Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press66010.17650/1726-9776-2017-13-2-104-112REVIEWОБЗОРRisk factors and correction methods for postoperative vesicourethral anastomotic strictures: literature reviewФакторы риска развития и методики коррекции послеоперационного стеноза везикоуретрального анастомоза (обзор литературы)RevaI. A.РеваИ. А.
Russian Federation

Urology Department

Build. 1, 20 Delegatskaya St., Moscow 127473

Рева Игорь Анатольевич, Кафедра урологии 

127473 Москва, ул. Делегатская, 20, стр. 1

rewa-igor@rambler.ruZhivovA. V.ЖивовА. В.

Urology Department

Живов Алексей Викторович, Кафедра урологии

urorec@gmail.comBernikovA. N.БерниковА. Н.

Urology Department

Берников Александр Николаевич, Кафедра урологии

bernikov@mac.comPushkar’D. Yu.ПушкарьДмитрий Юрьевич

Urology Department

Пушкарь Дмитрий Юрьевич, Кафедра урологии

pushkardm@mail.ruA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России300620171321041120403201704052017https://oncourology.abvpress.ru/oncur/article/view/660

Considerable life expectancy after radical prostatectomy dictates a necessity to preserve high quality of life of these patients. Conversely, attention is paid to functional results of the surgery, including preservation of the erectile function and quality of urination. Urinary obstruction in the postoperative period, caused primarily by postoperative vesicourethral anastomotic strictures, not only negatively impacts patients’ health but also has a pronounced maladaptation effect. The main factors of maladaptation are weak urine stream; frequent, often painful urination; episodes of acute urine retention. Currently, there are no strict guidelines for prevention of vesicourethral anastomotic strictures or for selection of an optimal method of correction of this postoperative complication of radical prostatectomy. This study highlights the main existing theories concerning development of vesicourethral anastomotic strictures and effectively used methods/ regimens for its treatment. 

Большая ожидаемая продолжительность жизни пациентов после проведения радикальной простатэктомии диктует необходимость сохранения высокого качества их жизни. Соответственно, внимание уделяется функциональным результатам операции, под которыми подразумевают как сохранение эректильной функции, так и качество мочеиспускания пациентов. Обструктивное мочеиспускание в послеоперационном периоде, одной из главных причин которого является развитие послеоперационного стеноза везикоуретрального анастомоза, помимо отрицательного воздействия на здоровье пациентов также оказывает выраженное дезадаптирующее влияние. Основные дезадаптирующие факторы – ослабление струи мочи, частое, нередко болезненное мочеиспускание, эпизоды острой задержки мочи. Четких руководств по профилактике формирования стеноза везикоуретрального анастомоза и выбору оптимальной методики коррекции этого послеоперационного осложнения радикальной простатэктомии пока не существует. Настоящая работа освещает основные теории развития и наиболее широко и эффективно применяемые методики/схемы лечения стеноза везикоуретрального анастомоза. 

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