To date medical treatment of men with post-traumatic urethral stricture is the most current issue of urology. Often many men with post-traumatic urethral strictures repeatedly operated, although each subsequent operation does not guarantee them a full recovery.
In addition to great mental suffering associated with impaired or defective urination, in some patients, post-traumatic urethral stricture can lead to serious complications kidney stones and bladder, ureterocele-nephrosis, suppurative pyelonephritis, chronic renal failure, impotence, etc. All the data indicates the special importance and urgency of the problem with the treatment of men with post-traumatic urethral strictures.
Analyzing long-term outcomes of 190 men with post-traumatic urethral strictures that were in the clinic of urology of the Kalinin medical Institute from 1960 to 1984, we aim to study the causes of unsatisfactory results after repeated surgical interventions.
Post-traumatic urethral stricture occurred in 172 patients with closed her injuries, and 18 — in case of open injury.
From 190 123 patients had complete obliteration of prostatic or membranous urethra, proven radiographically and confirmed during surgery and histological studies.
As shown by the questionnaire data presented in the report at all-Union Symposium in Rostov-on-don, in many urology offices and clinics still pretty widely used in the surgical treatment of urethral strictures techniques such as urethrotomy, tunnelization and Sewerage.
These methods that do not have pathogenetic substantiation, often lead to disability of patients, or, at best, forcing them to repeat the operations performed in a vastly more complicated for the surgeon anatomical conditions.
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