region, on the right in the iliac region. The tissues of the retropubic space and the anterior surface of the prostate are isolated with preservation of the dorsal vascular complex without ligation, along the anterior surface of the right and left halves of the prostate gland, departing from the midline 1.5–2 cm. Two parallel L-shaped incisions are made longitudinally from the pubo-prostatic ligaments towards the neck of the bladder, preserving the midline neurovascular formations that feed the urethra. First, the fibrous capsule is dissected, and then the entire surgical capsule is dissected to the adenomatous nodes. Alternately, adenomatous nodes are isolated from the capsule along the lateral and posterior surfaces using an ultrasonic generator. On the medial surface, tissues are dissected from the urethra with the preservation of the prostatic section, the posterior commissure of the adenoma is dissected. The urethra is sutured in case of damage until tightness is created, a "frame" supporting the prostatic urethra is created due to corrugated sutures of the posterolateral surface of the capsule with a simultaneous decrease in space from the removed lobes, the inner walls of the capsule are sutured to reduce the volume of the cavity and stabilize the prostatic urethra.

EFFECT: method allows to reduce the frequency of postoperative complications, the length of stay of patients in the hospital and improve the early and long-term results of surgical treatment.

2 cl, 4 ex