surgoncoКреативная хирургия и онкологияCreative surgery and oncology2076-30932307-0501Башкирский государственный медицинский университет10.24060/2076-3093-2024-14-3-255-263surgonco-987Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWМесто несетчатых трансплантатов в оперативном лечении стрессового недержания мочиRole of Non-Mesh Grafts in Surgical Treatment of Stress Urinary Incontinencehttps://orcid.org/0009-0009-9735-780XВардикянА. Г.VardikianA. G.

Вардикян Андраник Гарегинович — аспирант, кафедра урологии и онкологии

Уфа

Andranik G. Vardikian — Postgraduate Student, Department of Urology and Oncology

Ufa

a@urologufa.ruhttps://orcid.org/0000-0002-2302-3315ПапоянА. О.PapoianA. O.

Папоян Анушаван Оганесович — отделение урологии, кафедра урологии и онкологии

Уфа

Anushavan O. Papoian — Urology Unit, Department of Urology and Oncology

Ufa

https://orcid.org/0000-0001-6813-8549КазихинуровР. А.KazikhinurovR. A.

Казихинуров Рустем Альфритович — к.м.н., доцент, кафедра урологии и онкологии

Уфа

Rustem A. Kazikhinurov — Cand. Sci. (Med.), Assoc. Prof., Department of Urology and Oncology

Ufa

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

Шамсов Бедил Исуфович — аспирант, кафедра урологии и онкологии

Уфа

Bedil I. Shamsov — Postgraduate Student, Department of Urology and Oncology

Ufa

https://orcid.org/0000-0003-2125-4897ПавловВ. Н.PavlovV. N.

Павлов Валентин Николаевич — д.м.н., профессор, академик РАН, кафедра урологии и онкологии

Уфа

Valentin N. Pavlov — Dr. Sci. (Med.), Prof., Academician of the Russian Academy of Sciences, Department of Urology and Oncology

Ufa

Башкирский государственный медицинский университетРоссияBashkir State Medical UniversityRussian FederationБашкирский государственный медицинский университет ; Клиника Башкирского государственного медицинского университетаРоссияBashkir State Medical University ; Clinic of Bashkir State Medical UniversityRussian Federation202413102024143255263Copyright © Вардикян А.Г., Папоян А.О., Казихинуров Р.А., Шамсов Б.И., Павлов В.Н., 20242024Вардикян А.Г., Папоян А.О., Казихинуров Р.А., Шамсов Б.И., Павлов В.Н.Vardikian A.G., Papoian A.O., Kazikhinurov R.A., Shamsov B.I., Pavlov V.N.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/987

Стрессовое недержание мочи (СНМ) — многофакторное заболевание, характеризующееся непроизвольным выделением мочи при внезапном повышении внутрибрюшного давления, которое ежегодно возникает у миллионов женщин во всем мире. Консервативные методы лечения и физической реабилитации не обладают высокой эффективностью, что заставляет рассматривать необходимость хирургического лечения. Слинговые операции являются широко используемой хирургической методикой для лечения стрессового недержания мочи, поскольку это является доступной процедурой с минимальной затратой времени. С внедрением синтетических полипропиленовых сетчатых протезов в лечении стрессового недержания мочи они стали самым распространенным и используемым материалом. Однако накопленный опыт применения и осложнения, связанные с применением сетчатых имплантов, способствуют падению популярности синтетических слингов в последнее время и дают повод к поиску и разработке альтернативных материалов, используемых для оперативного лечения СНМ. Поскольку потребность в лечении недержания мочи остается высокой, предлагаются операции по аутотрансплантации фасции, даже несмотря на то что они требуют дополнительной хирургической процедуры и подвергают пациента осложнениям на донорском участке трансплантата. Помимо этого в арсенале хирургов имеются алло­ и ксенотрансплантаты, а также развивается направление регенеративной технологии в данной области. В связи с высокой социальной значимостью данной проблемы целью настоящей работы является обзор научной литературы в области трансплантатов, предназначенных для лечения стрессового недержания мочи.

Stress urinary incontinence refers to a multifactorial disease characterized by involuntary urination associated with a sudden increase in intra­abdominal pressure. Millions of females around the world suffer from stress incontinence each year. Conservative methods of treatment and physical rehabilitation are considered to be ineffective, thereby driving the need for surgical treatment. Sling surgeries comprise a widely used surgical technique for the treatment of stress urinary incontinence due to their affordability and minimal time investment. Introduction of synthetic polypropylene mesh prostheses in the treatment of stress incontinence made them the most common material. However, the accumulated experience and complications associated with the use of mesh grafts contribute to the recent decline in the popularity of synthetic slings and give rise to the search for and development of alternative materials for the surgical treatment of stress urinary incontinence. Since the need for treatment of urinary incontinence remains high, fascia autograft surgeries have been proposed, even though they require an additional surgical procedure and expose the patient to complications at the donor site of the graft. In addition, surgeons use allografts and xenografts, and regenerative technology is developing in this field. Considering high social significance of this problem, the present paper is aimed at reviewing the scientific literature concerning grafts for the treatment of stress incontinence.

стрессовое недержание мочиаутологичная фасциальная слинговая операцияаллотрансплантатксенотрансплантатбиоразлагаемые трансплантатыэрозия влагалищаэрозия уретрыstress urinary incontinenceautologous fascial sling surgeryallograftxenograftbiodegradable graftsvaginal erosionurethral erosionРабота выполнена за счет средств Программы стратегического академического лидерства Башкирского государственного медицинского университета (ПРИОРИТЕТ­2030).This work was supported by the Bashkir State Medical University Strategic Academic Leadership Program (PRIORITY­2030).ReferencesГвоздев М.Ю., Баранова Е.О. Оценка качества жизни, психического здоровья и сексуальных расстройств у женщин с недержанием мочи. Consilium Medicum. 2019;21(7):28–30. DOI: 10.26442/20751753.2019.190459Gvozdev M.Yu., Baranova E.O. Quality of life, mental health, and sexual disorders assessment in women with urinary incontinence. Consilium Medicum. 2019;21(7):28–30 (In Russ.). 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The authors declare that there are no conflicts of interest present.