ENDOSCOPIC METHODS OF OBSTRUCTIVE COMPLICATIONS TREATMENT AFTER BRACHYTHERAPY

Actuality. Prostate cancer — is a wide-spread malignant disease, which significantly affects patients well-being, health and quality of life. The scientific work is devoted to assessing the results of endoscopic treatment in patients with obstructive complications after brachytherapy due to prostate cancer.

Material and methods. There were 41 patients with prostate cancer T1–T3 stage, who underwent interstitial radiation therapy (brachytherapy). All patients received a standard comprehensive clinical and laboratory examination, beginning with the collection of complaints and medical history and physical examination.

The aim of the work was to evaluate the long-term results of endoscopic methods of treatment in patients with obstructive complications of brachytherapy. The analysis of the effectiveness of various endoscopic surgeries and radiation injury of urethra and prostate has been carried out.

Results. There were made conclusions about efficiency and safety of endoscopic treatment, no obstructive complications of brachytherapy for prostate cancer were observed; there was proved the fact that the use of endoscopic techniques did not lead to the progression of prostate cancer. In the case of urethral strictures it is appropriate implementation of internal urethrotomy, while in case of recurrent disease course it is advisable to complete the operation with urethral stent placement.