EXPERIENCE OF USING THE ENHANCED RECOVERY PROGRAM IN URETHROPLASTY
Abstract
Urethral strictures in men are one of the basic causes of infravesical obstruction. The Enhanced Recovery Program (ERP) is a special strategy of perioperative care aimed at reducing the duration of treatment with improved postoperative outcomes. There are critically few works on the problem of enhanced recovery in urethroplasty.
The aim of the study was to analyze the effectiveness of the enhanced recovery program during planned surgery for urethral stricture.
Material and methods. A prospective randomized clinical trial was conducted in 80 patients treated in the period 2018-2022. All patients were divided into two comparison groups: the standard treatment protocol (n=42, group I; St), and the group cured by the ERP protocol (n=38, group II; ER).
Results. Both protocols lead to the restoration of independent adequate urination equally (85.7% vs 94.7%; p=0.758). The logrank criterion did not reveal statistically significant differences in the frequency of survival (p = 0.398) or relapse (p=0.218) in the long-term postoperative period in the comparison groups.
A comprehensive assessment of outcomes demonstrates better results when using the enhanced recovery protocol (p=0.0006) in comparison with the standard therapeutic approach due to less perioperative stress, speedy recovery and better perception of therapeutic and diagnostic procedures.
Conclusion. The use of the developed protocol of enhanced recovery makes it possible to improve the results of surgical treatment of urethral stricture disease.
About the Authors
V. A. Vorobev
ФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
V. A. Beloborodov
ФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
Y. V. Shevchenko
ИГМАПО – филиал ФГБОУ ДПО РМАНПО Минздрава России
Russian Federation
Russian Federation
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Vorobev V.A., Beloborodov V.A., Shevchenko Y.V. EXPERIENCE OF USING THE ENHANCED RECOVERY PROGRAM IN URETHROPLASTY. Bashkortostan Medical Journal. 2023;18(1):44-54. (In Russ.)
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