PEDIATRIC UROLOGY

Introduction. Urinoma is a rare pathology of childhood, which manifests itself in the accumulation of urine in the perirenal space. In most cases, the cause of urinoma is an obstruction of the urinary system at some level (from the ureteropelvic segment to the urethra).

Introduction. Hypergonadotropic hypogonadism is a complex and multifaceted problem located at the junction of several specialties, the main of which are: urology, andrology and endocrinology. This condition requires making a decision and carrying out appropriate therapeutic measures even before the onset of passport maturity, which will make possible maximum sexual and social adaptation.

Materials and methods. This paper describes the case of a staged treatment of a teenage patient with subsequent comprehensive rehabilitation.

Introduction. The trend of modern medicine in the last decade is the increasingly frequent priority of minimally invasive technologies and the maximum possible delay of extensive surgical interventions according to indications, which is especially important in pediatric urological practice.

Introduction. Urinary obstructions caused by foreign bodies (FB) represent quite a rare clinical case in practicе of pediatric urologists. However, some recent publications note a tendency towards higher occurrence of FB in urinary tracts in children. Most publications on FB urinary obstructions in children are devoted to the descriptions of individual medical cases. Considering the lack of multicenter research works on the problem, a study based on generalized clinical experience of several hospitals appears relevant.

Introduction. Hypospadias is one of the most common malformations of the external genital organs in boys. The development of surgical technologies in recent decades has significantly improved the functional and cosmetic results of hypospadias treatment. Nevertheless, complications of urethroplasty are still the most discussed issue of this problem. To prevent fistulas and urethral dehiscence, it has been proposed to cover the suture line with a single or double layer of dartos fascia from a de-epithelized foreskin.

Introduction. One of the most important aspects of the treatment of hypospadias is the use of a postoperative dressing. Currently, many types of dressings are available, with their advantages and disadvantages. The postoperative dressing should be easy to use, able to control edema, prevent bleeding and the formation of hematomas, and prevent other possible complications. In the last decade, there have been publications in which cyanoacrylate adhesives were used with good results in surgical operations on the penis.

Introduction. Transscrotal orchiopexy is gradually gaining more and more adherents and expanding the boundaries of its use. At the stage of funiculolysis, the use of the transscrotal approach is accompanied by extensive dissection of the tunica dartos, which makes it almost impossible to use the Shoemaker technique for testicular fixation. The described situation determines the need to develop a testicular fixation technique with transscrotal approach (TA).

Introduction. Urolithiasis remains one of the most common diseases in the pediatric urology practice. A special category is made up of children weighing up to 15 kg with large and coral-like kidney stones, which require a smaller instrument to remove.

Aim. The aim of the study was to evaluate the effectiveness of percutaneous nephrolithotripsy, used for urolithiasis treatment in children aged 1 to 3 years.

Introduction. Circumcisio is a fairly simple, often performed surgical procedure in childhood, which is fraught with a small number of complications (1-5-5%). One of the most rare and dangerous is necrosis of the glans penis. The low incidence of complications determines the lack of a single standardized approach to the treatment of this pathology.

Introduction. Acute pyelonephritis in children takes a leading place among the reasons for hospitalization.

Objective. To study the epidemiological, anamnestic, diagnostic and clinical features of the course of pyelonephritis in children.

Materials and methods. We have carried out a retrospective study of case histories of 142 children admitted to the urology department of the Emergency hospital №2 (Tomsk) with a diagnosis of acute pyelonephritis.