urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2022-10-2-87-98urovest-550Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEРоль перинеальной уретростомии в лечении пациентов со стриктурами спонгиозной уретрыTreatment of patients with anterior urethral strictures: the role of perineal urethrostomyhttps://orcid.org/0000-0002-8486-9357ГлуховВ. П.GlukhovV. P.

Владимир Павлович Глухов – кандидат медицинских наук, доцент; доцент кафедры урологии и репродуктивного здоровья человека (с курсом детской урологии-андрологии)

344022, г. Ростов-на-Дону, пер. Нахичеванский, д. 29

Vladimir P. Glukhov – M.D., Cand.Sc. (Med), Assoc.Prof. (Docent); Assoc.Prof., Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology сourse) 

29 Nakhichevanskiy Ln., Rostov-on-Don, 344022

docc.gvp@yandex.ruhttps://orcid.org/0000-0001-8433-8567ИльяшА. В.IlyashA. V.

Анна Владимировна Ильяш – кандидат медицинских наук; ассистент кафедры урологии и репродуктивного здоровья человека (с курсом детской урологии-андрологии)

344022, г. Ростов-на-Дону, пер. Нахичеванский, д. 29

Anna V. Ilyash – M.D., Cand.Sc.(Med); Assist.Prof., Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology Course) 

29 Nakhichevanskiy Ln., Rostov-on-Don, 344022

annailyash@yandex.ruhttps://orcid.org/0000-0001-7706-8925МитусовВ. В.MitusovV. V.

Валерий Викторович Митусов – доктор медицинских наук, доцент; профессор кафедры урологии и репродуктивного здоровья человека (с курсом детской урологии-андрологии)

344022, г. Ростов-на-Дону, пер. Нахичеванский, д. 29

Valeriy V. Mitusov – M.D., Dr.Sc.(Med), Assoc. Prof. (Docent); Prof., Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology сourse) 

29 Nakhichevanskiy Ln., Rostov-on-Don, 344022

mvv55@list.ruhttps://orcid.org/0000-0002-9627-2582СизякинД. В.SizyakinD. V.

Дмитрий Владимирович Сизякин – доктор медицинских наук, профессор; профессор кафедры урологии и репродуктивного здоровья человека (с курсом детской урологии-андрологии)

344022, г. Ростов-на-Дону, пер. Нахичеванский, д. 29

Dmitry V. Sizyakin – M.D., Dr.Sc. (Med), Full Prof.; Prof., Dept. of Urology and Human Reproductive Health (with the Pediatric Urology and Andrology course) 

29 Nakhichevanskiy Ln., Rostov-on-Don, 344022

dsiziakin@mail.ruhttps://orcid.org/0000-0002-1710-0169КоганМ. И.KoganM. I.

Михаил Иосифович Коган – доктор медицинских наук, профессор, заслуженный деятель науки РФ; заведующий кафедрой урологии и репродуктивного здоровья человека (с курсом детской урологии-андрологии)

344022, г. Ростов-на-Дону, пер. Нахичеванский, д. 29

Mikhail I. Kogan – M.D., Dr.Sc.(Med), Full Prof., Honored Scientist of the Russian Federation; Head, Dept. of Urology and Human Reproductive Health (with Pediatric Urology and Andrology Course) 

29 Nakhichevanskiy Ln., Rostov-on-Don, 344022

dept_kogan@mail.ruФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава РоссииРоссияRostov State Medical UniversityRussian Federation2022260620221028798Copyright © Глухов В.П., Ильяш А.В., Митусов В.В., Сизякин Д.В., Коган М.И., 20222022Глухов В.П., Ильяш А.В., Митусов В.В., Сизякин Д.В., Коган М.И.Glukhov V.P., Ilyash A.V., Mitusov V.V., Sizyakin D.V., Kogan M.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/550

Статья представляет собой обзор литературы по применению перинеальной уретростомии в лечении пациентов со стриктурами спонгиозной уретры. Основной массив исследований затрагивает 2000 – 2020 года. Рассматриваются вопросы истории развития хирургических техник уретростомии. Освещены алгоритмы выбора метода лечения уретральных стриктур в пользу перинеальной уретростомии, согласно рекомендациям мировых профессиональных урологических ассоциаций. Изучены показатели эффективности перинеальной уретростомии с учётом возрастных характеристик пациентов, этиологического генеза стриктур, их протяжённости и локализации, а также в зависимости от хирургической техники и сроков наблюдения. Значимое внимание уделено исследованиям, посвящённым анализу функциональных результатов уретростомии, а также качеству жизни пациентов, связанного с мочеиспусканием и сексуальной активностью. Представлены данные о частоте развития ранних и поздних хирургических осложнений, включая одно из наиболее распространённых – стеноз уретростомы. Проведён анализ исследований, изучавших факторы, негативно влияющих на исход хирургии. Обсуждены основные причины роста востребованности методики в хирургии сложных стриктур передней уретры и значение методики среди других методов лечения.

The article reviews the 2000-2020 literature on the use of perineal urethrostomy in the treatment of patients with anterior urethral strictures. Historical issues of the development of urethrostomy techniques are considered. The algorithms to choose the method of treatment of urethral strictures in favor of perineal urethrostomy are highlighted, according to the guidelines of the world's professional urological associations. The performance indicators of perineal urethrostomy were studied considering the age characteristics of the patients, the etiological genesis of the strictures, their length and location, as well as depending on the surgical technique and the follow-up period. Considerable attention is paid to studies devoted to the analysis of the functional results of urethrostomy, as well as the quality of life of patients associated with urination and sexual activity. Data are presented on the incidence of early and late surgical complications, including urethrostomy stenosis, as one of the most common. An analysis of studies evaluating factors that negatively affect the outcome of surgery was carried out. The main reasons for the growing demand for the technique in surgery for complex anterior urethral strictures and the importance of the technique among other treatment methods are discussed.

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