surgoncoКреативная хирургия и онкологияCreative surgery and oncology2076-30932307-0501Башкирский государственный медицинский университет10.24060/2076-3093-2023-13-1-58-67surgonco-772Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSСтриктура уретры и способы ее коррекцииUrethral Stricture and Methods for its Correctionhttps://orcid.org/0000-0001-6813-8549КазихинуровР. А.KazikhinurovR. А.

Казихинуров Рустем Альфредович — к.м.н., доцент, кафедра урологии с курсом ИДПО

Республика Башкортостан, Уфа

 

Rustem A. Kazikhinurov — Cand. Sci. (Med.), Assoc. Prof., Department of Urology with a Course of Advanced Professional Education

Ufa

https://orcid.org/0000-0003-3065-8711ШамсовБ. И.ShamsovB. I.

Шамсов Бедил Исуфович — кафедра урологии с курсом ИДПО

Республика Башкортостан, Уфа

Bedil I. Shamsov — Department of Urology with a Course of Advanced Professional Education

Ufa

https://orcid.org/0000-0001-9284-7855КазихинуровА. А.KazikhinurovA. A.

Казихинуров Альберт Альфредович — д.м.н., профессор, кафедра урологии с курсом ИДПО

Республика Башкортостан, Уфа

Albert A. Kazikhinurov — Dr. Sci. (Med.), Prof., Department of Urology with a Course of Advanced Professional Education

Ufa

https://orcid.org/0000-0003-2599-0568КазихинуровР. Р.KazikhinurovR. R.

Казихинуров Радмир Рустемович — студент 6-го курса

Республика Башкортостан, Уфа

 

Radmir R. Kazikhinurov — 6th year Student

Ufa

https://orcid.org/0000-0002-3604-3438ХасановА. И.HasanovA. I.

Хасанов Азат Ильдарович — урологическое от- деление

Республика Башкортостан, Уфа

Azat I. Hasanov — Urology Unit

Ufa

Башкирский государственный медицинский университетРоссияBashkir State Medical UniversityRussian FederationКлиника Башкирского государственного медицинского университетаРоссияClinic of Bashkir State Medical UniversityRussian Federation2023050420231315867Copyright © Казихинуров Р.А., Шамсов Б.И., Казихинуров А.А., Казихинуров Р.Р., Хасанов А.И., 20232023Казихинуров Р.А., Шамсов Б.И., Казихинуров А.А., Казихинуров Р.Р., Хасанов А.И.Kazikhinurov R.А., Shamsov B.I., Kazikhinurov A.A., Kazikhinurov R.R., Hasanov A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgonco.ru/jour/article/view/772

Сужение просвета передней уретры называют стриктурой, и она может быть вызвана самыми разными причинами. Кроме того, стриктуры уретры вызывают широкий спектр симптомов, и, прежде чем переходить к какому-либо методу лечения, требуется специальное диагностическое обследование. Лечение стриктуры уретры остается сложной задачей на протяжении многих лет, и на сегодня рецидив стриктуры является серьезной проблемой в реконструктивной урологии. Во второй половине ХХ века урологи пытались найти решения для лечения как простых, так и сложных стриктур уретры, и за последние несколько десятилетий исследования в основном были сосредоточены на совершенствовании существующих процедур для смягчения негативных послеоперационных последствий. Несмотря на значительный научный прогресс в этой области, многочисленные исследования выявили недостаточные знания о хирургии стриктуры уретры среди урологов и показали, что пациентам со стриктурами уретры, как правило, предлагается неадекватный вариант лечения. В настоящее время существует множество хирургических вмешательств для лечения этого заболевания. Однако разнообразие методов лечения отражает нехватку оптимальной техники. В данном литературном обзоре представлены данные об эффективности малоинвазивных (эндоскопических) и различных вариантов уретропластики в урологической практике.

A stricture is a type of narrowing of the urethra, which can be caused by a variety of reasons. In addition, urethral strictures are associated with a wide range of symptoms and require special diagnostic examination before proceeding with any treatment. The treatment of urethral strictures has remained a challenge for many years. Stricture recurrence is still a serious problem in reconstructive urology. During the second half of the 20th century, urologists tried to find solutions for treating both simple and complex urethral strictures. Within the last few decades research has mainly focused on improving existing procedures to mitigate the negative postoperative effects. Despite considerable scientific achievements in this area, numerous studies have revealed a lack of knowledge about urethral stricture surgery among urologists and have shown that patients with urethral strictures are generally offered inadequate treatment options. Currently, many surgical interventions are available to treat this condition. However, the variety of treatment methods reflects a lack of optimal technique. This bibliographical review presents data on the effectiveness of minimally invasive (endoscopic) and various urethroplasty options in urological practice.

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The authors declare that there are no conflicts of interest present.