Surgical treatment of strictures or obliterations of urethra


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article introduces the clinical and statistical analysis of 113 patients treated for urethral strictures (US) in the urological clinic of the Rostov State Medical University in 2011. 58% of patients experienced a recurrent course of the disease. Radical curative surgery was possible in 93 (82.3%) patients. In other cases, non-invasive strategy was indicated (13.3%) or surgery for urethral stricture was impossible due to comorbidities (4.4%). Resection with urethral end-to-end anastomosis, which is the most effective approach to the treatment of patients with US, was possible in only half of the patients (51.8%). In the rest of the patients, one-, two- or more stage urethroplasty substitution was carried out. By the end of 2013, treatment of 84 (90.3%) patients was completed with a total of 110 operations. 9 (9.7%) patients were scheduled for operation in 2014.

Full Text

Restricted Access

About the authors

M. I Kogan

SBEI HPE «Rostov State Medical University»

Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology, School for Advanced Training and Professional Retraining of Specialists (Head - Prof. M.I. Kogan)

V. V Krasulin

SBEI HPE «Rostov State Medical University»

Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology, School for Advanced Training and Professional Retraining of Specialists (Head - Prof. M.I. Kogan)

V. V Mitusov

SBEI HPE «Rostov State Medical University»

Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology, School for Advanced Training and Professional Retraining of Specialists (Head - Prof. M.I. Kogan)

\A. V Shangichev

SBEI HPE «Rostov State Medical University»

Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology, School for Advanced Training and Professional Retraining of Specialists (Head - Prof. M.I. Kogan)

V. P Gluhov

SBEI HPE «Rostov State Medical University»

Email: glukhovladimir@rambler.ru
Ph.D., Teaching Assistant of Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology

S. V Naranov

SBEI HPE «Rostov State Medical University»

Department of Urology and Human Reproductive Health with Course of Pediatric Urology-Andrology, School for Advanced Training and Professional Retraining of Specialists (Head - Prof. M.I. Kogan)

References

  1. Коган М.И. Стриктуры уретры у мужчин. Реконструктивновосстановительная хирургия. М.: Практическая медицина, 2010.
  2. Hampson L.A., McAninch J.W., Breyer B.N. Male urethral strictures and their management. Nat. Rev. Urol. 2014;11(1):43-50.
  3. Latini J.M., McAninch J.W., Brandes S.B., Chung J.Y., Rosenstein D. SIU/ICUD Consultation On Urethral Strictures: Epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, strictures, and pelvic fracture urethral disruption injuries. Urology. 2014;83(3): 1-7.
  4. Lumen N., Hoebeke P., Willemsen P., De Troyer B., Pieters R., Oosterlinck W. Etiology of Urethral Stricture Disease in the 21st Century. J. Urol. 2009;182(3):983-987.
  5. Сидоренко С.В. Тенденции в распространении антибиотикорезистентности среди грамположительных микроорганизмов и перспективы ее преодоления. Клиническая фармакология и терапия. 2006;2:7-13.
  6. Тенке П., Ковач Б., БьерклундИохансен Т.Е., Мацумото T, Тамбья П.А, Набер К.Г. Европейско-азиатские рекомендации по ведению пациентов с инфекциями, связанными с уретральным катетером, и по профилактике катетер-ассоциированных инфекций. Клиническая микробиология и антимикробная химиотерапия. 2008;3:201-216.
  7. Мартов А.Г., Фахрединов Г.А., Максимов В.А., Корниенко С.И., Ергаков Д.В. Осложнения и неудачи трансуретральных операций на мочеиспускательном канале. Вестник РНЦРР МЗ РФ 2011; 11.
  8. Русаков В.И. Хирургия мочеиспускательного канала. Ростов н/Д.: Феникс, 1998.
  9. Русаков В.И., Красулин В.В. Восстановительные операции при больших дефектах уретры у мужчин. Ташкент: Медицина, 1968.
  10. Schreiter F, Jordan G.H. Urethral Reconstructive Surgery. Springer Medizin Verlag Heidelberg, 2006.
  11. Лоран О.Б., Велиев Е.И., Живов А.В., Беломытцев С.В., Котов С.В. Морфологические особенности стриктур уретры. Материалы пленума правления РОУ. 2010. 163 с.
  12. Коган М.И., Митусов В.В., Дементьева И.Ю., Пакус С.М. Риск рецидива стриктуры уретры в зависимости от морфологии хирургического края, резецированного спонгиозного тела. Материалы Российской научной конференция с международным участием «Фундаментальные исследования в уронефрологии». 2009. С. 189-192.
  13. Da Silva E.A., Schiavini J.L., Santos B.P., Damiao R. Histological Characterization of the Urethral Edges in Patients Who Underwent Bulbar Anastomotic Urethroplasty. American J. Urol. 2008; 180(5): 2042-2046.
  14. Банчик Э.Л., Домбровский В.И., Коган М.И., Митусов В.В. Динамическая магнитно-резонансная томография в диагностике заболеваний уретры у мужчин (комплекс импульсных последовательностей). Вестник рентгенологии и радиологии. 2013;4: 33-40.
  15. Красулин В.В., Серебренников С.М., Жульнев А.П., Чибичян М.Б. Хирургическое лечение стриктур и облитераций уретры. Ростов н/Д, 2000.
  16. Santucci R, Eisenberg L. Urethrotomy has a much lower success rate than previously reported. J. Urol. 2010; 183:1859.
  17. Morey A. Urethral strictures is now an open surgical disease. J. Urol. 2009;181:953.
  18. Wessells H. Cost-effective approach to short bulbar urethral strictures supports single internal urethrotomy before urethroplasty. J. Urol. 2009;181:954.
  19. Коган М.И., Митусов В.В., Красулин В.В., Шангичев А.В., Глухов В.П., Аметов Р.Э., Митусова Е.В. Внутренняя оптическая уретротомия при стриктурной болезни уретры усложняет последующую реконструктивную операцию. Урология. 2012;3:27-30.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies