Minimally invasive techniques of urethral stricture treatment and their use in patients of pediatric age (literature review)
https://doi.org/10.17650/2070-9781-2023-24-1-66-74
Abstract
Urethralstricture remains one of the most discussed problemsin pediatric urology. Despite a significant number of articles and the existence of a wide variety of methods for treating urethral strictures and their modifications, every new generation of urologists encounters this problem.
Treatment of urethralstricture often takes a long time and requires multiple surgical interventions. Treatment techniques continuously improve, therefore it is appropriate to regularly summarize new data. Such methods as bougienage, balloon dilation and urethralstenting are still being used, although as early asin the beginning of the 19th century the first types of such modern method as optical internal urethrotomy were developed. In relation to optical internal urethrotomy, discussions on indications, techniques, duration of catheterization, necessity of combination with intermittent catheterization, use of hormonal drugs continue. The question of the number of attempts to perform urethrotomy also remains controversial.
In this review, we tried to clarify the problem of use of minimally invasive techniques for urethral stricture treatment in children in the context of current scientific data and historical aspects.
About the Authors
E. A. Ladygina
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow Healthcare Department
Russian Federation
Russian Federation
22 Bolshaya Polyanka St., Moscow 119180
N. V. Demin
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow Healthcare Department;
Peoples’ Friendship University of Russia (RUDN University)
Russian Federation
Russian Federation
22 Bolshaya Polyanka St., Moscow 119180;
Department of Endoscopic Urology and Ultrasound Diagnostic, Faculty of Continuing Medical Education, Medical Institute, 6 Mikluho-Maclaya St., Moscow 117198
V. V. Nikolayev
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma, Moscow Healthcare Department;
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
22 Bolshaya Polyanka St., Moscow 119180;
1 Ostrovityanova St., Moscow 117437
M. V. Faniev
Peoples’ Friendship University of Russia (RUDN University)
Russian Federation
Russian Federation
Department of Endoscopic Urology and Ultrasound Diagnostic, Faculty of Continuing Medical Education, Medical Institute, 6 Mikluho-Maclaya St., Moscow 117198
S. I. Suleymanov
Peoples’ Friendship University of Russia (RUDN University)
Russian Federation
Russian Federation
Department of Endoscopic Urology and Ultrasound Diagnostic, Faculty of Continuing Medical Education, Medical Institute, 6 Mikluho-Maclaya St., Moscow 117198
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Review
For citations:
Ladygina E.A., Demin N.V., Nikolayev V.V., Faniev M.V., Suleymanov S.I. Minimally invasive techniques of urethral stricture treatment and their use in patients of pediatric age (literature review). Andrology and Genital Surgery. 2023;24(1):66-74. (In Russ.) https://doi.org/10.17650/2070-9781-2023-24-1-66-74
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