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  • 6 -10 (60) 2023 — Ibodov H., Mirakov H.M. — MINIMALLY INVASIVE METHODS FOR THE TREATMENT OF OBSTRUCTIVE URETEROHYDRONEPHROSIS IN CHILDREN

6 -10 (60) 2023 — Ibodov H., Mirakov H.M. — MINIMALLY INVASIVE METHODS FOR THE TREATMENT OF OBSTRUCTIVE URETEROHYDRONEPHROSIS IN CHILDREN

MINIMALLY INVASIVE METHODS FOR THE TREATMENT OF OBSTRUCTIVE URETEROHYDRONEPHROSIS IN CHILDREN

Ibodov H., NEI Medical and Social Institute of Tajikistan

Mirakov H.M., SEI “Institute of Postgraduate Educationin Healthcare of the Republic Tajikistan”

IkromovT.Sh., SEI “Institute of Postgraduate Educationin Healthcare of the Republic Tajikistan”, SU “Republican Scientific and Clinical Ctnter of Pediatrics Pediatric Surgery” MoHSPP RT Dushanbe

Rofiev R., NEI Medical and Social Institute of Tajikistan, SEI “Institute of Postgraduate Educationin Healthcare of the Republic Tajikistan”

Saioudov K.M., NEI Medical and Social Institute of Tajikistan

Moinova Sh.Sh. NEI Medical and Social Institute of Tajikistan

Resume

Purpose of the study. To evaluate the efficiency of minimally invasive methods of treatment in children with neyromuskule displasia of vezikoureteral segments

Material and research methods. We performed ureteral stenting in 78 (70.9%) children with congenital obstructive ureterohydronephrosis: I degree of ureterohydronephrosis was in 18 (23.0%), II degree – 34 (43.6%), III degree. – 19 (24.3%) andIV degree -7(9.0%). The age of children is from 0 to 3 years. Children with impaired urodynamics in the distal ureters underwent complete clinical, biochemical, laboratory and X-ray studies.

Results of discussion. Stenting of the ureters was carried out in order to dynamically monitor the contraction of the urinary system. In children, stenting is performed under general anesthesia by performing cystoscopy. After assessing the topographic location of the orifice, taking into account the pathology of the vesicoureteral segment, the ureteral orifice is expanded by balloon dilatation, then the ureter is stented. It turned out to be effective in 26 (23.6%) children.

Conclusions. With neuromuscular dysplasia of the ureters in children of the first year of life, bougienage, balloon dilation of the ureterovesical fistula, followed by stenting of the ureter and pyelocaliceal system in 34.0% of patients lead to a significant improvement in urodynamics.

Key words: ureterohydronephrosis, megaureter, stenting, balloon dilatation, children.

First page

37

Last page

40

For citation: Ibodov H., Mirakov H.M., IkromovT.Sh., Rofiev R., Saioudov K.M., Moinova Sh.Sh. – MINIMALLY INVASIVE METHODS FOR THE TREATMENT OF OBSTRUCTIVE URETEROHYDRONEPHROSIS IN CHILDREN //New Day in Medicine 2023 10(60): 37-40 https://newdaymedicine.com/index.php/2023/10/05/l-394/

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