[A trial of the use of finasteride and terazosin in patients with benign prostatic hyperplasia]. / Opyt primeneniia finasterida i terazosina u bol'nykh s dobrokachestvennoi giperplaziei prostaty.

94 patients with obstructive urination due to benign prostatic hyperplasia received finasteride (proscar), inhibitor of 5 alpha-reductase, in a single dose 5 mg and terazosine, alpha 1 adrenoblocker, in a daily dose of 9.7 mg/day. The follow-up averaged 16.1 months. As shown by overall score of the symptoms and quality of life, rectal and ultrasonic examinations, uroflowmetry, the prostate decreased by 17%, on the average in 72% of the patients. Subjectively, urination has also improved. Maximal flow rate elevated by 55% in the majority of patients. Combination of finasterine with terazosine is well tolerated and proved optimal as a conservative therapy in patients with obstructive urination as a result of benign prostatic hyperplasia.

[The endoscopic transurethral treatment of ureterocele]. / Endoskopicheskoe transuretral'noe lechenie ureterotsele.

The authors describe results of transurethral endoscopic treatment of ureterocele in 61 patients, two techniques of a relevant operative intervention, indications, complications of an early (pyelonephritis) and late (vesicoureteral reflux) postoperative period, measures of their prevention. Advancing impairment of the urine outflow via the upper urinary tracts on ureterocele side necessitates earlier surgery (transurethral dissection or resection of ureterocele). Good 4-year follow-up results (normal function of the kidney, absence of pyelonephritis attacks and vesicoureteral reflux) suggest endoscopic transurethral treatment of ureterocele to be a method of choice the failure of which implies open surgical intervention.

[A method for the surgical treatment of extended strictures of the anterior urethra]. / Sposob operativnogo lecheniia protiazhennykh striktur perednei uretry.

The original one-staged technique was reported a success in two patients with long (8 and 10 cm) strictures of anterior urethra. In line with the dissection of stenosed parts and the following ureteroureteral anastomosis, a circular reduplication of tunica albuginea penis was made and invaginated in presence of intact spongy bodies. The given technique of urethroplasty (in patients with urethral stenosis from 3 to 10 cm) prevented penile distortion and anastomosis tension, and therefore the relapse of strictures and obliteration of urethra, as well as urinary fistula development. The advantages of the method are a 2-3-fold decrease in the treatment duration and the preservation of the copulative function despite the shortening of the penile body.