Молодежный инновационный вестник

2415-7805

Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации

8503

Conference Proceedings

QUALITY OF LIFE OF PATIENTS AFTER SURGICAL TREATMENT OF BPH

Pozharytski

Alexander Mikhailovich

djshema46@gmail.comhttps://orcid.org/0009-0002-1518-7843Adashchik

Vadim Grigorievich

bayak@mail.ruhttps://orcid.org/0009-0000-8016-6171

Belarusian State Medical University

29032023

121123124

23022023

20032023

2023

The article provides information about the postoperative quality of life of patients. Two methods of surgical treatment of benign prostatic hyperplasia were compared and the results were analyzed four years after the intervention.

open prostatectomyTURPquality of life

открытая простатэктомияТУРПкачество жизни

Introduction. The most common urological disease in elderly and senile men is benign prostatic hyperplasia (BPH). In more than half of the patients, the course of pathology is accompanied by symptoms from the lower urinary tract (GMP). These processes are significant factors in the deterioration of the patient's quality of life: according to researchers, up to 60% of men consciously reduce the amount of liquid they drink in the evening; 40% refuse to visit places where there is no toilet; The purpose of the work. To analyze the postoperative quality of life of patients with BPH using the general questionnaire SF-36. Material and methods. The study was conducted on the basis of the urological departments of the UZ "4 State Medical University named after N. E. Savchenko". The object of the study was men aged 68 (62-74) years with a confirmed diagnosis of BPH and the absence of malignant degeneration. The analysis was carried out by means of a telephone questionnaire, in which 104 people took part (44 patients could not be contacted). During the stage, patients were asked to fill out a general questionnaire SF-36. To clarify information about the quality of life, each group was divided into subgroups depending on the presence/absence of cystostomy in the preoperative period: group IA (n=29) patients without cystostomy before open prostatectomy (OP); group IV (n=25) patients with cystostomy before OP; group IIA (n=28) patients without cystostomy before transurethral resection of the prostate (TURP); group II (n=22) patients with cystostomy before TURP. For statistical data processing, the Pearson parametric Chi-squared method and the nonparametric Mann-Whitney U-test were used, differences were considered significant at p0.05. Results. During the analysis of the physical and psychological components of health, 4 years after the intervention, an increase was found (relative to the group with OP) of role functioning associated with performance (U=5681.5; p0.001), the general state of health was also higher in the group with TURP (U=4076.4; p0.001). It is important to emphasize that this parameter is higher in the group due to the subgroup that did not undergo cystostomy before surgery (group IIA). Social functioning was higher in the group with TURP (U=9443.5; p0.001). On the other hand, parameters such as emotional role functioning (U=7304; p0.001) and psychological health (U=7841; p0.001) are significantly higher in the group after OP, and in both parameters due to subgroups without cystostomy before surgery (group IA). Other parameters of the SF-36 questionnaire, namely physical functioning, pain intensity and vital activity, did not have a statistically significant difference in both groups. Conclusion. It was found that the long-term results of treatment of patients adjusted for quality of life depend not only on the method of surgery, but also on the preoperative management of the patient (cystostomy). The use of the SF-36 general questionnaire is a cheap, easy-to-use and easy-to-interpret research method, which allows it to be used in healthcare institutions of any level.