Complex radiology diagnostic at the pre and postoperative stages in patients with the reconstruction of the urogenital area using the method of microsurgical autotransplantation of tissue complexes

Schekoturov I.O., Istranov A.L., Serova N.S., Ternovoy S.K., Bakhtiosin R.F., Adamyan R.T., Matevosyan A.V.

Purpose. To develop a technique for conducting of complex radiology diagnostics in combina-tion with dynamic MSCT-cystureterography in patients with reconstruction of the urogenital area and to study the possibilities of its application in clinical practice. Materials and methods. At the pre and postoperative stages 8 patients were exam-ined by MSCT, from whom all men were presented with such acquired and congenital diseas-es of the urogenital area as followings: stricture or obliteration of the urethra, as well as hy-poplasia of the penis. The age of the patients varied from 33 to 58 years with the average of 43.8 years. The studies were performed by a multispiral computer tomograph Toshiba Aq-uilion One. This 640-slice computer tomograph has 320 rows of detectors with 0.5 mm wide, which allows the detector to cover the scan zone at 16 cm by one rotation of the X-ray tube. Results. By studying the data obtained in five cases, hypoplasia of the penis was re-vealed. In three cases urethral obstruction was diagnosed, its cause and localization were determined. At the pre and postoperative stages the anatomy of the donor and recipient ves-sels was assessed, surgical intervention was planned, and the dynamic MSCT-cystureterography method allowed avoiding invasive examination of the urethra. The MSCT method with intravenous contrasting in combination with dynamic MSCT-cystureterography surpasses the standard X-ray examination, ultrasound method and endo-scopic urethroscopy at terms of accuracy and informativeness. In addition, these methods are separated in time and in the implementation techniques and most of them are not physi-ological. Conclusions. Analyzing the obtained data, we can confidently state that MSCT with intravenous contrast showed its high informative value in the study of donor and recipient vessels, and the combination with dynamic MSCT-cystureterography in order to assess the patient's urethra further increases the informativeness and value of this study. The proven effectiveness of the developed method suggests that it can become routine in examining pa-tients with diseases of the urogenital area.

I.M. Sechenov First Moscow State Medical University (Sechenov University). Moscow, Russia.

 

Keywords: MSCT, hypoplasia of penis, urethral stricture, ureterography, ureteral oblite-ration, MSCT-cystureterography, autograft, reconstruction of the urogenital area.

 

Corresponding author:Schekoturov I.O., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Schekoturov I.O., Istranov A.L., Serova N.S., Ternovoy S.K., Bakhtiosin R.F., Adamyan R.T., Matevosyan A.V. Complex radiology diagnostic at the pre and postoperative stages in patients with the reconstruction of the urogenital area using the method of microsurgical autotransplantation of tissue complexes. REJR 2018; 8 (3):205-212. DOI:10.21569/2222-7415-2018-8-3-205-212.

Received:06.06.18Accepted:06.07.18