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.
Количество просмотров: 469
Категория статей:
Обзор литературы
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.2022.24.4.023Похожие публикации:
UNDERSTANDING OF RECURRENT RESPIRATORY INFECTIONS IN CHILDREN AT THE PRESENT STAGE. REVIEW.
ГЕМОДИНАМИЧЕСКИ ЗНАЧИМЫЙ ОТКРЫТЫЙ АРТЕРИАЛЬНЫЙ ПРОТОК У НЕДОНОШЕННЫХ НОВОРОЖДЕННЫХ ДЕТЕЙ. ОБЗОР ЛИТЕРАТУРЫ
RADIOIODINE-RESISTANT DIFFERENTIATED THYROID CANCER: CLINICOPATHOLOGICAL CHARACTERISTICS, MOLECULAR GENETIC ALTERATIONS. REVIEW.
ПРЕРЫВИСТАЯ КАТЕТЕРИЗАЦИЯ МОЧЕВОГО ПУЗЫРЯ КАК «ЗОЛОТОЙ СТАНДАРТ» ЛЕЧЕНИЯ НЕЙРОГЕННОГО МОЧЕВОГО ПУЗЫРЯ У ЛИЦ, С ПОВРЕЖДЕНИЕМ СПИННОГО МОЗГА
АНАЛИЗ ОПЫТА МЕДСЕСТЕР И ФАКТОРОВ, ВЛИЯЮЩИХ НА ДОБРОВОЛЬНОЕ СООБЩЕНИЕ ОБ ИНЦИДЕНТАХ