Abstract:

The article presents a comparative analysis of various surgical techniques used in the treatment of patients with prostate adenoma. It evaluates the standardization of transurethral resection of the prostate (TURP) as the “gold standard” in relation to transvesical extraurethral adenomectomy. According to both domestic and international sources, as well as the authors’ own data, postoperative complications occur in 28.7% to 100% of cases following TURP due to incomplete removal of hyperplastic tissue, whereas after radical extraurethral adenomectomy, complications are observed in only 5.6% of cases. Therefore, open transvesical or retropubic extraurethral adenomectomy demonstrates significantly better short- and long-term outcomes compared to the “closed” transurethral resection of the prostate.