For the Medical Practitioners
doi: 10.25005/2074-0581-2021-23-3-443-449
ANALYSIS OF THE EFFICIENCY OF APPLICATION OF THE TWO SURGERY METHODS OF TREATMENT OF THE URETHRAL INJURY CONSEQUENCES

S.S. Ziyozoda1, G.M. Khodzhamuradov2, Kh.Kh. Rizoev3, M.M. Ismoilov2, M.B. Sharipova4, A.Kh. Tolibov5

1Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
3Department of Urology, Medical Center «Madadi Akbar», Dushanbe, Republic of Tajikistan
4Medical Center of Executive Office of the President of the Republic of Tajikistan, Dushanbe, Republic of Tajikistan
5Department of Urology, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To analyze the results of application of the two surgical techniques in the treatment of the consequences of urethral injuries (CUI).

Methods: 38 patients aged 16.4±1.9 years with CUI were examined. CUI were localized in the area of the scaphoid fossa (n=3), the penile part (n=9), the bulbous region (n=6). Multi-site and panurethral lesions were noted in 8 and 12 cases, respectively. Additional research methods included ultrasound examination of the bladder, uroflowmetry, residual urine measurement, and, if necessary, retrograde and voiding urethrography. The patients underwent two types of surgical intervention: one-stage (16 patients, 1st group) and two-stage (22 patients, 2nd group) urethroplasty using a buccal mucosal flap. The results of surgery were assessed by ascending urethrography and uroflowmetry. The follow-up period ranged from 6 to 24 months.

Results: The immediate and long-term results between the two groups showed significant difference. According to uroflowmetry data, the main indicator of the effectiveness of surgical intervention was a stable retention of maximum urine flow rate at least 15 ml/sec. In the 1st group, there was one case of early wound dehiscence with the formation of a fistula. In the 2nd group, early divergence was observed in 8 cases, it was also accompanied by formation of fistulas. These complications required additional surgical intervention; their correction was deferred.

Conclusion: One-stage urethroplasty using a buccal mucosal flap for CUI proved to be safer and more effective compared to the two-stage technique

Keywords: Consequences of urethral injury, urethrography, uroflowmetry, buccal flap.

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Authors' information:

Ziyozoda Sorboni Sayburkhondzhon
Postgraduate Student, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-5228-0994
SPIN: 7764-2892
E-mail: ziyozodasorbon@gmail.com

Khodzhamuradov Gafur Мukhammadmukhsinovich
Doctor of Medical Sciences, Senior Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: F-4112-2018
ORCID ID: 0000-0002-7095
SPIN: 1726-7169
E-mail: gafur@tojikiston.com

Rizoev Khayriddin Khayrulloevich
Candidate of Medical Sciences, Head of the Department of Urology, Medical Center «Madadi Akbar»
ORCID ID: 0000-0002-1572-9289
SPIN: 7648-0341
E-mail: hai_riz@mail.ru

Ismoilov Mukhtordzhon Marufovich
Candidate of Medical Sciences, Head of the Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0002-6344-1810
SPIN: 4699-1871
E-mail: m.ismoilov@mail.ru

Sharipova Mavzuna Boyakhmadovna
Urologist, Medical Center of Executive Office of the President of the Republic of Tajikistan
ORCID ID: 0000-0002-0141-1042
SPIN: 1829-6905
Author ID: 1106775
E-mail: zuna_sh91@bk.ru

Tolibov Akhlidin Khayrulloevich
PhD Student, Department of Urology, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-9134-3196
SPIN: 6944-1062
E-mail: ahli-tolib89@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Ziyozoda Sorboni Sayburkhondzhon
Postgraduate Student, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (985) 284858

E-mail: ziyozodsorbon@mail.ru

Materials on the topic:
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  2. DELAYED RECONSTRUCTIVE SURGERY FOR SEVERE HAND INJURIES
  3. SURGICAL MANAGEMENT OF POST-BURN SCAR EXTENSION CONTRACTURES OF THE TOES
  4. GIANT FRONTOETHMOIDAL OSTEOMAS: A RATIONAL APPROACH TO THE SURGICAL REMOVAL AND THE IMMEDIATE RECONSTRUCTION OF THE ANTERIOR WALL OF THE FRONTAL SINUS
  5. THE LATISSIMUS DORSI MUSCLE FLAP TRANSFER IN SURGICAL CORRECTION OF POST-TRAUMATIC UPPER LIMB DYSFUNCTION
  6. NERVE TRANSFER IN IRREVERSIBLE INJURIES OF UPPER LIMB NERVE: CURRENT KNOWLEDGE AND FUTURE PERSPECTIVE
  7. SURGICAL REPAIR OF LATERAL AND ANTEROLATERAL HERNIAS OF THE ABDOMINAL WALL
  8. RESULTS OF LAPAROSCOPIC AND CONVENTIONAL HERNIOPLASTY IN OLDER PATIENTS AND MORPHOLOGICAL CHANGES IN THE TISSUES OF THE INGUINAL CANAL
  9. IMMEDIATE RESULTS OF URETROPLASTY IN DIFFERENT FORMS OF HYPOSPADIAS
  10. THE OUTCOMES OF THE FOREARM FLAP APPLICATIONS IN THE UPPER LIMB SEVERE INJURIES RECONSTRUCTION

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