Journal of Volgograd State Medical UniversityJournal of Volgograd State Medical University1994-94801994-9499Volgograd State Medical University11961610.19163/1994-9480-2021-1(77)-137-139Research ArticlePERINE OSTOMY IN SURGICAL CORRECTION UPON EXTENDED AND RECURRENT STRICTURES OF THE ANTERIOR URETHRAMorozovE. ADepartment of general surgery with course of urologyegor050795@rambler.ruPaninS. IDepartment of general surgery with course of urology-KushnirukN. E-KuznetsovA. ADepartment of general surgery with course of urology-GoncharovN. ADepartment of extreme medicine-DoroninA. BDepartment of general surgery with course of urology-LinchenkoD. VDepartment of general surgery with course of urology-FSBEI HE «Volgograd State Medical University» of the Ministry of Healthcare of the Russian FederationSBIH «Volgograd State Regional Hospital № 1»1501202118113713919122022Copyright © 2021, Morozov E.A., Panin S.I., Kushniruk N.E., Kuznetsov A.A., Goncharov N.A., Doronin A.B., Linchenko D.V.2021The aim of the research is to evaluate the results of trapezoidal perineostomy in the treatment of patients with extended and recurrent strictures of the anterior urethra. The study included 5 males with an average age of 62 years. Among the etiological factors: urethrectomy and penectomy (n = 3), inflammatory diseases of the urethra (n = 1), iatrogenic damage to the urethra (n = 1). The duration of the operation is 60 minutes. No complications were observed in the immediate postoperative period. The average bed-day in the hospital was 4, postoperative - 3 days. When assessing long-term results and quality of life using questionnaire scales, the following results were obtained: IPSS - 5 (3-7) points and QoL - 1 (1-2) points. Thus, perineal urethrostomy requires more extensive and detailed analysis in studies with high statistical power.perineostomyperineal urethrostomyextended and recurrent strictures of the urethraперинеостомияпромежностная уретростомияпротяженные и рецидивные стриктуры уретры[Котов С.В., Даренков С.П., Лоран О.Б. и др. Результаты выполнения перинеостомии для лечения сложных стриктур передней уретры у мужчин // Медицинский вестник Башкортостана - 2013. - № 8 (2). - С. 103-106.][Полянцев А.А., Кузнецов А.А., Гончаров Н.А. и др. Результаты хирургического лечения стриктурной болезни уретры (по материалам клиники)// Вестник Волгоградского государственного медицинского университета - 2020. - № 2 (74). - С. 145-147. - DOI: 10.19163/1994-9480-2020-2(74)-145-147.][Anger J.T., Buckley J.C., Santucci R.A., et al. Urologic Diseases in America Project. Trends in stricture management among male Medicare beneficiaries: underuse of urethroplasty // Urology. - 2011. - No. 77 (2). - P. 481-485. DOI: 10.1016/j.urology.2010.05.055.][Barbagli G. Die perineale Urethrostomie bei komplexer vorderer Harnröhrenstriktur [Perineal urethrostomy in complex anterior urethral stricture] // Urologe A. - 2010. - No. 49 (6). -P. 731-733. - DOI: 10.1007/s00120-010-2312-x. - PMID: 20544335. (In German).][Barbagli G., De Angelis M., Romano G., Lazzeri M. Clinical outcome and quality of life assessment in patients treated with perineal urethrostomy for anterior urethral stricture disease // J Urol. - 2009. - No. 182 (2). - P. 548-557. -DOI: 10.1016/j.juro.2009.04.012. - Epub 2009 Jun 13. -PMID: 19524945.][Palminteri E., Berdondini E., Verze P., et al. Contemporary urethral stricture characteristics in the developed world // Urology. - 2013. - No. 81 (1). - P. 191-196. -DOI: 10.1016/j.urology.2012.08.062.][Rolania F.J., Arteaga S.M. Two-stage urethroplasties and perineal urethrostomy // Arch Esp Urol. - 2011. -No. 64 (10). - P. 939-944. - PMID: 22228890.][Wang Y.Q., Zhang H., Shen W.H., et al. Perineal urethrostomy plus secondary urethroplasty for ultralong urethral stricture: clinical outcomes and influence on the patient's quality of life // Zhonghua Nan Ke Xue. - 2012. -No. 18 (4). - P. 291-295. - PMID: 22574360.]