6 курс / Медицинская реабилитация, ЛФК, Спортивная медицина / Клиническая геронтология 2008 №10

M.F. Trapeznikova, V.V. Dutov, A.I. Polovinchuk, V.B. Pashchenko, D.V. Popov, A.G. Moskovkin

UROLITHIASIS TREATMENT

IN PATIENTS WITH THE ONLY ONE KIDNEY

M.F. Vladimirski MRSRCI

The results of treatment of 87 MRSRCI patients, including elderly ones, with urolithiasis of the only one kidney from 1995 to 2005 were analyzed. Remote shock-wave lithotripsy was the first-line treatment in patients with small stones without urodynamics disorders. Its effectiveness was 93.9%. Transcutaneous nephrolithotripsy was the first-line treatment in patients with large kidney stones, accompanied by the symptomatic worsening of urodynamics or pyelonephritis exacerbation.

A.A. Morozov, A.P. Morozov

POTASSIUM-TITINAL-PHOSPHATE LASER IN TREATMENT OF BENIGN PROSTATE HYPERPLASIA AT ELDERLY MEN

M.F. Vladimirski MRSRCI

Photoselective laser vaporization using 80-watt potassium-titanium-phosphate laser was performed in 20 patients with obstructive form of benign prostatic hyperplasia from April to December 2007. It is an effective and safe method of surgical treatment for this prostate disease, which is comparable to transurethral prostatic resection, and in some cases it surpasses the last one.

M.F. Trapeznikova, A.E. Ivanov, S.B. Urenkov, A.A. Podoinitsyn

TRANSCUTANEOUS RENTGENOENDOSCOPIC REMOVAL OF NEPHROLITHS

IN RELAPSE OF UROLITHIASIS

M.F. Vladimirski MRSRCI

Margarita Fedorovna Trapeznikova,

academician of RAMS, M.F. Vladimirski MRSRCI

The analysis of the treatment effectiveness in 267 MRSRCI patients from 1991 to May 2008 was made. According to the results, transcutaneous rentgenoendoscopic nephrolithotripsy and nephrolithoextraction in patients with relapsing nephroliths, including elderly and senile ones, are effective and fairly safe methods of surgical treatment. The effect of treatment is higher when these methods are combined with remote shock-wave lithotripsy.

D.N. Doronchuk, V.V. Dutov

THE QUALITY OF LIFE OF ELDERLY PATIENTS WITH UROLITHIASIS

M.F. Vladimirski MRSRCI

A retrospective analysis of the quality of life of 41 patients was made: 24 patients with urethral stent and 17 patients with paracentetic nephrostoma, who required drainage of the upper urinary tract during urolithiasis treatment. Quality of life was evaluated using standard scales, questionnaires EORTC QLQ-C30 (version 3.0) and the SF-36. «The physical component of health» in the group of patients with stent was 40.7 points, and in the group of patients with nephrostoma – 39.8 points. «The psychological component of health» in the group of patients with stent was 56.5 points, in the group of patients with nephrostoma – 54.1 points. Differences in individual scales between patients of both groups were identified. These results are preliminary. Any low invasive manipulation impairs the patients’ quality of life. According to our data, drainage of the upper urinary tract being compared with paracentetic nephrostoma is preferable in patients over 60 years, but this problem requires further research.

A.P. Morozov, A.N. Shibaev, N.E. Kushlinsky

CLINICAL SIGNIFICANCE OF INSULIN-LIKE GROWTH FACTOR AND IFR-BINDING PROTEIN-1 IN PROSTATE CANCER

M.F. Vladimirski MRSRCI

N.N. Blokhin OSC RAMS, Moscow

The importance of Insulin-like growth factor-I and -II and IFR-binding protein-1 in the pathogenesis of prostate cancer was showed. The contents of these growth factors in blood serum are reliably higher, and IFR-binding protein-1 concentration is reliably lower in patients with prostate cancer compared with those one in case of benign prostate hyperplasia. The ratio of growth factor concentrations (IGF-I, IFR-II and IFRSB-1) to the content of prostate antigen in blood in the differential diagnosis of prostate cancer allows to increase the specificity of tests by 25–30% compared with the antigen test.

ПЕРЕДОВАЯ СТАТЬЯ

ЭПИДИДИМООРХИТ – ОДНА ИЗ АКТУАЛЬНЫХ ПРОБЛЕМ ГЕРИАТРИЧЕСКОЙ УРОЛОГИИ

Л.М. Гориловский, М.Б. Зингеренко. . . . . . . . . . . . . . . . . 3

ОРИГИНАЛЬНЫЕ СТАТЬИ

ЛЕЧЕНИЕ УРОЛИТИАЗА У ПАЦИЕНТОВ С ЕДИНСТВЕННОЙ ПОЧКОЙ

М.Ф. Трапезникова, В.В. Дутов, А.И. Половинчук, В.Б. Пащенко, Д.В. Попов, А.Г. Москвин . . . . . . . . . . . . 11

КАЛИЙ-ТИТАНАЛ-ФОСФАТНЫЙ ЛАЗЕР В ЛЕЧЕНИИ ДОБРОКАЧЕСТВЕННОЙ ГИПЕРПЛАЗИИ

ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ У ПОЖИЛЫХ МУЖЧИН А.А. Морозов, А.П. Морозов . . . . . . . . . . . . . . . . . . . . . 16

ЧРЕСКОЖНОЕ РЕНТГЕНЭНДОСКОПИЧЕСКОЕ УДАЛЕНИЕ КАМНЕЙ ПРИ РЕЦИДИВЕ МОЧЕКАМЕННОЙ БОЛЕЗНИ

М.Ф. Трапезникова, А.Е. Иванов, С.Б. Уренков, А.А. Подойницын. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

КАЧЕСТВО ЖИЗНИ ПОЖИЛЫХ ПАЦИЕНТОВ С МОЧЕКАМЕННОЙ БОЛЕЗНЬЮ

Д.Н. Дорончук, В.В. Дутов. . . . . . . . . . . . . . . . . . . . . . 24

КЛИНИЧЕСКОЕ ЗНАЧЕНИЕ ИНСУЛИНОПОДОБНЫХ ФАКТОРОВ РОСТА И БЕЛКА ТИПА 1, СВЯЗЫВАЮЩЕГО ИНСУЛИНОПОДОБНЫЕ ФАКТОРЫ РОСТА, ПРИ РАКЕ ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ

А.П. Морозов, А.Н. Шибаев, Н.Е. Кушлинский . . . . . . . . 28

ОБЗОР

К ВОПРОСУ О ПРОЛИФЕРАЦИИ ГЛОМЕРУЛЯРНЫХ МЕЗАНГИАЛЬНЫХ КЛЕТОК ПРИ ГЛОМЕРУЛОНЕФРИТЕ И В ПРОЦЕССЕ ОНТОГЕНЕЗА

Т.С. Рябова . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

В ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУ

УЛЬТРАЗВУКОВАЯ АБЛАЦИЯ В ЛЕЧЕНИИ РАКА ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ У ПОЖИЛЫХ ПАЦИЕНТОВ

EDITORIAL

EPIDIDIMOORHIT – ONE OF THE URGENT PROBLEMS OF GERIATRIC UROLOGY

L.M. Gorilovsky, M.B. Zingirenko . . . . . . . . . . . . . . . . 3

ORIGINAL ARTICLES

UROLITHIASIS TREATMENT IN PATIENTS

WITH THE ONLY ONE KIDNEY

M.F. Trapeznikova, V.V. Dutov, A.I. Polovinchuk,

V.B. Pashchenko, D.V. Popov, A.G. Moskovkin . . . . . . 11

POTASSIUM-TITINAL-PHOSPHATE LASER

IN TREATMENT OF BENIGN PROSTATE HYPERPLASIA AT ELDERLY MEN

A.A. Morozov, A.P. Morozov . . . . . . . . . . . . . . . . . . 16

TRANSCUTANEOUS RENTGENOENDOSCOPIC REMOVAL OF NEPHROLITHS IN RELAPSE OF UROLITHIASIS

M.F. Trapeznikova, A.E. Ivanov, S.B. Urenkov,

A.A. Podoinitsyn . . . . . . . . . . . . . . . . . . . . . . . . . . 19

THE QUALITY OF LIFE OF ELDERLY PATIENTS WITH

UROLITHIASIS

D.N. Doronchuk, V.V. Dutov . . . . . . . . . . . . . . . . . . 24

CLINICAL SIGNIFICANCE

OF INSULIN-LIKE GROWTH FACTOR

AND IFR-BINDING PROTEIN-1 IN PROSTATE CANCER

A.P. Morozov, A.N. Shibaev, N. E. Kushlinsky . . . . . . . 28

REVIEW

ON THE QUESTION OF THE PROLIFERATION OF GLOMERULAR MESANGIUM CELLS

IN GLOMERULONEPHRITIS AND IN THE PROCESS OF ONTOGENESIS

T.S. Ryabova . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

PRACTITIONERS ASSISTANCE

ULTRASOUND ABLATION IN THE TREATMENT OF PROSTATE CANCER

IN ELDERLY PATIENTS

M.F. Trapeznikova, K.V. Pozdnyakov, S.B. Urenkov, A.A. Podoynitsin, I.V. Sundukov . . . . . . . . . . . . . . . . . . . 40

UROLITHIASIS IN PATIENTS

WITH INFRAVESICAL OBSTRUCTION

V.V. Dutov, V.V. Bazayev, A.A. Galko . . . . . . . . . . . . 4 5

NEW DOMESTIC TECHNOLOGIES IN THE UROLITHIASIS TREATMENT

M.F. Trapeznikova, S.B. Urenkov, A.E. Ivanov,

A.A. Podoynitsin, G. Andreev . . . . . . . . . . . . . . . . . . 51

MANAGEMENT OF PATIENTS

WITH UROLITHIASIS COMBINED WITH RENAL CYST

V.V. Dutov, S.V. Urenkov, A.G. Moskovkin,

V.B. Pashchenko, D.M. Popov . . . . . . . . . . . . . . . . . 55

ERECTILE DYSFUNCTION IN PATIENTS

WITH METABOLIC SYNDROME

M.F. Trapeznikova, A.V. Dreval, R.S. Tishenina,

V.V. Dutov, E.A. Gershanov. . . . . . . . . . . . . . . . . . . 59

NEW HORIZONS OF APPLICATION

OS SELECTIVE ALPHA-1-BLOCKERS

M.F. Trapesnikova, V. V. Dutov, D.M. Popov . . . . . . . . 63

ANNIVERSARIES. JUBILEE DATES

INTERNATIONAL GERONTOLOGICAL NEWS . . . . . 68

SUMMARY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71