RESULTS OF SIMULTANEOUS SURGERY IN UROLOGY AFTER APPLICATION OF THE DEVELOPED ALGORITHM FOR SELECTION OF THE VOLUME OF SURGERY IN PATIENTS WITH COMBINED SURGICAL DISEASES

Currently, there is an increase in the number of comorbidities requiring surgical treatment, while simultaneous operations for urological diseases are performed quite rarely due to a number of organizational problems. Particularly relevant are the indications for simultaneous operations, the sequence of their implementation and the management of the postoperative period. The purpose of the study: to evaluate the effectiveness of simultaneous surgical interventions in patients with urological diseases in combination with surgical and gynecological pathologies. Material and methods of research: a study of the "case-control" type with an assessment of the effectiveness of the results of treatment of 140 patients with diseases of the genitourinary system in combination with pathology and other organs. The choice of the scope of the operation was determined according to risk criteria. Conclusion. Simultaneous operations in urology are possible in the presence of concomitant diseases requiring surgical treatment. The volume of surgery for simultaneous operations should be determined based on risk criteria. The frequency of postoperative complications during simultaneous operations is statistically significant (p≤0.05) in 1.4 times less (7.2%) in comparison with the group of patients with sequentially performed operations (10%). Simultaneous operations performed for urological diseases in combination with surgical and gynecological ones slightly increase the duration of the operation and blood loss, while preventing repeated hospitalizations and, accordingly, material costs for both the patient and the state as a whole