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Vol 5, No 3 (2015)

Proshloe, nastoyashchee i budushchee urologii v Sankt-Peterburge
Tkachuk V.N., Al-Shukri A.S., Kuzmin I.V.
Urology reports (St. - Petersburg). 2015;5(3):3-7
Vosstanovlenie bryushiny bokovykh stenok taza posle udaleniya mochevogo puzyrya i podvzdoshno-tazovoy limfodissektsii u patsientov pozhilogo i starcheskogo vozrasta
Krestyaninov S.S., Kostyuk I.P., Shestaev A.Y., Shostka K.G., Vasilyev L.A., Kheyfets V.K., Pavlenko A.N., Kagan O.F.
Проанализированы результаты лечения 73 пациентов пожилого и старческого возраста, которым выполнена цистпростатэктомия или передняя надлеваторная эвисцерация малого таза по поводу инвазивного рака мочевого пузыря или местно-распространенного рака шейки, тела матки, и рака яичников. Сопоставлены характеристики послеоперационного периода двух групп пациентов, у которых операции заканчивались восстановлением брюшины боковых стенок таза (n = 37), и без восстановления брюшины (n = 36). Полученные результаты свидетельствуют, что после операций на органах малого таза, сопровождающихся цистэктомией и расширенной подвздошно-тазовой лимфодиссекцией, реконструкция брюшины боковых стенок таза улучшает послеоперационное восстановление кишечной перистальтики, способствует более раннему снижению интенсивности болевого синдрома и уменьшению частоты развития осложнений в раннем послеоперационном периоде. Восстановление брюшины является простой в исполнении и безопасной процедурой. Ее применение после операций на органах малого таза сопровождающихся цистэктомией с расширенной лимфаденэктомией позволяет избежать ряда осложнений в раннем послеоперационном периоде.
Urology reports (St. - Petersburg). 2015;5(3):8-15
Characteristics of symptoms and psychosomatic status in women with chronic pelvic pain syndrome
Slesarevskaya M.N., Kuzmin I.V., Ignashov Y.A.
This study assesses the severity of symptoms and psychosomatic status in 177 women with chronic pelvic pain syndrome. Pain in the bladder was registered in all patients, 86 (48.6%) women had pain along the urethra and 67 (37.6%) women had pain in the vagina. Pain in the bladder increased during filling of the bladder in 94 (53.1%) patients and decreased in 48 (27.1%) patients. Urination disorders were observed in 174 (98.3%) patients. Psychosomatic disorders reported in 166 (93.8%) of 177 patients and in 88 (49.7%) of them showed signs of moderate or severe depression. These characteristics of the symptoms must be considered during planning the therapeutic treatment of this group of patients.
Urology reports (St. - Petersburg). 2015;5(3):16-19
Reconstructive surgery of the long urethral strictures in patients with penile sclerotic lichen
Solichov D.N., Gafurov A.G., Rizoev H.H.
Summarized the experience of surgical treatment of 21 patients with extensive urethral stricture caused by sclerotic lichen. The average age of the patients was 38.5 years and ranged from 18 to 54 years. The length of urethral strictures in the observed patients was from 3.5 to 18.0 cm, and an average of 6,5 ± 1,5 cm. All patients underwent the replacement urethroplasty by buccal mucosa graft. Mean operative time was 110 minutes. There wasn't intraoperative complications of urethra and the mouth. The healing occurred by first intention in all patients. The results showed that the reconstructive surgery by buccal mucosal graft is an effective method of surgical treatment of long urethral strictures caused by sclerotic lichen.
Urology reports (St. - Petersburg). 2015;5(3):20-22
Retarded ejaculation is a rare form of sexual dysfunction
Korshunov M.N., Korshunova E.S.
Inhibited or retarded ejaculation (RE) is one of the least understood of the male sexual dysfunctions. RE has a relatively low prevalence (<3 %). RE is one of the diminished ejaculatory disorders, which is a subset of male orgasmic disorders. This pathology results in depression, anxiety, lack of sexual confidence. Failure of ejaculation may be a lifelong (primary) of acquired (secondary) problem. In some instances, a somatic condition can cause the disorder of ejaculation. Disruption of sympathetic or somatic innervation has the potential to affect ejaculatory process and orgasm. Usually ejaculation and orgasm occur simultaneously in men. However, the terms of disorder ejaculation and orgasm are not identical according modern ideas about the neurophysiological triggers of these processes. The ejaculatory reflex comprises sensory receptors and areas, afferent pathways, cerebral sensory and motor centers, spinal motor centers and efferent pathways. Neurochemically, the reflex includes a complex interplay between central serotonergic and dopaminergic neurons. Cholinergic, adrenergic and oxitocinergic systems play the secondary role. The dominant neurotransmitters are dopamine and serotonin. Currently, there are no effective and safe drugs available to accelerate aculation time. The most effective methods of correcting lifelong RE are psycho - and sex therapy. The best way to treat men with primary RE is to inform them about exiting factors that may retard ejaculation and to instruct them through counselling. The benefit of the therapy depends on the severity of the RE and responsiveness of the patient. Psychotherapy may be useful in some groups, especially in absence of effective or safe drugs. However, the psychological approach to solution of this problem is often disappointing. Further research on the neurophysiological aspects of ejaculation is very important to understand the pathogenic mechanisms of RE and invent the new ways to solve this problem.
Urology reports (St. - Petersburg). 2015;5(3):23-29
Epidemiological aspects of overactive bladder and urge urinary incontinence
Kuzmin I.V.
The review is devoted to the epidemiology of overactive bladder and urge incontinence. The current data regarding the prevalence of these diseases according to patient’s gender and age is shown.
Urology reports (St. - Petersburg). 2015;5(3):30-34

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