agxАндрология и генитальная хирургияAndrology and Genital Surgery2070-97812412-890210.17650/2070-9781-2018-19-1-14-23agx-273Research ArticleОБЗОРНАЯ СТАТЬЯREVIEWСТРИКТУРА УРЕТРЫ КАК БОЛЕЗНЬ МОЧЕИСПУСКАТЕЛЬНОГО КАНАЛА И ПЕРСПЕКТИВНЫЕ МЕТОДЫ РЕКОНСТРУКТИВНОЙ ХИРУРГИИ УРЕТРЫ (ТКАНЕВАЯ ИНЖЕНЕРИЯ, БИОМАТЕРИАЛЫ). Часть 1STRICTURE OF THE URETHRA AS A DISEASE OF THE URINARY CANAL AND PROMISING METHODS OF URETHRAL RECONSTRUCTIVE SURGERY (TISSUE ENGINEERING, BIOMATERIALS). Part 1https://orcid.org/0000-0002-9367-6047ИпатенковВ. В.IpatenkovV. V.https://orcid.org/0000-0003-1854-368XНаумовН. П.NaumovN. P.

Никита Петрович Наумов

ул. Красноармейская, 13а

Naumov_niki@mail.ruhttps://orcid.org/0000-0002-6082-1703ЩеплевП. А.ScheplevP. A.https://orcid.org/0000-0001-6569-243XНаумоваД. И.NaumovaD. I.ГБУЗ «Городская поликлиника № 62 Департамента здравоохранения г. Москвы», филиал № 1РоссияCity Clinic No. 62, Moscow Healthcare Department, branch No. 1Russian FederationГородская поликлиника № 3 ГБУЗ МО «Орехово-Зуевская центральная городская больница»РоссияCity Clinic No. 3, Orekhovo-Zuevo Central City HospitalRussian FederationФГБУ «Федеральный научно-клинический центр физико-химической медицины ФМБА»РоссияFederal Scientific and Clinical Center of Physical and Chemical Medicine, Federal Medical Biological AgencyRussian FederationГородская поликлиника № 2 ГБУЗ МО «Орехово-Зуевская центральная городская больница»РоссияCity Clinic No 2, Orekhovo-Zuevo Central City HospitalRussian Federation2018100520181911423Copyright © Ипатенков В.В., Наумов Н.П., Щеплев П.А., Наумова Д.И., 20182018Ипатенков В.В., Наумов Н.П., Щеплев П.А., Наумова Д.И.Ipatenkov V.V., Naumov N.P., Scheplev P.A., Naumova D.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://agx.elpub.ru/jour/article/view/273

Литературный обзор посвящен важнейшей медико-социальной проблеме – лечению стриктур уретры. Сообщение представляет собой исторический экскурс в проблему. Авторы описывают развитие научных представлений о стриктуре уретры как отдельном заболевании мочеиспускательного канала: подходы к определению данной патологии, достоинства и недостатки различных ее классификаций, роль различных факторов в патогенезе и их влияние на эффективность лечения.

The literary review is devoted to the very important medical and social problem – treatment of urethral strictures. The message is a historical excursion into the problem. Authors describe the development of scientific ideas about urethral stricture as a separate disease of the urinary canal: approaches to the definition of this pathology, the advantages and disadvantages of its various classifications, the role of various factors in the pathogenesis and their influence on the treatment effectiveness.

стриктура уретрыспонгиофиброзмочеиспускательный каналбужированиепаллиативные операцииstricture of the urethraspongiofibrosisurinary canalbushingpalliative surgeryReferencesЛопаткин Н.А. Руководство по урологии. В 3 т. Т. 3. М.: Медицина, 1998. 672 с.Lopatkin N.A. Urology guide. In 3 vol. Vol. 3. Moscow: Meditsina, 1998. 672 p. (In Russ.)Шевцов И.П., Глухарев А.Г. Повреждения органов мочеполовой системы. Л., 1972. С. 101–159.Shevtsov I.P., Glukharev A.G. Injuries to the genitourinary system. Leningrad, 1972. Pp. 101–159. (In Russ.).Кудрявцев Л.А. Оперативные методы лечения последствий травм уретры. Самара, 1992. 224 с.Kudryavtsev L.A. Operative methods of treatment of consequences of the urethra injuries. Samara, 1992. 224 p. (In Russ.).Русаков В.И. Хирургия мочеиспускательного канала. М.: Медицина, 1991.Rusakov V.I. Surgery of the urinary canal. Moscow: Meditsina, 1991. (In Russ.).Jordan G.H., Schlossberg S.M., McCraw J.B. Tissue transfer techniques for genitourinary reconstructive surgery. In: AUA Update Series. Lessons 9, 10, 11, 12. Vol. 7. 1988.Jordan G.H., Schlossberg S.M., McCraw J.B. Tissue transfer techniques for genitourinary reconstructive surgery. In: AUA Update Series. Lessons 9, 10, 11, 12. Vol. 7. 1988.Jordan G.H. Schelhammer P.F. Urethral surgery and stricture disease. In: Droller M.J. (ed.) Surgical Management of Urologic Disease: An Anatomic Approach. St. Louis, 1999. Pp. 815.Jordan G.H. Schelhammer P.F. Urethral surgery and stricture disease. In: Droller M.J. (ed.) Surgical Management of Urologic Disease: An Anatomic Approach. St. Louis, 1999. Pp. 815.Jordan G.H., Schlossberg S.M. Complicat ions of interventional techniques for urethral stricture disease: Direct visual internal urethrotomy, stents and laser intervention. In: Carson C.C. III (ed.) Topics in Clinical Urology: Complications of Interventional Techniques. New York, 1996. Pp. 86–94.Jordan G.H., Schlossberg S.M. Complicat ions of interventional techniques for urethral stricture disease: Direct visual internal urethrotomy, stents and laser intervention. In: Carson C.C. III (ed.) Topics in Clinical Urology: Complications of Interventional Techniques. New York, 1996. Pp. 86–94.Jordan G.H. Principles of plastic surgery. In: Droller M.J. (ed.) Surgical Management of Urologic Disease: An Anatomic Approach. St. Louis, 1991. Pp. 218.Jordan G.H. Principles of plastic surgery. In: Droller M.J. (ed.) Surgical Management of Urologic Disease: An Anatomic Approach. St. Louis, 1991. Pp. 218.Mundy A.R., Stephenson T.P. Pedicled preputial patch urethroplasty. Br J Urol 1988;61(1):48–52. PMID: 3342301.Mundy A.R., Stephenson T.P. Pedicled preputial patch urethroplasty. Br J Urol 1988;61(1):48–52. PMID: 3342301.Mundy A.R. A comparison of urethral reconstruction techniques. Presented at Genitourinary Reconstructive Surgeons Meeting. London, 1994.Mundy A.R. A comparison of urethral reconstruction techniques. Presented at Genitourinary Reconstructive Surgeons Meeting. London, 1994.Mundy A.R. The long-term results of skin inlay urethroplasty. Br J Urol 1995;75(1):59–61. PMID: 7850298.Mundy A.R. The long-term results of skin inlay urethroplasty. Br J Urol 1995;75(1):59–61. PMID: 7850298.Mundy A.R. The role of delayed primary repair in the acute management of pelvic fracture injuries of the urethra. Br J Urol 1991;68(3):273–6. PMID: 1913069.Mundy A.R. The role of delayed primary repair in the acute management of pelvic fracture injuries of the urethra. Br J Urol 1991;68(3):273–6. PMID: 1913069.Andrich D.E., Mundy A.R. Surgical treatment of urethral stricture disease. Contemp Urol 2001;13(12):32–44.Andrich D.E., Mundy A.R. Surgical treatment of urethral stricture disease. Contemp Urol 2001;13(12):32–44.Andrich D.E., Mundy A.R. Urethral strictures and their surgical treatment. BJU Int 2000;86(5):571–80. PMID: 10971298.Andrich D.E., Mundy A.R. Urethral strictures and their surgical treatment. BJU Int 2000;86(5):571–80. PMID: 10971298.Palminteri E. Hand-out of slides: Urethral investigations into choosing the right operation for urethral stricture. ESU Course 7. 2004.Palminteri E. Hand-out of slides: Urethral investigations into choosing the right operation for urethral stricture. ESU Course 7. 2004.Русаков В.И. Стриктуры и облитерации уретры. Ростов н/Д, 1987. 272 с.Rusakov V.I. Strictures and obliteration of the urethra. Rostov-on-Don, 1987. 272 p. (In Russ.).Barbagli G. Atlante di chirurgia dell’uretra. Firenze: Edizioni Polistampa, 1996.Barbagli G. Atlante di chirurgia dell’uretra. Firenze: Edizioni Polistampa, 1996.Barbagli G., Lazzeri M., Palminteri E., Turini D. Lichen sclerosis of male genitalia involving anterior urethra. Lancet 1999; 354(9176):429. DOI: 10.1016/S0140-6736 (05)75851-7. PMID: 10437905.Barbagli G., Lazzeri M., Palminteri E., Turini D. Lichen sclerosis of male genitalia involving anterior urethra. Lancet 1999; 354(9176):429. DOI: 10.1016/S0140-6736 (05)75851-7. PMID: 10437905.Barbagli G., Palminteri E., Lazzeri M., Turini D. Lichen sclerosus of the male genitalia. Contemp Urol 2001;13(3):47–58.Barbagli G., Palminteri E., Lazzeri M., Turini D. Lichen sclerosus of the male genitalia. Contemp Urol 2001;13(3):47–58.Barbagli G., Palminteri E., Rizzo M. Dorsal onlay graft urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures. J Urol 1998;160(4):1307–9. PMID: 9751341.Barbagli G., Palminteri E., Rizzo M. Dorsal onlay graft urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures. J Urol 1998;160(4):1307–9. PMID: 9751341.Barbagli G., Palminteri E., Balò S. et al. Dorsal onlay graft urethroplasty. Contemp Urol 2002;14(5):18–32.Barbagli G., Palminteri E., Balò S. et al. Dorsal onlay graft urethroplasty. Contemp Urol 2002;14(5):18–32.Barbagli G., Palminteri E., Lazzeri M., Guazzoni G. One-stage circumferential buccal mucosa graft urethroplasty for bulbous urethral stricture repair. Urology 2003;61(2):452–5. PMID: 12597968.Barbagli G., Palminteri E., Lazzeri M., Guazzoni G. One-stage circumferential buccal mucosa graft urethroplasty for bulbous urethral stricture repair. Urology 2003;61(2):452–5. PMID: 12597968.Barbagli G., Palminteri E., Lazzeri M., Bracka A. Penile and bulbar urethroplasty using dorsal onlay techniques. Atlas Urol Clin 2003;11:29–41.Barbagli G., Palminteri E., Lazzeri M., Bracka A. Penile and bulbar urethroplasty using dorsal onlay techniques. Atlas Urol Clin 2003;11:29–41.Barbagli G., Palminteri E., Lazzeri M., Guazzoni G. Anterior urethral strictures. BJU Int 2003;92(5):497–505. DOI: 10.1046/j.1464-410X.2003.04379.x.Barbagli G., Palminteri E., Lazzeri M., Guazzoni G. Anterior urethral strictures. BJU Int 2003;92(5):497–505. DOI: 10.1046/j.1464-410X.2003.04379.x.Мартов А.Г., Саидов И.Р., Гущин Б.Л. Осложнения эндоскопической реканализации уретры. Урология и нефрология 1999;(3):36–8.Martov A.G., Saidov I.R., Gushchin B.L. Complications of endoscopic recanalization of the urethra. Urologiya i nefrologiya = Urology and Nephrology 1999;(3):36–8. (In Russ.).Серебренников С.М. Причины неудач оперативного лечения стриктур уретры. Вестник хирургии 1987;(6):109–12.Serebrennikov S.M. The reasons for the failure of surgical treatment of the urethral strictures. Vestnik khirurgii = Bulletin of Surgery 1987;(6):109–12. (In Russ.).Степанов В.Н., Теодорович О.В., Борисенко Г.Г. Эндоскопическая лазерная хирургия стриктур уретры. Андрология и генитальная хирургия 2000; (1):87–8.Stepanov V.N., Teodorovich O.V., Borisenko G.G. Endoscopic laser surgery of urethral strictures. Andrologiya i genital’naya khirurgiya = Andrology and Genital Surgery 2000;(1):87–8. (In Russ.).Русаков В.И. Стриктуры уретры. М., 1962.Rusakov V.I. Strictures of the urethra. Moscow, 1962. (In Russ.).Трапезникова М.Ф., Морозов А.П., Дутов В.В., Анкудинов А.Г. Лечение стриктур мочеиспускательного канала у мужчин. Урология и нефрология 1987;(1): 34–7.Trapeznikova M.F., Morozov A.P., Dutov V.V., Ankudinov A.G. Treatment of strictures of the urinary canal in men. Urologiya i nefrologiya = Urology and Nephrology 1987;(1):34–7. (In Russ.).Трапезникова М.Ф., Базаев В.В., Уренков С.Б., Морозов А.П. Лечение облитераций задней уретры у мужчин. Урология и нефрология 1997;(6):34–8.Trapeznikova M.F., Bazaev V.V., Urenkov S.B., Morozov A.P. Treatment of obliteration of the posterior urethra in men. Urologiya i nefrologiya = Urology and Nephrology 1997;(6):34–8. (In Russ.).Каримбаев К.К. Лечение сложных и осложненных стриктур уретры: дис. … канд. мед. наук. М., 2000.Karimbaev K.K. Treatment of complex and complicated urethral strictures: diss. ... of the cand. of med. sciences Moscow, 2000. (In Russ.).Степанов В.Н., Каримбаев К.К. Клинические и гистологические изменения при сложных и осложненных стриктурах уретры. Андрология и генитальная хирургия 2000;(1):88.Stepanov V.N., Karimbaev K.K. Clinical and histological changes in complex and complicated urethral strictures. Andrologiya i genital’naya khirurgiya = Andrology and Genital Surgery 2000;(1):88. (In Russ.).Степанов В.Н., Каримбаев К.К. Двухэтапная уретропластика как метод выбора при сложных и осложненных стриктурах. Андрология и генитальная хирургия 2000;(1):89.Stepanov V.N., Karimbaev K.K. Two-stage urethroplasty as a method of choice for complex and complicated strictures. Andrologiya i genital’naya khirurgiya = Andrology and Genital Surgery 2000;(1):89. (In Russ.).Русанов А.А. Разрывы уретры. М.: Медгиз, 1953.Rusanov A.A. Urethral ruptures. Moscow: Medgiz, 1953. (In Russ.).Blandy J.P., Singh M., Tressider G.C. Urethroplasty by scrotal flap for long urethral strictures. Br J Urol 1968;40(3):261–7. PMID: 4872409.Blandy J.P., Singh M., Tressider G.C. Urethroplasty by scrotal flap for long urethral strictures. Br J Urol 1968;40(3):261–7. PMID: 4872409.Blandy J.P., Singh M. The technique and results of one stage island patch urethroplasty. BJU Int 1975;47(1):83–7. DOI: 10.1111/j.1464-410X.1975.tb03922.x.Blandy J.P., Singh M. The technique and results of one stage island patch urethroplasty. BJU Int 1975;47(1):83–7. DOI: 10.1111/j.1464-410X.1975.tb03922.x.Blandy J.P., Wadhwa S., Singh M. et al. Urethroplasty in context. Br J Urol 1976;48:697–701.Blandy J.P., Wadhwa S., Singh M. et al. Urethroplasty in context. Br J Urol 1976;48:697–701.Blandy J.P. Urethral stricture. Postgrad Med J 1980;56:383.Blandy J.P. Urethral stricture. Postgrad Med J 1980;56:383.

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