[The prostate gland congestion in young servicemen].
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Biomedical subjects
Publications and source records attributed to N F Sergienko.
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Clinical and experimental research has shown that complications connected with negative influence of focused waves in distant lithotripsy in litotripters with an electrohydravlic system of focused waves generation depend on many factors, including the regime of wave generator work, an electrode interval, defocusing the wave as a result of an electrode interval center displacement, the amplitude of pressure and the length of a wave impulse in positive and negative phases. The wave impulse is distorted, which leads to kidney tissue damage.
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An analysis of treatment outcome in 141 patients with kidney traumas and 75 kidney open wounds. Conclusions and recommendations on conservative and operational treatment.
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Anatomic researches on 15 cadavers of male adults were conducted to study the transpubic access to the urethra and substantiate its possible application for the treatment of the urethral strictures. The authors make a comparative evaluation of transpubic and perineal methods of the access. As for basic indices (the depth of operative wound, direction and the angle of the operative axis inclination), the transpubic method of access has a number of advantages over the perineal access, and is an optimal one for surgical interference on the urethra. The transpubic access was applied on 21 patients who were operated for strictures or obliterations of the urethra. In all the patients the transitivity of the urethra was restored. No complications were marked.
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15(2.4%) of 601 patients (392 have undergone transvesical adenomectomy, 111 had gunshot wound of the external genitalia and small pelvis organs, 98 had closed pelvic traumas, injuries of the urinary bladder and posterior urethra) were treated for persistent urinary fistulas with human allogenic fibroblasts growth cultures grown in the artificial medium. Before transplantation into the fistula tracts, the fibroblasts were grown in bioreactor on the microcarriers. Application of allogenic fibroblast growth culture has reduced hospital stay to 7.5 days. This method is simple and effective in inpatients. Use of allogenic fibroblasts allows to create bank of cell transplants for application in clinical practice.
Transurethral resection of hyperplastic prostate was carried out in 667 patients. Complications associated with the intervention occurred in 146 (21.89%) patients: intraoperative in 31 (4.6%), immediately after surgery in 68 (10.2%), and during remote period in 47 (7.04%) patients. Causes of complications are discussed, probable errors in transurethral resection are enumerated, and recommendations on prevention of complications in endosurgery for prostatic hyperplasia are offered.
Citrate therapy was tried in 483 patients with urate nephrolithiasis. A good response was obtained both in monotherapy or in combination of urates with invasive or remote treatment. The authors advocate the drug blemaren (ESPARMA, Germany) as most beneficial among citrate drugs.
Up to 12-15% couples are infertile. The "responsibility" for infertility rests with the husband in 40-45% cases. The effects of routine drug therapy (n = 95) on a generative function are compared to those of magnetolaser therapy (n = 93) in 188 males with excretory-inflammatory infertility suffering from chronic prostatitis. Low-intensity laser infra-red radiation was used in a permanent magnetic field produced by Azor-2K unit. The magnetolaser therapy more significantly than the routine therapy raised concentration and number of mobile forms of the spermia, reduced their degenerative forms, elevated the level of serum sexual and gonadotropic hormones. In 1 year pregnancy occurred in 41.7 and 55.4% of 83 and 87 families (groups 1 and 2), respectively. The delivery took place in 35.8 and 49.7%, respectively.