Bypass heterotopic urethroplasty as a method of possible choice in the surgical treatment of extended strictures of the posterior urethra. One concept - three clinical cases
- Authors: Kamalov А.А.1, Adamyan R.Т.1,2, Istranov А.L.3, Startseva О.I.3, Zorkin S.N.3, Verzin А.V.4, Ekhoyan M.M.5, Imanova K.Z.3, Nesterova O.Y.1
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Affiliations:
- Medical Research and Education Center of the Lomonosov Moscow State University
- Petrovsky National Research Centre of Surgery
- Sechenov First Moscow State Medical University
- N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the NMRRC of the Ministry of Health of Russia
- City Clinical Hospital 31
- Issue: No 5 (2023)
- Pages: 82-91
- Section: Clinical case
- URL: https://journals.eco-vector.com/1728-2985/article/view/625353
- DOI: https://doi.org/10.18565/urology.2023.5.82-91
- ID: 625353
Cite item
Abstract
Objective. To study the effectiveness of surgical treatment of extended strictures of the posterior urethra by the method of bypass heterotopic urethroplasty.
The authors present 3 patients after urethral reconstruction by the method of bypass heterotopic urethroplasty. Patients before surgery were united by the lack of patency of the posterior urethra for a significant length as a result of trauma or iatrogenic injury, as well as the need to have a cystostomy and the inability to restore the patency of the urethra by traditional methods of conservative and surgical treatment.
The patency of the urethra was restored in all patients, the cystostomy was removed, and a certain level of control of urination was achieved.
The method of bypass heterotopic urethroplasty may become the operation of choice in the treatment of hard-to-reach strictures and obliterations of the posterior urethra due to the high effectiveness of treatment. Despite the fact that the issue of incontinence remains unresolved, this method allows us to hypothesize that neosphincter mechanisms can spontaneously form in the area of anastomosis of the heterotopic urethra and the bladder wall over time.
Full Text
About the authors
А. А. Kamalov
Medical Research and Education Center of the Lomonosov Moscow State University
Email: armais.kamalov@rambler.ru
ORCID iD: 0000-0003-4251-7545
Academician of the Russian Academy of Sciences; Dr.Sc.(Med), Full Prof., Director, Head Dept of Urology and Andrology Faculty of Fundamental Medicine
Russian Federation, MoscowR. Т. Adamyan
Medical Research and Education Center of the Lomonosov Moscow State University; Petrovsky National Research Centre of Surgery
Email: rtadamyan@mail.ru
Dr.Sc.(Med), Full Prof., chief researcher
Russian Federation, Moscow; MoscowА. L. Istranov
Sechenov First Moscow State Medical University
Email: plasticsurgeon@yandex.ru
Dr.Sc.(Med), Prof., Departments of Oncology, Radiotherapy and Plastic Surgery
Russian Federation, MoscowО. I. Startseva
Sechenov First Moscow State Medical University
Email: ostarceva@mail.ru
Dr.Sc.(Med), Prof., Departments of Oncology, Radiotherapy and Plastic Surgery
Russian Federation, MoscowS. N. Zorkin
Sechenov First Moscow State Medical University
Email: zorkin@nczd.ru
Dr.Sc.(Med), Full Prof., head of the Center for Pediatric Urology and Andrology, Head of the Urology department with reproduction and transplantation groups, National Medical Research Center for Children’s Health Federal state autonomous institution
Russian Federation, MoscowА. V. Verzin
N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the NMRRC of the Ministry of Health of Russia
Email: sekr.urology@gmail.com
PhD (Med), Head of the Microsurgery and Urological Trauma Group
Russian Federation, MoscowM. M. Ekhoyan
City Clinical Hospital 31
Email: miso83@list.ru
urologist
Russian Federation, MoscowK. Z. Imanova
Sechenov First Moscow State Medical University
Email: hannaimanova@yandex.ru
ORCID iD: 0000-0001-8335-8283
student
Russian Federation, MoscowO. Yu. Nesterova
Medical Research and Education Center of the Lomonosov Moscow State University
Author for correspondence.
Email: oy.nesterova@gmail.com
ORCID iD: 0000-0003-3355-4547
PhD (Med), Urologist, Researcher, Urology and Andrology Unit, senior lecturer of the Dept. of Urology and Andrology, Faculty of Fundamental Medicine
Russian Federation, MoscowReferences
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