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Biomedical subjects

I A Aboian

Publications and source records attributed to I A Aboian.

14 recordsLinked to original sources
PubMed2001

[Mental disorders in patients with benign prostatic hyperplasia].

310 patients with benign prostatic hyperplasia have been studied. Their mental state being analyzed by clinical and psychometric methods using Spilberger and Hamilton scales. Neurotic disorders have been reported in all the patients: 53.8% having neurasthenic syndrome, 30% anxiety- or astheno-subdepressive syndrome, 16.2% neurotic hypochondriac symptomatology. After treatment with minor neuroleptics, antidepressants and tranquilizers, patients' psychic state improved, even when the objective urologic data remained unchanged. Treatment of mental disorders makes it possible to prepare a patient for the operation and to improve quality of life of patients with benign prostatic hyperplasia before the operation.

Aged↗
PubMed1998

[The diagnosis and treatment of the epiphrenal-cardial syndrome in patients with axial hiatal hernias].

An examination of 63 patients with hiatal hernias was performed in order to detect the epiphrenic-coronary reflex. Changes in the ECG in performing the Börnstein test were analyzed. The pathological epiphrenic-coronary reflex was found in 80.4% of patients with retrosternal pains or ischemic heart disease. This reflex was proved to disappear after surgical treatment of the hiatal hernia in 93.1% of the patients.

Cardia↗
PubMedDate not supplied

[Diagnostic scale of infravesical obstruction in patients d with benign prostatic hyperplasia].

A clinical diagnostic scale of infravesical obstruction (IVO) in patients with benign prostatic hyperplasia is proposed which provides the diagnosis of IVO in BPH patients with probability up to 89% basing only on clinical evidence obtained at a detailed urological examination (size of the gland, size and index of the prostatic transitional zone, residual urine, micturition urine, maximal micturition rate).

Humans↗
PubMedDate not supplied

[Transurethral rotoresection - a new method of benign prostatic hyperplasia treatment].

Karl Storz company (Germany) offers a novel endoscopic technology in the treatment of benign prostatic hyperplasia (BPH) i.e. rotoresection which combined mechanic and electrosurgical methods of removal of the hyperplastic tissue. The operation is performed with application of a special rotoresectoscope connected with a rotor electrode which, in its turn, is connected with mechanical rotor generator making it to rotate and with powerful electrogenerator (radiotome). The hyperplastic tissue is removed both mechanically (by high-frequency rotation of the rotor tip) and due to electrovaporization with simultaneous coagulation of the underlying tissue layers. Transurethral rotoresection was performed in 40 patients with BPH. Intraoperative and postoperative complications were not observed. Examination at discharge and 1 month after surgery showed a 4-fold decrease in the prostatic symptoms by IPSS scale, residual urine decreased 3-fold, maximal urine flow rate rose 2.5-fold. Transurethral rotoresection combines effective removal of BPH tissue with minimal intraoperative bleeding. It is a good alternative to conventional TUR. For more detailed evaluation further studied are needed.

Cystoscopes↗
PubMedDate not supplied

[Comparative analysis of long term results of modified transcutaneous urethro-cysto-cervico-pexy with vaginal flap in the treatment of stress urinary incontinence in women].

The authors present a comparative analysis of long-term results of transcutaneous urethrocystocervicopexy (TU) with a vaginal graft according to O. B. Loran-D. Yu. Pushkar and its modification. The former method provided good 2-year results in correction of urinary stress incontinence (USI) in 84.8% of cases, satisfactory and unsatisfactory results were achieved in 6.5 and 8.7%, respectively. In modified TU the results were good, satisfactory and unsatisfactory in 89.7, 6.9 and 3.4%, respectively. This modified method of surgical USI treatment in women allows to create individual degree of tension of pubovaginal ligatures in each female, provides optimal anatomic correlations of the urinary bladder and urethra in TU, prevents obstruction and induced by it disorder in urine evacuation from the bladder in the postoperative period, reduces duration of catheterization of the bladder up to 1-2 days and hospital stay to 4.5 days, results in normal physiological urination.

Cervix Uteri↗
PubMedDate not supplied

[State of the gastric mucosa in patients with benign prostatic hyperplasia in the early postoperative period at initial stages of chronic renal failure].

Biochemical, endoscopic and morphological tests were made to study changes in gastric mucosa and activity of antioxidant defense enzymes of the blood in patients with benign prostatic hyperplasia and initial chronic renal failure early after transvesical adenomectomy. Acute erosive-ulcerative lesions of gastric mucosa and acute gastric hemorrhages arose most frequently in patients with latent stage of chronic renal failure operated on without preoperative preparation. Preoperative medication lowers probability of the complications.

Aged↗
PubMedDate not supplied

[Endoscopic nephropexy].

In line with new prospects, introduction of laparoscopic technique in nephropexy gave rise to some problems. One of them--postoperative rotation of the kidney (RK). Upper-pole endovideosurgical nephropexy (EVSN) with prolen net performed in the diagnostic center "Zdoroviye" in 90 patients has demonstrated that late after surgery 9 (10%) patients had pains provoked by RK and abnormal renal circulation confirmed by Dopplerography. In 1998 specialists of the diagnostic center "Zdoroviye" developed a novel method of EVSN providing elimination of the ptosis and RK. A total of 88 patients have been operated since. 67 patients with nephroptosis and RK have undergone nephropexy with a splitted flap of the prolen net, 21 patients without RK--standard nephropexy. Long-term postoperative follow-up showed that only 3 of 88 patients failed to retain normal velocity of the major renal blood flow, though they improved this velocity noticeably. Thus, a differentiated approach to EVSN based on dopplerographic examination of the major renal blood flow brings about improved treatment results in nephroptosis.

Humans↗
PubMedDate not supplied

[Extracorporeal shock-wave therapy in Peyronie's disease].

The aim of the study was to validate clinical methodology on application of shock-wave impact on plaques in Peyronie's disease (PD). We studied short- and long-term results of extracorporeal shock-wave therapy (ESWT) in 54 patients 3, 6 and 12 months after the exposure. We performed ESWT sessions on different lithotriptors using different mechanisms of shock wave mechanism (hydromechanical and piezoelectric). Choice of the ESWT technique was based on the thickness and density of the plaque. The proposed ESWT method provides an effective treatment of the disease basing on the initial angle of penis deformation in erection.

Adult↗
PubMedDate not supplied

[Cystourethroanastomosis in extended obliterations and strictures of the posterior urethra in men].

The authors review short- and long-term clinical results of surgical treatment of extended urethral strictures and obliterations. A new vesicourethral anastomosis was created by novel technique with longitudinal suturing of the neck of the urinary bladder. A scheme of the operation is presented. Causes necessitating this plastic intervention are analysed. Variants of possible urine incontinence after operation depending on etiological cause of the stricture or obliteration of the posterior urethra in males are considered.

Adolescent↗