Diagnostics of urethral structure disease
Abstract
The main methods of diagnosing patients with urethral stricture are presented in the article. An algorithm for their application has been determined. The characteristics of the main complaints are presented; anamnestic triggers, which allow to suspect the defeat of the urethra. Recommendations on the scheme of objective examination of patients are given. In determining the characteristics of the disease, indications for the type of surgical treatment are determined. Patients with urodynamically significant urethral strictures need surgical treatment. In insignificant disturbances of urodynamics, it is possible to perform dynamic observation or conservative therapy.
References
2. Erickson B.A., Breyer B.N., McAninch J.W. Changes in uroflowmetry maximum flow rates after urethral reconstructive surgery as a means to predict for stricture recurrence // J Urol. – 2011. – Vol. 186. №5. – P. 1934-1937.
3. Erickson B.A., Breyer B.N., McAninch J.W. The use of uroflowmetry to diagnose recurrent stricture after urethral reconstructive surgery // J Urol. – 2010. – Vol. 184. №4. – P. 1386-1390.
4. Feng C., Shen Y.L., Xu Y.M., et al. CT virtual cystourethroscopy for complex urethral strictures: an investigative, descriptive study // Int Urol Nephrol. – 2014. – Vol. 46 №5. – P. 857-863. – DOI: 10.1007/s11255-013-0604-y.
5. Nuss G.R., Granieri M.A., Zhao L.C., et al. Presenting symptoms of anterior urethral stricture disease: A disease specific, patient reported questionnaire to measure outcomes // J Urol. – 2012. – Vol. 187. №2. – P. 559-562.
6. Rai R., Sidhom M., Lim K., et al. MRI micturating urethrography for improved urethral delineation in prostate radiotherapy planning: a case study // Phys Med Biol. – 2017. – Vol. 62. №8. – P. 3003-3010. – DOI:10.1088/1361-6560/62/8/3003.
7. Shahsavari R., Bagheri S.M., Iraji H. Comparison of Diagnostic Value of Sonourethrography with Retrograde Urethrography in Diagnosis of Anterior Urethral Stricture // Open Access Maced J Med Sci. – 2017. – Vol. 5. №3. – P. 335-339. – DOI:10.3889/oamjms.2017.073.
8. Song L., Xie M., Zhang Y., et al. Imaging techniques for the diagnosis of male traumatic urethral strictures // J Xray Sci Technol. – 2013. – Vol. 21. №1. – P. 111-123. – DOI:10.3233/XST-130358.
9. Talreja S.M., Yadav S.S., Tomar V., et al. 'Real-time sonoelastography' in anterior urethral strictures: A novel technique for assessment of spongiofibrosis // Cent European J Urol. – 2016. – Vol. 69. №4. – P. 417-424. –DOI:10.5173/ceju.2016.808.