[Treatment problems in patients with prostatic adenoma]

The authors review treatment results for 947 patients with prostatic adenoma. The physicians used transvesical methods. Whatever its modification, transvesical adenomectomy performed endourethrally fails to bring good responses. The proportion of the complications remains great: urethral stricture 5.9%, cervical bladder stenosis 3.03%, enuresis 2.6%. In view of this, a method of transvesical adenomectomy performed extraurethrally is proposed. The technique implies application of special circular scalpel enabling the surgeon to dissect adenomatous nodules from prostatic urethra without its injury. The procedure produced good results in 32 patients with prostatic adenoma.