Urology
doi: 10.25005/2074-0581-2022-24-4-471-478
OPTIMIZATION OF THE SURGICAL TECHNIQUE OF EXTRAVESICAL URETERAL REIMPLANTATION

Kh.M. Mirakov1, Kh. Ibodov1, R. Rofiev1, A.R. Davlatov2, Z.R. Abdulloev3

1Department of Pediatric Surgery, Institute of Postgraduate Education in Healthcare of the Republic Tajikistan, Dushanbe, Republic of Tajikistan
2Health Complex «Istiklol», Dushanbe, Republic of Tajikistan
3Central Research Laboratory, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To optimize the technique of extravesical ureteral reimplantation in experimental animals.

Methods: Experiments were carried out on 21 Flanders rabbits. Initially, ureterohydronephrosis (UHN) was modeled by alcoholization of the ureter in its vesical part according to the method of Ya.V. Gudynsky. After 21 days, the animals underwent extravesical ureteral reimplantation using the technique optimized by the team of urologists.

Results: The stents were removed endoscopically on the 20th day. In order to exclude vesicoureteral reflux, contrast cystography was performed, in which reflux was not detected. To exclude obstruction, on the 30th, 60th, and 90th days after the operation, an ultrasound scanning of the urinary system was performed, in which the presence of UHN was not noted. On the 90th day, the experimental animals underwent resection of the anastomotic zone for histological examination. It was found that the diameter of the transplanted segment corresponded to the normal size of the rabbit ureter, there was a slight thickening of the ureteric wall, its hypertrophy, and intracellular hyperplasia.

Conclusion: The effectiveness and safety of the proposed method of extravesical ureteral reimplantation with antireflux protection has been experimentally proven.

Keywords: Ureter, urodynamics, obstruction, ureterohydronephrosis, megaureter.

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Authors' information:

Mirakov Khurshed Makhmadovich
Applicant, Department of Pediatric Surgery, Institute of Postgraduate Education in Healthcare of the Republic Tajikistan
ORCID ID: 0000-0002-5431-713Х
E-mail: khurshed.mirakov@mail.ru

Ibodov Khabibullo
Doctor of Medical Sciences, Professor of the Department of Pediatric Surgery, Institute of Postgraduate Education in Healthcare of the Republic Tajikistan
Researcher ID: AAF-4599-2019
ORCID ID: 0000-0002-2449-1241
SPIN: 6016-1732
Author ID: 845362
E-mail: ibodov49@mail.ru

Rofiev Rauf
Candidate of Medical Sciences, Associate Professor of the Department of Pediatric Surgery, Institute of Postgraduate Education in Healthcare of the Republic Tajikistan
ORCID ID: 0000-0002-7394-8893
E-mail: rofiev.rauf@mail.ru

Davlatov Afzaldzhon Rakhmonalievich
Head of the Department of Surgery of Newborns and Hereditary Pathologies, Health Complex «Istiklol»
ORCID ID: 0000-0002-8976-4706
E-mail: afzaldavlatov90@gmail.com

Abdulloev Zikriyo Rakhimboevich
Candidate of Medical Sciences, Associate Professor, Researcher of Central Research Laboratory, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-5308-7654
E-mail: zikriyoa@mail.ru

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

The research was carried out in accordance with the research plan of the Institute of Postgraduate Education in Healthcare of the Republic Tajikistan (state registration number – 0116TJ00525). The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Mirakov Khurshed Makhmadovich
Applicant, Department of Pediatric Surgery, Institute of Postgraduate Education in Healthcare of the Republic Tajikistan

734026, Republic of Tajikistan, Dushanbe, Somoni Ave., 59a

Tel.: +992 (918) 817747

E-mail: khurshed.mirakov@mail.ru

Materials on the topic:
  1. PREDICTIVE ABILITY OF IMMUNOGENETIC STUDIES FOR INCIDENCE OF UROLITHIASIS IN CHILDREN

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