Выпуск №1 за 2025 год

Introduction. Classic bladder exstrophy is a rare anomaly, occurring in a ratio of 1:30000 to 1:50000 newborns. However, various variants of the exstrophy-epispadias complex are 10 times less common. Covered bladder exstrophy is a rare variant of classic exstrophy. Patients with the covered variant of exstrophy can be considered as classic exstrophy with all the accompanying defects of this anomaly, but with a bladder that is closed and covered only by a thin, often translucent skin membrane without muscles or a fascial layer.

Introduction. Testicular torsion (TT) is the most common emergency urologic pathology of children. Detorsion within 4-8 hours is crucial to prevent irreversible changes in testicular tissue. Ultrasound investigation plays a major role in the diagnosis of testicular torsion, but its performance is prolonging the diagnostic period and, consequently, the time of testicular ischemia.

Lecture article is devoted to the evolution of terminology and epidemiological aspects of bladder pain syndrome (BPS)/interstitial cystitis. The results of BPS prevalence studies vary widely due to the use of different diagnostic criteria for BPS and different research methodologies.

Introduction. Stress incontinence is the most common type of urinary incontinence in women, the gold standard for surgical treatment of which is the installation of synthetic mesh endoprostheses. However, the failure rate reaches 10-15% and urinary incontinence or obstructive uropathy recurs. In this regard, it is promising to install adjustable slings, which allows you to change the degree of tension of the loop in the early postoperative period, preventing the development of complications.

Introduction. Excess body weight and obesity are significant risk factors for the development of urinary incontinence in women and can negatively affect the outcomes of surgical treatment. There is a large number of publications in international literature dedicated to the topic of surgical treatment of stress urinary incontinence in patients with morbid obesity. Domestic publications on this topic are severely limited.

Introduction. Urodynamic studies play an important role in urological and gynecological clinical practice. Specialized catheters used to measure pressures inside and outside the bladder play an important role in this process. International Continence Society (ICS) standards recommend the use of water-filled catheters with external transducers for complex urodynamic studies, which ensures standardization and comparability of results between different clinicsand patients.

Introduction. Currently, when conservative therapy for chronic inflammation of the paraurethral glands in women is ineffective, the only surgical treatment is their electroresection (Reeser’s operation). However, despite the high overall effectiveness of this technique, a significant percentage of repeated interventions is noted due to the infected Skene's gland ducts missed (undisclosed) during the first intervention. The reason for this problem is their insufficient visualization due to the lack of a special urethral retractor.

Лечение и профилактика мочекаменной болезни (далее МКБ) являются одними из актуальных и социальнозначимых проблем современной медицины. МКБ – метаболическое заболевание, имеющее выраженную тенденцию к росту распространенности в связи с изменениями характера и качества питания, увеличением числа неблагоприятных экологических, социальных и наследственных факторов. Распространенность МКБ варьирует от 2 до 20% в разных регионах мира с общей тенденцией к увеличению. В России отмечается неуклонный рост заболеваемости МКБ, в среднем составляющий 2–3% в год.

Advisory board was held in Moscow оn October 30, 2024, dedicated to the problem of preventing relapses (metaphylaxis) of urolithiasis. The next questions were discussed during the meeting: the cost-effectiveness of urolithiasis metaphylaxis in the Russian Federation, what kind of patients and in what cases it is indicated, what parameters should be used to select a remedy for urolithiasis metaphylaxis.

Introduction. The role of hyperphosphaturia in calcium phosphate stones formation, including gender-specific features of its lithogenic properties in male and female patients, is still unclear. In this study, we investigated the effect of varying degrees of phosphaturia in stone formers men and women on metabolic parameters and the urinary stones frequency.