Our experience in acute pyelonephritis treatment in pregnancy

Secţia Urologie IMSP Spitalul Clinic Republican, Catedra Urologie şi Nefrologie Chirurgicală USMF „N.Testemiţanu”, Al V-lea Congres de Urologie, Dializă şi Transplant Renal din Republica Moldova cu participare internaţională (1-13 iunie 2011)Summary. It is known that during the pregnant morbidity the extragenital pathology is ranked on the first place. Although the pregnancy is a physiologic phenomenon, the vulnerability of the organism in pregnancy is increasing, especially the cardiovascular system that should ensure a complex sanguine circuit – placenta, and of the kidneys that should detoxify a supplemental weight of fetus. The renal pathology in pregnancy occupies the second rank between extrauterine pathologies. Under the influence of some factors, the increasing of PNA in pregnant patients could be observed. Pyelonephritis in pregnancy is a complicated condition with no clear evolution and not very good prognosis for both - the mother and fetus. 49 pregnant patients were evaluated with PNA. In all cases, a treatment was adjusted with favorable results, that included ureteral catheterization and insertion of autostatic stent like JJ stent. The PNA treatment in pregnancy implies the JJ stent insertion, that has an essential role in decompression of renal pelvis and have minimal risk of complications. This contributes to reduction of treatment duration with antibiotics

Tratamentul chirurgical al Hiperplaziei Prostatice Benigne (HPB)

Summary The work is dedicated to comparative analysis of results of surgery treatment in patients with Benign Prostate Hyperplasia. The 543 patients with untreated prostate adenoma (exposed toadenoma removal - 415 patients, and transurethral resection - 128 patients). The analysis of the results demonstrated, that the rate and the character of intra- and post- operation complications depends considerably on rational choice of surgical intervenfion method (transvesical or transurethral) and quality of its realization. In present TUR remains the main method in the treatment of BPH, possessing many advantages and at the same time presenting many possibilities of simultaneous treatment of other diseases, which accompany BPH. Transvesical adenomaectomy remains a method of BPH treatment, having more narrow concrete indications: adenoma of great size and its combination with great or multiple urinary bladder stones