Mini-invasive reconstruction technique of the bulbomembranous urethra

The paper presents the technique of the reconstruction of the bulbar and membranous urethra in the occurrence of strictures and sphincter-stenosis. The method uses an autologous graft and has potential advantages over the bulboprostatic anastomosis. Objective. To develop a method of helping patients...

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Autores principales:	V. A. Vorobyev, V. A. Beloborodov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2018
Materias:	bulbar and membranous urethra urethral stricture urethral stenosis bulbo-prostatic anastomosis buccal mucosal urethroplasty Science Q
Acceso en línea:	https://doaj.org/article/f50f0cda91e44bad86ce11a806822636
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spelling	oai:doaj.org-article:f50f0cda91e44bad86ce11a8068226362021-11-23T06:14:40ZMini-invasive reconstruction technique of the bulbomembranous urethra2541-94202587-959610.29413/ABS.2018-3.2.16https://doaj.org/article/f50f0cda91e44bad86ce11a8068226362018-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/566https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The paper presents the technique of the reconstruction of the bulbar and membranous urethra in the occurrence of strictures and sphincter-stenosis. The method uses an autologous graft and has potential advantages over the bulboprostatic anastomosis. Objective. To develop a method of helping patients with existing urethral anastomoses, with a damaged neck of the bladder and a risk of subsequent incontinence, wishing to maintain the erectile function. Materials and methods. 35 patients underwent 36 reconstructions of the urethra from August 2013 to July 2017, 11 - after previous urethral plastics, 14 - after prostate surgery (4 - after radical prostatectomy), 7 - suffered from a urethral distraction defect. The age of the patients was 58.17 ± 12.2 years. The median follow-up period was 525 (341; 813) days. The average length of urethral strictures was 15 (10; 15) mm. The average diameter of the urethra in the stricture zone was 1.4 ± 0.56 mm. Reconstruction with the use of a buccal mucosa graft is performed intraurethrally through corpus spongiosum using magnifying optics. Results. The overall efficacy of the primary reconstruction in 35 patients was 94.2 %; the repeated reconstruction in two patients was successful. All patients underwent the comprehensive monitoring of the results, the average follow-up period was 654 days, the average relapse-free period was 447 days. All patients preserved continence and erectile function Conclusion. The proposed technique showed a high efficiency in reconstruction of the bulbar and membranous urethra.V. A. VorobyevV. A. BeloborodovScientific Сentre for Family Health and Human Reproduction Problemsarticlebulbar and membranous urethraurethral strictureurethral stenosisbulbo-prostatic anastomosisbuccal mucosal urethroplastyScienceQRUActa Biomedica Scientifica, Vol 3, Iss 2, Pp 91-96 (2018)
institution	DOAJ
collection	DOAJ
language	RU
topic	bulbar and membranous urethra urethral stricture urethral stenosis bulbo-prostatic anastomosis buccal mucosal urethroplasty Science Q
spellingShingle	bulbar and membranous urethra urethral stricture urethral stenosis bulbo-prostatic anastomosis buccal mucosal urethroplasty Science Q V. A. Vorobyev V. A. Beloborodov Mini-invasive reconstruction technique of the bulbomembranous urethra
description	The paper presents the technique of the reconstruction of the bulbar and membranous urethra in the occurrence of strictures and sphincter-stenosis. The method uses an autologous graft and has potential advantages over the bulboprostatic anastomosis. Objective. To develop a method of helping patients with existing urethral anastomoses, with a damaged neck of the bladder and a risk of subsequent incontinence, wishing to maintain the erectile function. Materials and methods. 35 patients underwent 36 reconstructions of the urethra from August 2013 to July 2017, 11 - after previous urethral plastics, 14 - after prostate surgery (4 - after radical prostatectomy), 7 - suffered from a urethral distraction defect. The age of the patients was 58.17 ± 12.2 years. The median follow-up period was 525 (341; 813) days. The average length of urethral strictures was 15 (10; 15) mm. The average diameter of the urethra in the stricture zone was 1.4 ± 0.56 mm. Reconstruction with the use of a buccal mucosa graft is performed intraurethrally through corpus spongiosum using magnifying optics. Results. The overall efficacy of the primary reconstruction in 35 patients was 94.2 %; the repeated reconstruction in two patients was successful. All patients underwent the comprehensive monitoring of the results, the average follow-up period was 654 days, the average relapse-free period was 447 days. All patients preserved continence and erectile function Conclusion. The proposed technique showed a high efficiency in reconstruction of the bulbar and membranous urethra.
format	article
author	V. A. Vorobyev V. A. Beloborodov
author_facet	V. A. Vorobyev V. A. Beloborodov
author_sort	V. A. Vorobyev
title	Mini-invasive reconstruction technique of the bulbomembranous urethra
title_short	Mini-invasive reconstruction technique of the bulbomembranous urethra
title_full	Mini-invasive reconstruction technique of the bulbomembranous urethra
title_fullStr	Mini-invasive reconstruction technique of the bulbomembranous urethra
title_full_unstemmed	Mini-invasive reconstruction technique of the bulbomembranous urethra
title_sort	mini-invasive reconstruction technique of the bulbomembranous urethra
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2018
url	https://doaj.org/article/f50f0cda91e44bad86ce11a806822636
work_keys_str_mv	AT vavorobyev miniinvasivereconstructiontechniqueofthebulbomembranousurethra AT vabeloborodov miniinvasivereconstructiontechniqueofthebulbomembranousurethra
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Mini-invasive reconstruction technique of the bulbomembranous urethra

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