doi: 10.25005/2074-0581-2024-26-2-233-243


1Department of Urology, Tashkent Medical Academy, Tashkent, Republic of Uzbekistan
2Republican Specialized Scientific and Practical Medical Center of Urology, Tashkent, Republic of Uzbekistan

Objective: To develop predictive models for choosing rational treatment tactics in SVO.

Methods: Data from 655 patients aged 4 to 86 (average age 39.56±17.23 years) admitted to the Republican Specialized Scientific and Practical Medical Center of Urology in 2021-2023 with SVO were analyzed. There were 350 men (53.4%) and 305 women (46.6%) enrolled in the study. Patients were divided into groups according to the primary diagnoses: urolithiasis (UL) – 231 (35.3%), anomalies of the upper urinary tract (UUT) – 332 (50.7%), acquired diseases of the ureter – 92 (14.0%).

Results: Critical Z-values (cut-off points) were calculated for each group, determining the complicated course of SVO. In the UL group, the Z-value was 1.910; in the group of patients with anomalies of the UUT, ureteropelvic stricture (UPS) – 1.998, ureteral stricture – 1.239, ureterocele – 1.894; in the group of patients with acquired diseases of the ureter, secondary ureteral strictures – 1.209, ureteral obliteration – 1.713. Conclusion: Discriminant prediction models showed high sensitivity and specificity for choosing the optimal tactical approach in patients with complicated SVO.

Keywords: Supravesical obstruction, hydronephrosis, prediction model, management tactics.

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Authors' information:

Akilov Farkhad Ataullaevich,
Doctor of Medical Sciences, Full Professor, Head of the Department of Urology, Tashkent Medical Academy
ORCID ID: 0000-0002-4434-5460
E-mail: akilovmd@gmail.com

Mukhtarov Shukhrat Tursunovich,
Doctor of Medical Sciences, Director, Republican Specialized Scientific and Practical Medical Center of Urology
Scopus ID: 6603276955
ORCID ID: 0000-0002-4352-2111
E-mail: msht_doc@mail.ru

Mirkhamidov Dzhalal Khalilovich,
Candidate of Medical Sciences, Associate Professor of the Department of Urology, Tashkent Medical Academy
Scopus ID: 6603276955
ORCID ID: 0000-0001-6472-337X
E-mail: azamat.mirkhamidov@gmail.com

Khasanov Mardon Mukhammadikulovich,
MD, PhD, Chief of the Scientific Laboratory № 2, Republican Specialized Scientific and Practical Medical Center of Urology
ORCID ID: 0000-0003-2061-1522
E-mail: mardon.khasanov.1984@gmail.com

Abdufattaev Ulugbek Avazzhonovich,
Chief of Ultrasound Department, Republican Specialized Scientific and Practical Medical Center of Urology
Scopus ID: 56156288000
ORCID ID: 0000-0003-4123-2695
E-mail: abdufattaev@gmail.com

Nomanov Anvar Abdukarimovich,
Junior Researcher of the Scientific Laboratory № 2, Republican Specialized Scientific and Practical Medical Center of Urology
ORCID ID: 0009-0007-1681-5860
E-mail: nomanov044@bk.ru

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

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Khasanov Mardon Mukhammadikulovich,
MD, PhD Chief of the Scientific Laboratory № 2, Republican Specialized Scientific-Practical Medical Center of Urology

100109, Republic of Uzbekistan, Tashkent, Shifokorlar str., 1

Tel.: +998 (903) 518781

E-mail: mardon.khasanov.1984@gmail.com

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