Bladder concretion against the background of staged treatment of exstrophy (clinical case)
I. S. Shormanov,
D. N. Shedrov,
А. S. Soloviev,
D. Yu. Garova,
Е. V. Morozov,
S. V. Sokolov,
К. S. Smirnova https://doi.org/10.37489/2949-1924-0029
Abstract
Bladder concretions are one of the most frequent and difficult to correct complications of bladder exstrophy. The significant proportion of struvites in the structure of concretions often creates an erroneous opinion about the size of the latter and makes it difficult to choose tactics. A case of staged treatment of bladder exstrophy complicated by the formation of a bladder concretion against the background of the current active inflammatory process is presented. Contact cystolithotripsy is the most preferred and least traumatic method of getting rid of bladder concretion of any size. In the case of anatomical closure of the urethra, access through the appendicostomy is most rational, allowing the insertion of an instrument of sufficient diameter for effective intervention.
Supporting agencies: The work was carried out without sponsorship.
About the Authors
I. S. Shormanov
FSBEI HE "Yaroslavl State Medical University" of the
Ministry of Health of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
Igor S. Shormanov — Doctor of Medicine, Professor, Head. Department of Urology with Nephrology
Yaroslavl
RSCI Author ID: 584874
Competing Interests:
The authors declare no conflict of interest
D. N. Shedrov
Yaroslavl State Medical University of the Ministry of Health of the Russian Federation; State Budgetary Institution Yaroslavl Regional Children's Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Dmitriy N. Shchedrov — Doctor of Medical Sciences, Associate Professor of the Department of Urology with Nephrology; Head. Department of Pediatric Uroandrology
Yaroslavl
RSCI Author ID: 038429
Competing Interests:
The authors declare no conflict of interest
А. S. Soloviev
Yaroslavl State Medical University, Ministry of Health of the
Russian Federation
Russian Federation
Competing Interests:
Russian Federation
Andrey S. Solovyov — Ph.D., Associate Professor, Department of Urology with Nephrology
Yaroslavl
RSCI Author ID: 975843
Competing Interests:
The authors declare no conflict of interest
D. Yu. Garova
GBUZ YaO Central City Hospital
Russian Federation
Competing Interests:
Russian Federation
Daria Yu. Garova — doctor pediatric urologist-andrologist
Yaroslavl
RSCI Author ID: 1141743
Competing Interests:
The authors declare no conflict of interest
Е. V. Morozov
Regional Children's Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Eugene V. Morozov — Ph.D., pediatric urologist-andrologist
Yaroslavl
RSCI Author ID: 1038334
Competing Interests:
The authors declare no conflict of interest
S. V. Sokolov
Regional Children's Clinical Hospital for surgical care
Russian Federation
Competing Interests:
Russian Federation
Sergey V. Sokolov — Candidate of Medical Sciences, Deputy Chief Physician
Yaroslavl
RSCI Author ID: 851385
Competing Interests:
The authors declare no conflict of interest
К. S. Smirnova
Federal State Budgetary Educational Institution of Higher Education "Yaroslavl State Medical University" of the Ministry of Health of the Russian Federation
Russian Federation
Competing Interests:
Russian Federation
Ksenia S. Smirnova — student of the pediatric faculty
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
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For citations:
Shormanov I.S., Shedrov D.N., Soloviev А.S., Garova D.Yu., Morozov Е.V., Sokolov S.V., Smirnova К.S. Bladder concretion against the background of staged treatment of exstrophy (clinical case). Patient-Oriented Medicine and Pharmacy. 2023;1(4):24-28. (In Russ.) https://doi.org/10.37489/2949-1924-0029
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