REHABILITATION OF PATIENTS WITH COMPLICATED FORMS OF URETHRAL OBLITERATIONS


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Abstract

The article describes open surgical modalities for managing patients with severe obliterations of the anterior urethra. The mean age of patients was 70 years. The causes of urethral strictures and obliteration included prostatic adenomectomy, scrotal abscess with pelvic bone osteomyelitis, accidental removal of the bulbar and penile urethra during herniotomy and a prolonged use of an indwelling urethral catheter. Two patients underwent perineostomy (median and trapezoidal). In the third patient, scrotal skin was used to form «scrotal hypospadias» (a modified Johanson’s operation) and the fourth patient underwent Mikhalovskii’s operation. All patients regained normal voiding.

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About the authors

M. B Pryanichnikova

Samara State Medical University

Email: madinat30@mail.ru
Dr.Med.Sci., Prof. at the Department of Urology Samara, Russia

O. V Zhurkina

Samara State Medical University

Email: jolga006@mail.ru
Dr.Med.Sci., Associate Prof. at the Department of Urology Samara, Russia

References

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  2. Pryanichnikova M.B., Zhurkina O.V. Features open operational benefits in long urethral strictures. Materialy XV kongressa ROU «Urologiya v XXI veke». SPb. 2015;273-271.
  3. Kudryavtsev L.A. Surgical treatment of consequences of urethral injury. Samara. 1992; 224 p.
  4. Kogan M.I., Krasulin V.V., Mitusov V.V., Shangichev V.A., Ametov R.E., Naranov S.I. The effectiveness of surgical treatment of extensive and subtotalurethralstricturesinmen.MeditsinskiivestnikBashkortostana. 2013;8(2):95-97.
  5. Kotov S.V., Darenkov S.P., Loran O.B., Zhivov A.V., Glinin K.I. The results of the perineostomy for the treatment of complex anterior urethral stricture inmen. Meditsinskii vestnik Bashkortostana. 2013;8(2):103- 106.
  6. Mathur R.K., Sharma A. Tunica albuginea urethroplasty for panurethral strictures. J Urol. 2010;7:120-127

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