A METHOD FOR IMPROVING THE RESULTS OF SURGICAL TREATMENT OF POST-TRAUMATIC STRICTURES IN CHILDREN, THE EXPERIENCE OF THE INSTITUTION

The material was analyzed as a result of treatment in 70 patients with post-traumatic urethral strictures. Prior
to admission to the children's surgical department, all patients were previously operated on in other medical
institutions using the Marion-Holtsov method. Repeated operations of this category of patients present difficulties
due to roughly expressed cicatricial changes in the wall of the urethra and surrounding tissues. The success of the
surgical intervention depends on the level of the selected proximal end of the urethra, which allows it to align in
any area, as well as on the correctly applied anastomosis.
Effective drainage and washing of the anastomosis zone using a draining catheter prevents infection and
has a beneficial effect on tissue healing processes. Satisfactory results were noted in 98.6% of cases, and only
one patient had a poor result, and subsequently this patient underwent surgery – restoration of the urethra from
the skin of the scrotum.