Research objective: to estimate results of treatment of patients with the localized form of a cancer of a prostate at a combination of a transurethral resection (TURP) and HIFU of an ablation. Objects and research methods: From February, 2009 to February, 2014 of 100 patients with the localized form of a cancer of a prostate were selected for research: 26 patients were included into HIFU and 74 group in group of the combined treatment (TURP+HIFU). Selection criteria for HIFU ablation were the localized cancer of a prostate concerning which earlier it wasn't carried out treatments, and level of a PSA at the time of statement of the diagnosis 15 ng/ml. All patients corresponding to these by criteria, were considered as candidates for treatment and inclusion in the analysis. The nadir and stability of PSA, the histologic conclusion, IPSS, quality of life and complication were estimated at time of postoperative supervision. Results: Statistically significant influence of a combination TURP+HIFU for the term of transurethral drainage of a bladder (a median of 40 days against 7 days), incontience frequency (15.4% against 6.9%), infections of urinary ways (47.9% against 11.4%) and IPSS change during the postoperative period (on the average 8.91 against 3.37) is noted. During the short period of supervision it wasn't observed considerable changes in relation to efficiency: in HIFU group the frequency of repeated sessions made 25%, in TUR/HIFU group 4%. Conclusion: HIFU therapy is modern, minimum invasive method of a cancer therapy of a prostate. The combination of a transurethral resection and HIFU ablation significantly reduces the frequency of the complications connected with treatment. Maintaining the patient after combined TURP and HIFU ablation is comparable with maintaining the patient after usual TURP.
Popkov V.M., Fomkin R.N., Blyumberg B.l., Shatylko T.V., Sedova L.N., Abramova E.P. Combination of the transurethral resection and prostate HIFU ablation at treatment of the localized cancer // Saratov Journal of Medical Scientific Research, Vol. 10, Issue 3, 2014, pp. 450-455

Research objective: To study the role of prognostic factors in the estimation of risk development of recurrent prostate cancer after treatment by high-intensive focused ultrasound (HIUF). Objects and Research Methods: The research has included 102 patients with morphologically revealed localized prostate cancer by biopsy. They have been on treatment in Clinic of Urology of the Saratov Clinical Hospital n.a. S. R. Mirotvortsev. 102 sessions of initial operative treatment of prostate cancer by the method of HIFU have been performed. The general group of patients (n=102) has been subdivided by the method of casual distribution into two samples: group of patients with absent recurrent tumor and group of patients with the revealed recurrent tumor, by morphological research of biopsy material of residual prostate tissue after HIFU. The computer program has been used to study the signs of outcome of patients with prostate cancer. Results: Risk of development of recurrent prostate cancer has grown with the PSA level raise and its density. The index of positive biopsy columns <0,2 has shown the recurrence of prostate cancer in 17% cases while occurrence of prostate cancer in 59% cases has been determined by the index of 0,5 and higher. The tendency to obvious growth of number of relapses has been revealed by the sum of Glison raise with present perineural invasion. Cases of recurrent prostate cancer have been predominant in patients with lymphovascular invasions. In conclusion it has been worked out that the main signs of recurrent prostate cancer development may include: PSA, PSA density, the sum of Glison, lymphovascular invasion, invasion.
Popkov V.M., Fomkin R.N., Blyumberg B.I. Prognostic factors in the estimation of HIFU treatment efficiency in patients with localized prostate cancer // Saratov Journal of Medical Scientific Research, Vol. 9, Issue 1, 2013, pp. 116-121

In scientific article the research goal is the comparative analysis of data of clinical, laboratory and radiation diagnostic techniques of prostate cancer with histomorphological tumor gradation by Gleason scale. the level of prostate-specific antigen (PSA) and index PSA D depend on parameters on Gleason scale. Ultrasonic findings are correlated with histomorphological gradation of adenocarcinoma. Magnetic-resonance imaging is effective only with 8-10 points on Gleason scale. In the research 217 patients with suspecting prostate cancer have been included. As a result prostate cancer has been diagnosed in 157 (72,4%) patients, prostate adenoma - in 60 (27,6%) patients
P.V. Glybochko, T.G. Hmara, V.M. Popkov, M.L. Chekhonatskaya, G.N. Maslyakova, V.N. Priezsheva, A.N. Ponukalin Comparative analysis of data of clinical, laboratory and radiation diagnostic techniques of prostate cancer with histomorphological tumor gradation by Gleason scale // Saratov Journal of Medical Scientific Research, Vol. 6, Issue 2, 2010, pp. 446-453