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Urethral strictures as a complication of transurethral prostate surgery DOI: 10.29188/2222-8543-2023-16-2-58-66
Sinelnikov L.M., Protoshchak V.V., Gasanbekov T.N., Kislitsyn P.O., Proskurevich E.I., Galiuk D.A. Urethral strictures as a complication of transurethral prostate surgery. Experimental and Clinical Urology 2023;16(2):58-66;
https://doi.org/10.29188/2222‑8543‑2023‑16‑2‑58‑66
- Sinelnikov L. M. – PhD, head of the department of the clinic of urology Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia
- Protoshchak V.V. – Dr. Sci., professor; Head of the department and clinic of urology Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia; RSCI AuthorID 608157; https://orcid.org/0000‑0002‑4996‑2927
- Kislitsyn P.O. – urologist of the clinic of urology Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia
- Gasanbekov T.N. – urologist of the clinic of urology Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia
- Proskurevich E.I. – urologist of the clinic of urology Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia
- Galiuk D.A. – medical resident of the department of urology Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia
374 Introduction. The inclusion of antibiotic therapy into clinical practice in the second half of the 20th century radically changed the «etiological landscape» of urethral stricture disease. Against the background of a decrease in the proportion of inflammatory strictures, the introduction of new technologies, the spread of transurethral interventions in urology has led to an increase in the incidence of iatrogenic strictures.
The purpose of this review is to systematize risk factors for urethral strictures after transurethral prostate surgery.
Materials and methods. A search was made for the keywords «transurethral resection of the prostate», «urethral stricture», «iatrogenic urethral strictures», «urethral injuries» in the databases PubMed, eLibrary, Scopus, EMBASE, websites of professional associations. 58 publications were selected for review and analysis, 5 of which are domestic.
Results. The influence of the following factors was analyzed: the method of energy supply, the type of energy, the method of removing prostatic tissue; instrument diameter and anatomical features of the patient; resection speed, operation time and volume of removed prostatic tissue; urinary tract infection; electrical damage; other risk factors for TURP.
Conclusion. The proven factors include: the diameter of the instrument, operating times, urinary tract infection. Probable factors should be considered the anatomical features of the patient: «narrow urethra», a short penile suspensory ligament.
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