Key aspects of surgical treatment of prostate adenoma in the Kyrgyz Republic

This article is dedicated to a retrospective analysis of the evolution of surgical treatment methods for prostate adenoma (benign prostatic hyperplasia) in the Kyrgyz Republic. The study covers the period from 1941 to 2023, examining the stages of the urological service's formation and the development of surgical approaches. Until the 2000s, open adenomectomy, associated with high trauma, remained the dominant method. The transition to minimally invasive surgery began in 2004 with the introduction of Transurethral Resection of the Prostate. A true technological breakthrough occurred with the implementation of Bipolar Enucleation in 2019 and Holmium Laser Enucleation in 2020. Clinical analysis, based on the experience of treating 500 patients with Bipolar Enucleation and 900 patients with Holmium Laser Enucleation, demonstrated the high efficacy of these methods. They allow for the radical removal of adenomas of any size, reduce hospitalization time to two or three days, completely eliminate the risk of Transurethral Resection syndrome, and minimize the risk of recurrence. Urology in Kyrgyzstan has successfully progressed from traumatic open surgeries to high-tech laser techniques