Nutritional Support in the Treatment of Elderly Urological Patients

The aim of the study was to compare the effectiveness of transurethral resection of the prostate (TURP) and prostate enucleation in elderly patients with benign prostatic hyperplasia (BPH), taking into account nutritional status, and to evaluate the relevance of including Remaxol in their perioperative nutritional support regimens. Material and Methods. Data from 75 patient records aged 61–75 years were retrospectively analyzed. Of these, 50 patients (the study group) underwent transurethral resection, and 25 (the comparison group) underwent laser enucleation of the prostate. In addition to standard clinical and laboratory tests, the Mini Nutritional Assessment (MNA) scale and a sarcopenia test (gait test, bioimpedance analysis, and chair stand test) were performed. Based on the data obtained, an alimentary-volemic diagnosis was formed and nutritional deficiency was corrected. Results. When comparing the effects of surgical treatments for BPH in elderly patients (TURP and prostate enucleation) on their nutritional status, no significant differences were found in the formation of the AVD. Postoperative comprehensive nutritional support contributed to the normalization of blood biochemical parameters, particularly transaminase levels, and an improvement in the general condition of patients, manifested in a 1.5-fold reduction in the length of stay in the intensive care unit and the overall hospitalization period compared to average values. It was also noted that recovery after TURP was somewhat longer than after laser enucleation of the prostate, which may be due to the latter's low traumatic nature. For patients with intoxication syndrome and changes in transaminase levels, it is advisable to include a medication with hepatoprotective and antioxidant properties (Remaxol) in their nutritional support regimen. Conclusion. The issue of perioperative nutritional support for elderly urological patients is relevant and feasible and is being developed based on an alimentary-volemic diagnosis.

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