THE RESULT OF SURGICAL TREATMENT IMPROVEMENT FOR PATIENTS WITH POSTTRAUMATIC, INFLAMATORY AND OBSTRUCTIVE STRICTURES OF URETHRA

Relevance: The Issue of treatment of urethral strictures is one of the most complex and relevant sections of operative urology. The lack of a single standardized approach and the variety of methods offered for the treatment of strictures and obliterations of the urethra remains a multifaceted problem for modern urology. Treatment options for urethral strictures can be divided into minimally invasive (endoscopic), which in most cases are palliative, and various options for urethroplasty.Objective: to analyze the effectiveness of treatment of urethral strictures.Material and methods: The article discusses methods of surgical treatment of urethral strictures and obliterations, taking into account the etiology, localization, extent, and severity of spongiofibrosis. A method is proposed for evaluating the optimal resection zone for anastomotic urethroplasty, buccal graft and flap fixation zones using a laser capillary blood flow analyzer, which will improve the results of surgical treatment of this category of patients.Conclusion and conclusions: Modern methods of surgical treatment of urethral strictures and obliterations, both anastomotic and magnifying urethral plasty are effective and reliable methods. Stable positive results were achieved in 80-90% of cases.

urethra stricture and obliteration of men, urethraplasty, urethra trauma, transcapillary flow laser analyzer

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