METHOD FOR REMOVING STENTS WITHOUT CYSTOSCOPY IN CHILDREN AFTER RECONSTRUCTIVE PLASTIC SURGERY ON THE BLADDER AND URETERAL ORIFICES Russian patent published in 2023 - IPC A61M25/04 A61B17/00 

FIELD: medicine.

SUBSTANCE: fringing suprapubic incision of the bladder mucosa around the refluxing orifice is performed, ureters are mobilized sharply, submucosal tunnels are formed in the transverse direction parallel to the inter-ureteral folds, anastomosis of the ureters with the bladder mucosa is performed. The ureters are stented and the bladder is drained with a Foley urethral catheter. After installing the stents in the ureters, the proximal ends of the Vicryl sutures are attached to the proximal ends of the stents, the distal ends of which are passed through the hole at the distal end of the Foley catheter to the drainage port and brought out, the Vicryl sutures are left with the Foley catheter for 7-8 days, after which the stents are removed, at the same time as the Foley catheter, by pulling out by the distal ends of the Vicryl sutures.

EFFECT: method allows to exclude cystoscopy for removal of stents from the ureters, reduces operational risks, anaesthetic risks and hospital expenses, and also reduces the risk of nosocomial infection, reduces the number of complications and repeated hospitalizations.

1 cl, 3 ex, 3 dwg