DOI: https://doi.org/10.30841/2307-5090.4.2019.195261

Comparative Analysis of the Sexually Transmitted Pathogens Spectrum in Patients with Benign Hyperplasia and Prostate Cancer

С. П. Пасєчніков, Я. М. Клименко, О. В. Кравченко

Abstract


The objective: comparison of infection with sexually transmitted pathogens (STDs), according to the study of genital excrement and intraoperatively removed prostate gland (PZ) in patients with benign prostatic hyperplasia (BPH) and prostate cancer.

Materials and methods. 317 patients aged 42 to 83 years (mean age 62 years) were examined. The first group included 122 patients with RP who underwent radical prostatectomy. The second group included 195 patients with BPH, who underwent a planned intermittent prostatectomy in the urological departments of theAlexanderClinicalHospital in Kyiv.

Results. The obtained results indicates that STDs DNA in genital excreta and in the removed prostatic tissue in patients with BPH 1.8 times more likely than in patients with the PC. The most common STDs pathogen, detected in the genital excreta and intraoperatively removed prostatic tissue in patients with BPH and PC is Trichomonas vaginalis, which is identified in 26.2% and 14.8% of patients, respectively. In all patients with prostate tumours mollicutes are found more often in the genital excreta than in the intraoperatively removed tissue of the prostate gland (2.4 times more often in patients with BPH and 2 times more often in patients with PC). Trichomonas vaginalis vice versa is found less frequently in genital excreta than in the intraoperatively removed prostate tissue: at BPH 1.1 times rare and at PC 2 times rare. The overall incidence of STD pathogens in removed prostate hyperplasia tissue in patients with BPH is 3.3 times higher than that in prostate cancer patients (p<0.001).

Conclusion. The established facts require further study of this problem in order to improve the understanding of the potential role of STD pathogens in the etiopathogenesis of prostate tumors and its impact on the treatment of these tumors.

Keywords


benign prostatic hyperplasia; prostate cancer; STD infection; genital excreta; intraoperatively removed prostate tissue

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