MODERN APPROACHES FOR DIAGNOSTICS AND TREATMENT OF URETHRAL STRICTURES AFTER ADENOMECTOMY: REVIEW
The aim of this study was to analyze scientific information on risk factors, methods of diagnosis, and surgical treatment of urethral strictures after adenomectomy. Search strategy: The search for relevant scientific publications was conducted in databases of evidence-based medicine (PubMed and Cochrane Library), and specialized search systems (Google Scholar, Cyberleninka, and e-library). Inclusion criteria: studies performed on people published in English, and Russian, as well as full versions of articles. Results. Benign prostatic hyperplasia is one of the most common chronic diseases in men over the age of fifty. Transurethral resection of prostate adenoma is currently the most effective and common surgical option. Iatrogenic urethral strictures are a common complication of this intervention, which are caused by trauma, prolonged catheterization, infectious inflammation, and the use of hemostasis. Diagnostic techniques for urethral strictures include physical examination, urinalysis, questionnaire, uroflowmetry, ultrasound, urethrocystoscopy, retrograde urethrography, vocal cystourethrography, or ultrasound urethrography. The main methods of emergency surgical treatment of strictures are endoscopic methods (bougienage of the urethra, internal optical urethrotomy, drainage of the bladder, and cystostomy drainage). The effectiveness of urethroplasty in the treatment of strictures in the long-term period reaches 80%. Conclusion. Success in the treatment of patients with urethral strictures directly depends on the high-quality preoperative diagnosis, tactics of surgical treatment, and prevention. Endourethral techniques are the most common among urologists around the world.
Yerbol М. Kairambayev1, https://orcid.org/0000-0002-1399-1451 Tolkyn A. Bulegenov1, https://orcid.org/0000-0001-6392-2748 Muratkan T. Kuderbayev1, Sabit M. Zhussupov2, https://orcid.org/0000-0002-0551-126Х Assylzhan M. Messova 1, https://orcid.org/0000-0001-5373-0523 Oxana А. Yurkovskaya1, https://orcid.org/0000-0002-6251-5574 Anton Yurkovsky3, https://orcid.org/0000-0002-4336-159X 1 NCJSC «Semey Medical University», Semey c., Republic of Kazakhstan; 2 Pavlodar branch of NCJSC «Semey Medical University», Pavlodar city, Republic of Kazakhstan; 3 Novosibirsk State Medical University, Novosibirsk c., Russian Federation.
1. Afridi N.G., Khan M., Nazeem S., Hussain A., Ahmad S., Aman Z. Intermittent urethral self-dilatation for prevention of recurrent stricture // J Postgrad Med Inst. 2010. Vol.24. N3. P.239–243. 2. Akano A.O. Evaluation of male anterior urethral strictures by ultrasonography compared with retrograde urethrography // West Afr J Med. 2007. Vol.26. N2. P.102–105. 3. Anger J.T., Buckley J.C., Santucci R.A., Elliott S.P., Saigal C.S. Trends in stricture management among male Medicare beneficiaries: underuse of urethroplasty // Urology 2011. Vol.77. N2. P.481–485. 4. Autorino R., Zargar H., Mariano M.B., Sanchez-Salas R., Sotelo R.J., Chlosta P.L. Outcomes of robotic and laparoscopic simple prostatectomy: a European-American multi-institutional analysis // Eur Urol 2015. Vol.68. N1. P. 86-94. 5. Barnes R.W., Bergman R.T., Hadley H.L. Technique with the Stern-McCarthy electrotome. In: Endoscopy // Handbuch der Urologie. 1959. 6. Berlin, Heidelberg. 6. Chapple C., Osman N., Birder L., van Koeveringe G., Oelke M., Nitti V., Drake M. The underactive bladder: a new clinical concept? // Eur. Urol. 2015. Vol.68. P.351–353. 7. Chaloupka M., Beck V., Kretschmer A., Tritschler S., Stief C.G., Strittmatter F. Diagnostic workup of urethral strictures // Urologe A. 2018. Vol.57. N 1. P. 6-10. 8. Chen C., Zeng M., Xue R., Wang G., Gao Z., Yuan W., Tang Z. Causes and management for male urethral stricture // Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2018. Vol.43. N5. P.520-527. 9. Chiruvella M., Enganti B., Bendigeri M.T., Ghouse S.M., Ragoori D., Reddy P. Transurethral Enucleation With Bipolar Energy (TUEB): AINU Technique and Short-term Outcomes // Urology. 2018. Vol.122.P.147-151. 10. Cho M.C., Yoo S., Park J., Cho S.Y., Son H., Oh S.J., Paick J.S. Effect of preoperative detrusor underactivity on long-term surgical outcomes of photovaporization and holmium laser enucleation in men with benign prostatic hyperplasia: a lesson from 5-year serial follow-up data // BJU Int. 2019. Vol.123. N5A. E34-E42. 11. Cogorno Wasylkowski L., Ríos González E., Martínez-Piñeiro Lorenzo L. Diagnosis of urethral stenosis and follow-up after Urethroplasty // Arch Esp Urol. 2016. Vol.69. N7. P.416-422. 12. Cornu J.N., Ahyai S., Bachmann A., de la Rosette J., Gilling P., Gratzke C., McVary K., Novara G., Woo H., Madersbacher S. A Systematic Review and Meta-analysis of Functional Outcomes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update // Eur Urol. 2015. Vol.67. N6. P.1066-1096. 13. Descazeaud A., Robert G., Delongchamps N.B., Cornu J.N., Saussine C., Haillot O. Comité des troubles mictionnels de l’homme de l’association française d’urologie. Bilan initial, suivi et traitement des troubles mictionnels en rapport avec hyperplasie bénigne de prostate: recommandations du CTMH de l'AFU [Initial assessment, follow-up and treatment of lower urinary tract symptoms related to benign prostatic hyperplasia: guidelines of the LUTS committee of the French Urological Association] // Prog Urol. 2012. Vol.22. N16. P.977-988. French. 14. Erickson B.A., Elliott S.P., Voelzke B.B., Myers J.B., Broghammer J.A., Smith III T.G., McClung C.D., Alsikafi N.F., Brant W.O. Multi-institutional 1-Year bulbar urethroplasty outcomes using a standardized prospective cystoscopic follow-up protocol // Urology. 2014 Jul: Vol.84. N1. P.213–216. 15. European Association of Urology «Guidelines on Begin Prostatic Hyperplasia» Update March 2004 http://www. urotoday.com/images/stories/documents/prod/ pdf/eau/BPH_ August_2004.pdf. 16. European Association of Urology. Guidelines on the management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO). 2014 [Electronic resource] / S. Gravas, A. Bachmann, A. Descazeaud et al. – URL: http://www.uroweb.org/gls/pdf/Non-Neurogenic%20Male%20LUTS_%282705%29.pd 17. Gómez de Vicente J.M., Trelles Guzmán C. Uso de la tecnología láser en urología funcional y uroginecología [Laser technology applications in functional urology and urogynecology] // Arch Esp Urol. 2020. Vol.73. N8. P.709-723. 18. Gong E.M., Arellano C.M.R., Chow J.S., Lee R.S. Sonourethrogram to manage adolescent anterior urethral stricture // J Urol. 2010. Vol.184. N4. P.1699–1702. 19. Gould C.V., Umscheid C.A., Agarwal R.K. Guideline for prevention of catheter-associated urinary tract infections 2009. CDC Online Publication Available at: http://www.premierinc.com/safety/topics/guidelines/downloads. 20. Fall B., Zeondo C., Sow Y., Sarr A., Sine B., Thiam A. et al. Results of anastomotic urethroplasty for male urethral stricture disease // Prog Urol. 2018. Vol.28. N7. P.377-381. 21. Favorito L.A. Urethral stricture: the oldest urologic disease in 2017 // Int Braz J Urol. 2017. Vol.43. N1. P.1-2. 22. Hafez A.T., ElAssmy A., Dawaba M.S., Sarhan O., Bazeed M. Long-term outcome of visual internal urethrotomy for the management of pediatric urethral strictures // J Urol. 2005. Vol.173. N2. P.595–597. 23. Han H.H., Ko W.J., Yoo T.K. Factors associated with continuing medical therapy after transurethral resection of prostate // Urology. 2014. Vol.84. P.675–680. 24. Hussein M.M., Moursy E., Gamal W., Zaki M., Rashed A., Abozaid A. The use of penile skin graft versus penile skin flap in the repair of long bulbo-penile urethral stricture: A prospective randomized study // Urology. 2011. Vol.77. N5. P.1232–1237. 25. Iacovelli V., Gaziev G., Topazio L. Nosocomial urinary tract infections: A review // Urologia. 2014. Vol.81. N4. P. 222–227. 26. Jackson M.J., Ivaz S.L. Quality and length of life, money and urethral stricture disease // Curr Opin Urol. 2015: Vol.25(4):346-51. 27. Kamp S., Knoll T., Osman M., Hacker A., Michel M.S., Alken P. Donor-site morbidity in buccal mucosa urethroplasty: lower lip or inner ceek? // BJU Int. 2005. Vol.96. N4. P.619–623. 28. King C., Rourke K.F. Urethral Stricture is Frequently a Morbid Condition: Incidence and Factors Associated With Complications Related to Urethral Stricture. Urology. 2019. Vol.132. P.189-94. 29. Kumar S., Kapoor A., Ganesamoni R., Nanjappa B., Sharma V., Mete U.K. Efficacy of holmium laser urethrotomy in combination with intralesional triamcinolone in the treatment of anterior urethral stricture // Korean J Urol. 2012. Vol.53. N9. P.614–618. 30. Lambert E., Denys M.A., Poelaert F.,Everaert K., Lumen N. Validated uroflowmetry-based predictive model for the primary diagnosis of urethral stricturedisease in men // Int J Urol. 2018. Vol.25. N9. P.792-798. 31. Launonen E., Sairanen J., Ruutu M., Taskinen S. Role of visual internal urethrotomy in pediatric urethral strictures // J Pediatr Urol. 2014. Vol.10. N3. P.545–559. 32. Lucca I., Shariat S.F., Hofbauer S.L., Klatte T. Outcomes of minimally in vasive simple prostatectomy for benign prostatic hyperplasia: a systematic review and meta-analysis // World J Urol. 2015. Vol.33. N4. P.563-570. 33. Lumen N., Hoebeke P., Willemsen P., De Troyer B., Pieters R., Oosterlinck W. Etiology of urethral stricture disease in the 21st century // J Urol. 2009. Vol.182. N3. P.983–987. 34. Mahmud S.M., El K.S., Rana A.M., Zaidi Z. Is ascending urethrogram mandatory for all urethral strictures? // J Pak Med Assoc. 2008. Vol.58. N8. P.429–431. 35. Male Urethral Stricture: American Urological Association Guideline. 2016. 33p. 36. María Molero J., Miñana B., Palacios-Moreno J.M., Téllez Martínez-Fornes M., Lorite Mingot D., Agra Rolán A., Carreño Á., Cuervo Pinto R. Real-world assessment and characteristics of men with benign prostatic hyperplasia (BPH) in primary care and urology clinics in Spain // Int J Clin Pract. 2020. Vol.74. N11. E13602. 37. Mathur R.K., Sharma A. Tunica albuginea urethroplasty for panurethral strictures // Urol J. 2010. Vol.7. N 2. P.120–124. 38. McVary K.T., Chughtai B., Miller L.E., Bhattacharyya S.K., Dornbier R.A., Elterman D.S. Putting Patients Ahead by Leaving Nothing Behind: An Emerging Treatment Paradigm in Minimally Invasive Surgical Therapy for Benign Prostatic Hyperplasia // Med Devices (Auckl). 2021. N14. P.59-64. 39. Mitterberger M., Christian G., Pinggera G.M., Bartsch G., Strasser H., Pallwein L., Frauscher F. Gray scale and color Doppler sonography with extended field of view technique for the diagnostic evaluation of anterior urethral strictures // J Urol. 2007. Vol.177. N3. P.992–997. 40. Mostafid H., Kamat A.M., Daneshmand S., Palou J., Taylor J.A., McKiernan J. et al. Best Practices to Optimise Quality and Outcomes of Transurethral Resection of Bladder Tumours // Eur Urol Oncol. 2021. Vol.4. N1. P.12-19. 41. Mundy A.R., Andrich D.E. Urethral strictures // BJU International 2011. Vol.107. N1. P.6–26. 42. Noble S.M., Ahern A.M., Worthington J., Hashim H., Taylor H., Young G.J. et al. The cost-effectiveness of transurethral resection of the prostate vs thulium laser transurethral vaporesection of the prostate in the UNBLOCS randomised controlled trial for benign prostatic obstruction // BJU Int. 2020. Vol.26. N5. P.595-603. 43. Noguera R.S., Rodríguez R.C. Open adenomectomy: past, present and future // Curr Opin Urol. 2008. Vol.18. N1. P.34-40. 44. Nuss G.R., Granieri M.A., Zhao L.C., Thum D.J., Gonzalez C.M. Presenting symptoms of anterior urethral stricture disease: A disease specific, patient reported questionnaire to measure outcomes // J Urol. 2012. Vol.187. N2. P.559–562. 45. Okugi H., Makino T., Kato H., Oyam Y., Okazaki H., Nakamur T. [Clinical evaluation of transurethral enucleation with bipolar (TUEB)] // Nihon Hinyokika Gakkai Zasshi. 2011. Vol.102. N1. P.2-8. Japanese. 46. Osman N.I., Chapple C.R., Abrams P., Dmochowski R., Haab F., Nitti V. et al. Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology and diagnosis. Eur. Urol. 2014. Vol.65. P. 389–398. 47. Pahwa M., Gupta S., Pahwa M., Jain B.D., Gupta M. A comparative study of dorsal buccal mucosa graft substitution urethroplasty by dorsal urethrotomy approach versus ventral sagittal urethrotomy approach // Adv Urol. 2013.124836. 48. Palminteri E., Berdondini E., Verze P., De Nunzio C., Vitarelli A., Carmignani L. Contemporary urethral stricture characteristics in the developed world // Urology 2013. Vol.81. N1. P.191–196. 49. Peskar D.B., Perovic A.V. Comparison of radiographic and sonographic urethrography for assessing urethral strictures // Eur Radiol. 2004. Vol.14. N1. P.137–144. 50. Pokorny M., Novara G., Geurts N., Dovey Z., De Groote R., Ploumidis A. Robot-assisted simple prostatectomy for treatment of lower urinary tract symptoms secondary to benign prostatic enlargement: surgical technique and outcomes in a high-volume robotic centre // Eur Urol 2015. Vol.68. N3. P.451-457. 51. Rigatti P., Cestari A., Gilling P. The motion: large BPH should be treated by open surgery, Eur. Urol. 2007. Vol.51. P. 845–847. 52. Roehrborn C., McConnell J. Etiology, Pathophysiology, Epidemiology and Natural History of Benign Prostatic Hyperplasia. In: Walsh, P., Retik, A., Vaughan, E. and Wein, A., Eds., Campbell’s Urology, 8th ed., Saunders, Philadelphia. 2002. P.1297-1336. 53. Santucci R.A., Joyce G.F., Wise M. Male urethral stricture disease. J Urol 2007. Vol.177. P.1667–1674. 54. Sergienko N.F., Vasil'chenko M.I., Begaev A.I., Shekochikhin A.V., Shershnev S.P., Reĭniuk O.L., Lototskiĭ M.M. Transvesical extraurethral adenomectomy and transurethral prostatic resection in adenoma: specific features. Urologiia. 2010. N5. P.29-35. 55. Srinivasan A., Wang R. An Update on Minimally Invasive Surgery for Benign Prostatic Hyperplasia: Techniques, Risks, and Efficacy // World J Mens Health. 2020. Vol.38. N4. P.402-411. 56. Stein D.M., Thum D.J., Barbagli G., Kulkarni S., Sansalone S,. Pardeshi A., Gonzalez C.M. A geographic analysis of male urethral stricture aetiology and location // BJU Int. 2013. Vol.112. N6. P.830–834. 57. Strittmatter F., Beck V., Stief C.G., Tritschler S. Urethral stricture: From diagnostics to appropriate treatment // Urologe A. 2017. Vol.56. N8. P.1047-1057. 58. Stormont G., Chargui S. Transurethral Resection of The Prostate. 2021. In: StatPearls [Internet] // Treasure Island (FL): StatPearls Publishing. 59. Terlecki R.P., Steele M.C., Valadez C., Morey A.F. Urethral rest: role and rationale in preparation for anterior urethroplasty // Urology. 2011. Vol.77. N6. P.1477–1481. 60. Tubaro A., Speakman M., de la Taille A., Martínez-Piñeiro L., Berges R., Patel A. et al. European Registry Evaluating Symptomatic Effectiveness of Pharmacologically Treated Patients with Lower Urinary Tract Symptoms due to Benign Prostatic Enlargement: Lessons Learned // J Urol. 2021. Vol.205. N4. P.1145-1152. 61. Wessells H., Angermeier K.W., Elliott S., Gonzalez C.M., Kodama R., Peterson A.C. et al. Male Urethral Stricture: American Urological Association Guideline // J Urol. 2017. Vol.197. N1. P.182-190. 62. Woo M. J., Ha Y., Lee J. N., Kim B.S., Kim H.T., Kim T., Yoo E.S. Comparison of surgical outcomes between holmium laser enucleation and transurethral resection of the prostate in patients with detrusor underactivity // International Neurourol. J. 2017. N21. P.46–52. 63. Verla W., Oosterlinck W., Spinoit A.F., Waterloos M. A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease // Biomed Res Int. 2019. Vol.2019. P.9046430. 64. Zaid U.B., Lavien G., Peterson AC. Management of the Recurrent Male Urethral Stricture // Curr Urol Rep. 2016. Vol.17. N4. P.33. 65. Zehri A.A., Ather M.H., Afshan Q. Predictors of recurrence of urethral stricture disease following optical urethrotomy // Int J Surg. 2009. Vol.7. N4. P.361–364.
Количество просмотров: 257

Ключевые слова:

Библиографическая ссылка

Kairambayev Ye.М., Bulegenov T.A., Kuderbayev M.T., Zhussupov S.M., Messova A.M., Yurkovskaya O.А., Yurkovsky A. Modern approaches for diagnostics and treatment of urethral strictures after adenomectomy: review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 4, pp. 188-195. doi 10.34689/SH.2022.24.4.023

Авторизируйтесь для отправки комментариев