[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 28.7 to 100% cases after non-radical removal of adenomatous (hyperplastic) tissue, and only in 5.6% of cases after radical extraurethral prostatectomy. Thus, open transvesical or retropubic extraurethral adenomectomy is considerably superior to "closed" transurethral resection of the prostate as consistent with immediate and long-term results.

[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. More than 2,000 patients were followed-up for postoperative immediate and long-term results. Mortality after this type of intervention was 0.89%. Urinary incontinence and urethral stricture were not reported in any patients.

[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. Adenomatous tissues fragments are removed through a parallel longitudinally incisions made on the front surface of the fibrous capsule to adenoma. Surgical intervention is accompanied by minimal blood loss and minimal postoperative complications. Hemodynamics of the prostate and external genitalia is not disturbed.

[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. The authors are on personal material (more than 2000 patients) comparing the results of surgical treatment of patients with prostatic adenoma after adenomectomy made in ekstraurethral, endourethral, transurethral and retropubic ways.

[The 20th anniversary of Urological Center of Main Military Clinical Hospital named after N. N. Burdenko].

In 1988, for the first time according to Directive of Central Command of Armed Forces of USSR in Main Military Clinical Hospital by Burdenko N.N. was founded a interhospital unit - Urological center. The article presents the analyze of work of the Center during 20 years. The most frequent diseases--adenoma of prostate, malignant swelling and benign tumour of urological organs, urolithiasis, traumatic damages of urological organs. During a year 4500-4700 persons are treated, 1450-1500 are operated. Every year 44-77 military medical men are studying, 20-26 clinical attending physicians study for 2 or 3 years. During last 8 years 422 military medical men and 68 clinical attending physicians have studied.

[Surgical tactics in combined gunshot wounds of the pelvis]. / Khirurgicheskaia taktika pri ognestrel'nykh sochetannykh raneniiakh taza.

Based on experience of treatment of 177 wounded with gunshot combined wounds of the pelvis, rational surgical policy in these wounds is substantiated. It is necessary to maintain sequence of each stage of the operation bearing in mind trajectory of shell in organs and tissues of the abdomen and pelvis, simultaneous wounds of organs which are significantly different by specific anatomic structure and physical role.

[Complications during the treatment of victims with kidney wounds and injuries]. / Oslozhneniia pri lechenii postradavshikh s travmami i raneniiami pochek.

An analysis of treatment outcome in 141 patients with kidney traumas and 75 kidney open wounds. Conclusions and recommendations on conservative and operational treatment.