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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| Format: | Article |
| Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2018-04-01
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| Series: | Acta Biomedica Scientifica |
| Subjects: | |
| Online Access: | https://www.actabiomedica.ru/jour/article/view/566 |
| _version_ | 1797237310205460480 |
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| author | V. A. Vorobyev V. A. Beloborodov |
| author_facet | V. A. Vorobyev V. A. Beloborodov |
| author_sort | V. A. Vorobyev |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-08T12:18:30Z |
| format | Article |
| id | doaj.art-f50f0cda91e44bad86ce11a806822636 |
| institution | Directory Open Access Journal |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| last_indexed | 2024-04-24T17:17:43Z |
| publishDate | 2018-04-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj.art-f50f0cda91e44bad86ce11a8068226362024-03-28T07:49:20ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962018-04-0132919610.29413/ABS.2018-3.2.16566Mini-invasive reconstruction technique of the bulbomembranous urethraV. A. Vorobyev0V. A. Beloborodov1Irkutsk State Medical University; Irkutsk City Clinical Hospital N 1Irkutsk State Medical University; Irkutsk City Clinical Hospital N 1The 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.https://www.actabiomedica.ru/jour/article/view/566bulbar and membranous urethraurethral strictureurethral stenosisbulbo-prostatic anastomosisbuccal mucosal urethroplasty |
| spellingShingle | V. A. Vorobyev V. A. Beloborodov Mini-invasive reconstruction technique of the bulbomembranous urethra Acta Biomedica Scientifica bulbar and membranous urethra urethral stricture urethral stenosis bulbo-prostatic anastomosis buccal mucosal urethroplasty |
| title | 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_short | Mini-invasive reconstruction technique of the bulbomembranous urethra |
| title_sort | mini invasive reconstruction technique of the bulbomembranous urethra |
| topic | bulbar and membranous urethra urethral stricture urethral stenosis bulbo-prostatic anastomosis buccal mucosal urethroplasty |
| url | https://www.actabiomedica.ru/jour/article/view/566 |
| work_keys_str_mv | AT vavorobyev miniinvasivereconstructiontechniqueofthebulbomembranousurethra AT vabeloborodov miniinvasivereconstructiontechniqueofthebulbomembranousurethra |