Русский
Urachus diseases in adults: features of diagnostic and treatment tactics, multicenter study
DOI: https://dx.doi.org/10.18565/urology.2022.3.52-57
I.S. Shormanov, D.N. Shchedrov, S.V. Kotov, A.I. Strelnikov, E.V. Morozov, E.V. Pomeshkin, A.I. Novikov, R.V. Smirnov, A.I. Bragin-Maltsev, Y.S. Tareev, E.S. Kotreichuk, D.Y. Garova
1) FSBEI HE «Yaroslavl State Medical University» of the Ministry of Health of the Russian Federation, Yaroslavl, Russia; 2) GBUZ YAO Regional Children’s Clinical Hospital, Yaroslavl, Russia; 3) FGAOU VO «Russian National Research Medical University named after NI Pirogov» of the Ministry of Health of the Russian Federation, Moscow, Russia; 4) FSBEI HE «Ivanovo State Medical Academy» of the Ministry of Health of the Russian Federation, Ivanovo, Russia; 5) GAUZ «Kuzbass Regional Clinical Hospital» named after S.V. Belyaeva, Kemerovo, Russia; 6) GBUZ «St. Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncological)», Saint-Petersburg, Russia; 7) GBUZ «Vologda Regional Clinical Hospital», Vologda, Russia; 8FSBEI HE «Kemerovo State Medical University», Kemerovo, Russia
Introduction. Urachus pathology is a complex problem in modern medicine due to a wide variety of clinical and morphological forms, low occurrence, both in children and especially in adulthood, the lack of publications related to the analysis of large groups of patients, and, consequently, algorithms and diagnostics. treatment of this pathology. In addition, there are unambiguous recommendations that determine the surgical access in the case of planned surgery, as well as the sequence and priority of the stages of treatment of purulent complications.
Purpose. Analyze the experience of treating urachus pathology in adults and use rational diagnostic and treatment algorithms.
Materials and methods: Analyzed case histories 37 patients were operated on from 6 clinics: mean age 33.8±14.8 years, 36 patients undergoing surgical treatment for urachus pathologies, out of 12 patients were operated with an «open» method and 24 - with a laparoscopic one. Results and discussion. The results of surgical treatment were assessed. It was determined that the method of choice for surgical treatment of patients with urachus pathology is laparoscopic excision of the urinary duct structures.
An algorithm for the diagnosis of urachus pathology in adults is proposed.
Purpose. Analyze the experience of treating urachus pathology in adults and use rational diagnostic and treatment algorithms.
Materials and methods: Analyzed case histories 37 patients were operated on from 6 clinics: mean age 33.8±14.8 years, 36 patients undergoing surgical treatment for urachus pathologies, out of 12 patients were operated with an «open» method and 24 - with a laparoscopic one. Results and discussion. The results of surgical treatment were assessed. It was determined that the method of choice for surgical treatment of patients with urachus pathology is laparoscopic excision of the urinary duct structures.
An algorithm for the diagnosis of urachus pathology in adults is proposed.
About the Autors
Contact author: E.V. Morozov – pediatric surgeon, GBUZ YaO CSTO, Yaroslavl, Russia; e-mail: eugene.morozov1993@yandex.ru
Similar Articles
