«Мэри Бэль»

Studies of post-traumatic urethral strictures

Наши данные, относящиеся к периоду до 1972 г., когда многим больным производилась туннелизация и бужирование, также убеждают, что эти методики должны быть исключены из арсенала урологических клиник и отделений.

Проведенные нами морфологические исследования Рубцовых тканей, взятых во время операции в непосредственной близости от стриктуры, показали, что после бужирования или туннелизации в них появляются свежие очаги мочевой инфильтрации. Это, в свой черед, создает определенные условия для еще большего развития воспаления и способствует дополнительному образованию рубцов, приводящих к стриктурам большей протяженности.Therefore, the improvement of results in the medical treatment of men with post-traumatic urethral strictures we see in those operational methods that aim at a complete excision of the Scar tissue around the damaged urethra with subsequent recanalization of it by stitching the end to end method B. N. Koltsova, V. I. Rusakova, or in various modifications, and finally, the creation of conditions for primary healing as perineal and suprapubic wound.

The latter is achieved only in those cases when it is possible to prevent urine in the wound of the perineum and predposylkoi space.

Analyzing the results of operative treatment of men with post-traumatic urethral strictures, we came to the conclusion that they depend on, in what time frame from the date of the damage was carried out.

We conducted histological study of paraurethral scar tissue taken during surgery showed that the optimum timing for the implementation of plastic surgery in men with post-traumatic urethral strictures should be considered to be 2-3 months from the time of injury. By this time usually comes consolidation of fractures of pelvic bones, heal perineal and suprapubic wound.

Formed in paraurethral and perineal scars there is no inflammation and no activation conditions in the postoperative period of dormant infection.

Our data relating to the period up to 1972, when many patients were tunnelization and probing, is also convinced that these techniques should be excluded from the Arsenal of urologic clinics and offices.

We conducted morphological studies Scar tissue taken during surgery in the vicinity of stricture showed that after bougienage or tunnelization them appear fresh foci of urinary infiltration. This, in turn, creates certain conditions for the further development of inflammation and contributes to additional scarring, leading to strictures longer stretches.

Therefore, the improvement of results in the medical treatment of men with post-traumatic urethral strictures we see in those operational methods that aim at a complete excision of the Scar tissue around the damaged urethra with subsequent recanalization of it by stitching the end to end method B. N. Koltsova, V. I. Rusakova, or in various modifications, and finally, the creation of conditions for primary healing as perineal and suprapubic wound.

The latter is achieved only in those cases when it is possible to prevent urine in the wound of the perineum and predposylkoi space.

Analyzing the results of operative treatment of men with post-traumatic urethral strictures, we came to the conclusion that they depend on, in what time frame from the date of the damage was carried out.

We conducted histological study of paraurethral scar tissue taken during surgery showed that the optimum timing for the implementation of plastic surgery in men with post-traumatic urethral strictures should be considered to be 2-3 months from the time of injury. By this time usually comes consolidation of fractures of pelvic bones, heal perineal and suprapubic wound.

Formed in paraurethral and perineal scars there is no inflammation and no activation conditions in the postoperative period of dormant infection.

 

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Директор Центра косметологииС 1998 года медцентром управляет ее главный специалист Поленов Вячеслав Алексеевич, пластический хирург, входит в комиссию ОПРЭХ, специалист в области лазерной медицины, лауреат премии Золотой Лацент.