Anastomotic urethroplasty in posttraumatic strictures of bulbomembraneous urethra


Дәйексөз келтіру

Толық мәтін

Аннотация

Efficacy of surgical treatment of patients with strictures of the bulbomembraneous portion of the urethra by R. Turner-Warwick in G. Webster modification was studied in 30 patients operated in 2008-2009. Efficacy of the operation was assessed by uroflowmetry and urethrography findings. Follow-up covered 3 to 20 months (median 10 months). Posttraumatic urethral strictures arose after car accident in 89% cases. Mean length of the destruction defect was 2.7 cm (1.5-5.5 cm). Efficacy of surgical treatment reached 96.7%. Erectile dysfunction due to the operation developed in 2 of 23 (8.6%) patients. Thus, urethroplasty by Turner-Warwick in Webster modification is effective and safe in the treatment of posttraumatic strictures of the posterior urethra and can be used widely in specialized centers for urethral surgery.

Әдебиет тізімі

  1. Andrich D. E., Greenwell T. J., Mundy A. R. Treatment of pelvic fracture-related urethral trauma: a survey of current practice in the UK. Br. J. Urol. Int. 2005; 96 (1); 127-130.
  2. Jordan G. H., Virasoro R., Eltahawy E. A. Reconstruction and management of posterior urethral and straddle injuries of the urethra. Urol. Clin. N. Am. 2006; 33(1): 97-109.
  3. Македонская Т. П., Пахомова Г. В., Лоран О. Б., Живов А. В. Закрытая травма уретры в сочетании с переломами костей таза: различные подходы к лечению и результаты их практического применения. Анналы хир. 2009; 4: 61-67.
  4. Turner-Warwick R. A personal view of the management of traumatic posterior urethral strictures. Urol. Clin. N. Am. 1977; 4(1): 111-124.
  5. Webster G. D., Selli C. Management of traumatic posterior urethral stricture by one stage perineal repair. Surg. Gynecol. Obstet. 1983; l56(5): 620-624.
  6. Mundy A. R. Urethroplasty for posterior urethral strictures. Br. J. Urol. 1996; 78(2): 243-247.
  7. Koraitim M. M. Pelvic fracture urethral injuries: the unresolved controversy. J. Urol. (Baltimore) 1999; 161(5): 1433-1441.
  8. Andrich D. E., Dunglison N., Greenwell T. J., Mundy A. R. The long-term results of urethroplasty. J. Urol. (Baltimore) 2003; 170(1): 90-92.
  9. Hadjizacharia P., Inaba K., Teixeira P. G. et al. Evaluation of immediate endoscopic realignment as a treatment modality for traumatic urethral injuries. J. Trauma 2008; 64(6): 1443-1449.
  10. Mouraviev V. B., Coburn M., Santucci R. A. The treatment of posterior urethral disruption associated with pelvic fractures: comparative experience of early realignment versus delayed urethroplasty. J. Urol. (Baltimore) 2005; 173(3): 873-876.
  11. Andrich D. E., Mundy A. R. What is the best technique for urethroplasty? Eur. Urol. 2008; 54(5): 1031-1041.
  12. Gheorghiu V., Radu V. D., Costache C., Stefänescu R. Internal urethrotomy, a modern method in the treatment of urethral strictures. Rev. Med. Chir. Soc. Med. Nat. lasi. 2003; 107(4): 846-850.
  13. Nabi G., Dogra P. N. Endoscopic management of post-traumatic prostatic and supraprostatic strictures using Neodymium-YAG laser. Int. J. Urol. 2002: 9(12): 710-714.
  14. Culty T., Boccon-Gibod L. Anastomotic urethroplasty for posttraumatic urethral stricture: previous urethral manipulation has a negative impact on the final outcome. J. Urol. (Baltimore) 2007; 177(4): 1374-1377.
  15. Marion G. Traite d'urologie. Paris: Masson e'dit. 1928; vol. 1- 2.
  16. Хольцов Б. Н. Руководство по урологии. Оперативная урология. Л.; 1924.
  17. Русаков В. И. Хирургия мочеиспускательного канала. Ростов н/Д: Феникс; 1998.
  18. Чухриенко Д. П., Люлько А. В. Атлас операций на органах мочеполовой системы. М.: Медицина; 1972.
  19. Mundy A. R. Anastomotic urethroplasty. Br. J. Urol. Int. 2005; 96(6): 921-944.
  20. Webster G. D., Ramon J. Repair of pelvic fracture posterior urethral defects using an elaborated perineal approach: experience with 74 cases. J. Urol. (Baltimore) 1991; 145(4): 744-748.
  21. Koraitim M. M. On the art of anastomotic posterior urethroplasty: a 27-year experience. J. Urol. (Baltimore) 2005; 173(1): 135-139.

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