Transurethral resection of lithiasis in chronic nonbacterial prostatitis

Introduction. According to specialized literature, prostatic calculi are found in up to 80% of men over the age of 50. Prostatic calculi associated with chronic prostatitis may be closely related to lower urinary tract symptoms (LUTS) and may cause nonspecific symptoms of LUTS. The treatment approaches of prostatic calculi in chronic prostatitis include drug therapy, minimally invasive as well as open surgeries, the number of which is actually decreasing worldwide. This phenomenon is mostly related to the emergence of both new diagnostic technologies and endourological treatment. Material and methods. The study included 40 patients with bladder outlet obstruction caused by prostatic calculi due to CNBP, who were diagnosed via a series of clinical and paraclinical investigations. The treatment methods to remove the bladder outlet obstruction included surgical approaches like transurethral resection (TUR) (n = 10 patients) and laser surgery (Ho: YAG) (n = 30 patients). Subsequently, the patients were monitored and monitored at 1 and 3 months. Results. All included patients in the study complained of difficulty urinating (bladder outlet obstruction and residual urine) underwent endoscopic surgical treatment. 30 patients underwent transurethral resection of the prostate with Ho:YAG laser operating at pulse energy of 2.3 J and a frequency of 18 Hz, with a peak power of 18.4 W. Laser incisions were made at 5 and 7 points of a standard quadrant by local tissue resection and removal of prostate stones. During 3 months of follow-up, the mean IPSS value improved from 23.2 ± 2.57 points to 12.6 ± 0.54 points; QoL also changed from 4.83 ± 0.51 points to 2.23 ± 0.1 points; Qmax shifted from 9.08 ± 1.8 ml/s before surgery to 14.07 ± 1.7 ml/s after surgery; the mean value of residual urine decreased to 94.8 ± 47.4 ml and 34.23 ± 9.82 ml. The other 10 patients with prostate stones due to CNBP underwent another endoscopic method: incision (ITUP) or transurethral resection (TURP). The dynamics of the test findings during the follow-up period: IPSS improved from 22.9 ± 2.42 to 10.7 ± 0.5 points; QoL improved from 5.0 ± 0.66 to 2.1 ± 0.31 points; Qmax changed from 9.34 ± 1.29 ml/s to 15.82 + 0.44 ml/s after the surgery. The average value of residual urine decreased from 92.9 ± 17.95 ml to 38.9 ± 5.97 ml. A decrease in prostate volume of 15.2 cm3 was also observed, possibly due to partial removal of sclerotic tissue and lithiasis. Conclusion. Improvement in urodynamic parameters showed that endoscopic surgical treatment of prostate stones is an effective method for eliminating bladder obstruction and helps to restore urination, as well as improving the quality of life.