V.I. Butrina
Eurasian Open Institute, Moscow 

Summary. Background. Benign prostate hyperplasia is one of the most common diseases among the elderly men. Diagnostics and treatment of benign prostate hyperplasia is not only an important medical issue but a social challenge as well.

A focused attention to prostate diseases is conditioned by high prevalence of prostate cancer. Prostate cancer ranks second in the male cancer morbidity structure after lung cancer. Therefore, issues related to identification of ways to optimize diagnostics, treatment and follow-up of patients with benign prostate hyperplasia, early cancer detection at the out-patient diagnostic and treatment urological department of a multi-field clinical hospital, and provision of continuity and coordination between different medical facilities at all stages of care delivery to this group of patients are quite challenging.

The aim of the study was to improve specialized urological care to adult population with benign prostate hyperplasia and prostate cancer at the diagnostic and treatment urological department.

Objectives included the following ones: a) to analyze current state of the urological counseling services to patients with prostate cancer at the diagnostic and treatment department based on official statistics; b) to determine the structure of prostate morbidity according to data on care applicability at the diagnostic and treatment department; c) to evaluate efficiency of modern technologies for out-patient diagnostics of benign prostate hyperplasia and early detection of prostate cancer at the diagnostic and treatment urological department.

Methods and data. Data from medical documents and sociological survey.

Practical implications. Exemplified by the current model of diagnostic and treatment department the author, using comparative evaluation, determined effective methods and forms of department activity. Such methods and forms ensure that patients with suspected prostate cancer receive high quality specialized care, help to reduce length of their hospital stay, and to improve quality of early detection of prostate cancer.

Keywords: benign prostate hyperplasia; urology morbidity; out-patient care; planned hospitalization of patients.

References

1. Aksel' E.M., Matveev B.N. Statistical data on oncourological diseases in Russia in 1996. Urologiya i nefrologiya 1999;(2):3-11. (In Russian).
2. Belkovskaya M.N. Working experience of diagnosis and treatment urological department in Municipal Clinical Hospital ¹ 1. Russkiy meditsinskiy zhurnal 2002;(9):421-423. (In Russian).
3. Voronova E.A., Podluzhnaya M.Ya., Zlobina G.M., Zhukov A.E. On interaction between institutions of social protection and health care for organization of medical and social care to patients with chronic progressing diseases. Problemy upravleniya zdravookhraneniem 2011;4:58-60. (In Russian).
4. Mazo E.B., Belkovskaya M.N. Pharmacological treatment of benign prostate hyperplasia. Russkiy meditsinskiy zhurnal 2001;(9):672 – 675. (In Russian).
5. Mazo E.B., Stepenskiy A.B., Belkovskaya M.N. Pharmacotherapy of chronic prostatitis and benign prostate hyperplasia. Russkiy meditsinskiy zhurnal 2001; (10):423 – 425. (In Russian).
6. Rutkovskiy O.V., Mazo E.B., Belkovskaya M.N. Organization of urological care in conditions of specialized outpatient diagnosis and treatment department in multi-profile clinical hospital. Experience of work. Byulleten' natsional'nogo NII obshchestvennogo zdorov'ya RAMN 2004; (5):78-81. (In Russian).
7. Trifonova N.Yu. Some problems of information provision for health and social rehabilitation of various profile patients. Mediko-sotsial'naya ekspertiza i reabilitatsiya 2007;(2):19-20. (In Russian).
8. Trifonova N.Ju., Ashanina N.M. The role of outpatient facilities in rehabilitation of patients with chronic pathology. “Health and Education in XXI century: Conceptions of diseases and civilization”, X International Congress. Moscow. 2009:75-76. (In Russian).
9. Gorilovskij L.M. Prostate diseases. Vrach 2000;(7):12 - 26. (In Russian).
10. Maksimova T.V., Belov V.B., Gavrilova N.N. Health of various population groups of working ages. Problemy social'noj gigieny, zdravoohranenija i istorii mediciny 2001;(2) 4-9. (In Russian).

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