DOI: https://doi.org/10.22263/2312-4156.2020.2.19
Kveten A.G.1,2, Nitkin D.M.1
Algorithm for choosing the method of surgical treatment for urethral strictures in males
1Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus
2Minsk Regional Clinical Hospital, Minsk district, Republic of Belarus
Vestnik VGMU. 2020;19(2):19-27.
Abstract.
This literature review provides information on existing approaches to the surgical treatment of urethral strictures in males. Data on the use of minimally invasive methods (dilation, balloon dilatation, stenting, internal optical urethrotomy, transurethral resection) and methods of urethroplasty (anastomotic, substitutional, meatotomy and meatoplasty, perineostomy) are presented, the short-term and long-term results of the application of these techniques are described.
High results of the application of endourological interventions, reaching 80% success rate, are described. However, there are conflicting opinions according to which the effectiveness of internal optical urethrotomy in the long term does not exceed 30%.
At the same time, with urethral strictures of more than 2 cm, open urethroplasty is often performed, the effectiveness of some methods of which surpasses the results of endourological interventions. On thе basis of the literature review done, based on current trends, a comprehensive algorithm has been developed for choosing the method for surgical treatment of urethral strictures in males, depending on the length, localization, etiology, anamnesis, concomitant diseases, and the patient’s age. In the future, this algorithm can help in choosing a method of surgical treatment, reduce the recurrence rate in the long term and lead to an improvement in the life quality of patients with urethral strictures.
Key words: urethral stricture, dilation, stenting, urethrotomy, urethroplasty.
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Information about authors:
Kveten A.G. – postgraduate of the Chair of Urology & Nephrology, Belarusian Medical Academy of Post-Graduate Education; urologist, Minsk Regional Clinical Hospital;
Nitkin D.M. – Doctor of Medical Sciences, professor of the Chair of Urology & Nephrology, rector, Belarusian Medical Academy of Post-Graduate Education.
Correspondence address: Republic of Belarus, 220025, Minsk, 11А Esenina str., 33. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Alexander G. Kveten.
