стриктура уретры

Eighteen patients were undergone stages urethroplasty. The mean age of the patients was 38.5 ± 2.3 years. The etiology of urethral stricture were prior medical procedures in 55.6% of cases, urethral trauma and subsequent failed urethroplasty in 38.9%, balanitis xerotica obliteraus (BXO-related) stricture in 5.6%. Stricture localized in the penile urethra 50%, in the bulbar and membranous parts in 17% and 5%, respectively and panurethral strictures were diagnosed in 27.8% of cases. Median (rank) the urethral stricture length was 6cm (4 -17 cm).

The article is devoted to one of the most complicated and least studied problems of modern surgery, traumatology and urology – the combined post-traumatic injuries of the pelvis and lower urinary tract. Current medical problem is that there is no clearly developed scheme of cooperative examination and management of such patients by urologists and traumatologists. The article considers etiological factors and mechanism of injury of the lower urinary tract in fractures of the pelvis.

N.S. Ignashin, A.V. Evseev