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Vestnik Urologii最新文献

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The one-stage balloon dilatation with stone extraction for a combination of short urethral stricture and urethral stone in men 一期球囊扩张联合取石术治疗男性短尿道狭窄合并尿道结石
Pub Date : 2021-07-08 DOI: 10.21886/2308-6424-2021-9-2-16-24
M. Alibekov, M. Katibov, A. S. Skorovarov, G. A. Gazimagomedov, K. M. Arbuliev, R. T. Savzikhanov, K. Kamalov
Introduction. The literature highlights isolated studies examining approaches to the treatment of patients with a combination of stones and urethral stricture. In this regard, the problem of creating optimal tactics for managing such patients remains relevant.Purpose of the study. To analyze of own experience in treating patients with a combination of stricture and urethral stone using balloon dilation with urethral stone extraction.Materials and methods. The study included 7 men with short urethral stricture and stone, who underwent balloon dilation with urethral stone extraction. The age of patients ranged from 47 to 65 years (median - 52 years). The length of the urethral stricture ranged from 3 to 10 mm (median - 7 mm). The stricture in 2 (28.6%) cases was localized in the penile part of the urethra and 5 (71.4%) in the bulbous part. An etiology of urethral strictures: traumatic - in 2 (42.9%) patients, inflammatory - in 1 (14.3%) of cases, idiopathic - in 4 (57.1%) of cases. All patients had 1 urethral stone. The sizes of the stone ranged from 4 to 9 mm (median - 6 mm).Results. The operation time ranged from 11 to 19 min (median - 13 min). No patient had any intraoperative complications. UTIs was observed in the early postoperative period in 1 patient. The duration of postoperative hospital stay ranged from 1 to 5 days (median - 3 days). Postoperative follow-up ranged from 3 to 24 months (median - 14 months). Only 1 (14.3%) patient had a recurrence of urethral stricture 18 months after treatment. Thus, the overall treatment success in this group of patients was 85.7% (6/7).Conclusion. We used this conjunction approach when combined stricture and urethral stone in men for the first time in the world. It seems quite promising given the results.
介绍。文献强调了孤立的研究,检查了结石和尿道狭窄合并患者的治疗方法。在这方面,创建管理这类患者的最佳策略的问题仍然是相关的。研究目的:目的:分析自身应用尿道球囊扩张联合取石术治疗狭窄合并尿道结石的经验。材料和方法。该研究包括7名患有短尿道狭窄和结石的男性,他们接受了尿道球囊扩张和尿道结石取出术。患者年龄47 ~ 65岁(中位52岁)。尿道狭窄长度为3 ~ 10mm(中位- 7mm)。尿道狭窄2例(28.6%)局限于尿道阴茎部,5例(71.4%)局限于尿道球根部。尿道狭窄的病因:外伤性2例(42.9%),炎性1例(14.3%),特发性4例(57.1%)。所有患者均有1例尿道结石。结石的大小范围从4到9毫米(中位数- 6毫米)。手术时间11 ~ 19 min,中位13 min。无术中并发症发生。1例患者术后早期出现尿路感染。术后住院时间1 ~ 5天(中位3天)。术后随访3 ~ 24个月(中位14个月)。仅1例(14.3%)患者在治疗后18个月再次出现尿道狭窄。本组患者总体治疗成功率为85.7%(6/7)。我们在世界上首次使用这种联合入路治疗男性尿道狭窄和结石。从结果来看,这似乎很有希望。
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Vestnik Urologii
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