MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA

Strictures of the bulbous-membranous urethra are a common cause of obstructive urination disorder. Modern trends in the development of medicine lead to a wider application of endoscopic method, a more frequent cause of iatrogenic injury of the urethra. At present, conservative, endourologic and reco...

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Autores principales:	V. A. Vorobev, V. A. Beloborodov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2018
Materias:	bulbo-membranous urethra urethral stricture urethral stenosis anastomotic urethroplasty buccalmucosa urethroplastic direct visual internal urethrotomy (dviu) Science Q
Acceso en línea:	https://doaj.org/article/b8c84d6671dc474aa5217b11358d7607
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spelling	oai:doaj.org-article:b8c84d6671dc474aa5217b11358d76072021-11-23T06:14:41ZMODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA2541-94202587-959610.29413/ABS.2018-3.5.17https://doaj.org/article/b8c84d6671dc474aa5217b11358d76072018-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/716https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Strictures of the bulbous-membranous urethra are a common cause of obstructive urination disorder. Modern trends in the development of medicine lead to a wider application of endoscopic method, a more frequent cause of iatrogenic injury of the urethra. At present, conservative, endourologic and reconstructive methods of care are used to treat urethral strictures. There are several conservative, endourological and reconstructive methods for treating patients with urethral stricture. Conservative methods include interventions that do not involve the destruction of urethral stricture or its reconstruction, such as stenting, blind dilatation, and recanalization of the urethra. Performing blind dilatation strictures of the bulbo-membranous urethra is not recommended because of the high risk of false path formation and low efficiency. Endourological operations refer to surgical methods of care and suggest the natural restoration of urethral tissues after the destruction of stricture. Because of the low effectiveness of correction of strictures of the posterior urethra (more than 90 % of relapses in five years), this method is a variant of temporary or palliative care. Currently, two approaches to the reconstruction of the bulbo-membranous urethra are used: anastomotic and replacement operations. Anastomotic surgery involves excision of the affected area and juxtaposition of healthy urethral tissues without tension. Replacement plastic allows to restore patency of the urethra by increasing the diameter of the lumen due to the implantation of various grafts. The article shows that, based on international clinical studies, the most effective method of reconstructing the bulbomembranous urethra is reconstructive surgical methods.V. A. VorobevV. A. BeloborodovScientific Сentre for Family Health and Human Reproduction Problemsarticlebulbo-membranous urethraurethral strictureurethral stenosisanastomotic urethroplastybuccalmucosa urethroplasticdirect visual internal urethrotomy (dviu)ScienceQRUActa Biomedica Scientifica, Vol 3, Iss 5, Pp 116-125 (2018)
institution	DOAJ
collection	DOAJ
language	RU
topic	bulbo-membranous urethra urethral stricture urethral stenosis anastomotic urethroplasty buccalmucosa urethroplastic direct visual internal urethrotomy (dviu) Science Q
spellingShingle	bulbo-membranous urethra urethral stricture urethral stenosis anastomotic urethroplasty buccalmucosa urethroplastic direct visual internal urethrotomy (dviu) Science Q V. A. Vorobev V. A. Beloborodov MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA
description	Strictures of the bulbous-membranous urethra are a common cause of obstructive urination disorder. Modern trends in the development of medicine lead to a wider application of endoscopic method, a more frequent cause of iatrogenic injury of the urethra. At present, conservative, endourologic and reconstructive methods of care are used to treat urethral strictures. There are several conservative, endourological and reconstructive methods for treating patients with urethral stricture. Conservative methods include interventions that do not involve the destruction of urethral stricture or its reconstruction, such as stenting, blind dilatation, and recanalization of the urethra. Performing blind dilatation strictures of the bulbo-membranous urethra is not recommended because of the high risk of false path formation and low efficiency. Endourological operations refer to surgical methods of care and suggest the natural restoration of urethral tissues after the destruction of stricture. Because of the low effectiveness of correction of strictures of the posterior urethra (more than 90 % of relapses in five years), this method is a variant of temporary or palliative care. Currently, two approaches to the reconstruction of the bulbo-membranous urethra are used: anastomotic and replacement operations. Anastomotic surgery involves excision of the affected area and juxtaposition of healthy urethral tissues without tension. Replacement plastic allows to restore patency of the urethra by increasing the diameter of the lumen due to the implantation of various grafts. The article shows that, based on international clinical studies, the most effective method of reconstructing the bulbomembranous urethra is reconstructive surgical methods.
format	article
author	V. A. Vorobev V. A. Beloborodov
author_facet	V. A. Vorobev V. A. Beloborodov
author_sort	V. A. Vorobev
title	MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA
title_short	MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA
title_full	MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA
title_fullStr	MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA
title_full_unstemmed	MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA
title_sort	modern methods of treating diseases of the bulbo-membranous part of urethra
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2018
url	https://doaj.org/article/b8c84d6671dc474aa5217b11358d7607
work_keys_str_mv	AT vavorobev modernmethodsoftreatingdiseasesofthebulbomembranouspartofurethra AT vabeloborodov modernmethodsoftreatingdiseasesofthebulbomembranouspartofurethra
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MODERN METHODS OF TREATING DISEASES OF THE BULBO-MEMBRANOUS PART OF URETHRA

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