Buzhirovanie urethra in men and women. Indications, contraindications, procedure description

As a result of banal hypothermia, exposure to pathogenic microflora or an autoimmune reaction, such an annoying disease as urethritis can begin. One of the most unpleasant consequences of the disease is the stricture of the urethral canal. Often to diagnose and correct the problem, bougie is prescribed for the urethra. It will be useful for the patient to find out what this means.

What is bougie?

The word "bougie" came to medicine from the French language. The literal meaning is the "candle". In fact, this is a special tool for diagnosing and expanding hollow tubular organs. There are varieties of bougie for the urethra, esophagus and larynx, intestines, uterus and others.

Types of urethral bougies

Buzhirovanie urethra can be carried out in different forms. In addition, they can be made of metal or synthetics.

Thus, devices for boiling the urethra can be as follows:

• Straight and curved. Direct tools are performed bougie urethra in women, with the help of curved conduct diagnosis or expand the cervical canal in men.
• Short and long. Devices for manipulating at different depths of the urethra. Short bougies are more often used in procedures for women, longer - for men.
• Devices without extensions and with extensions of the final or any other part.

Experts are increasingly preferring synthetic devices, especially carrying out bougie urethra in men. This is due to the fact that the tool is able to bend without damaging the channel.

Preparation for the procedure

A qualified doctor will never appoint a bougie without preliminary diagnosis and preparation. It is necessary to pass tests, determine the number of scars and the place of stricture (narrowing), to establish the diameter of the urethra.

Before manipulation, hygienic procedures and treatment with disinfectants are mandatory. Disinfection is carried out with special tampons. This is necessary to prevent penetration of the pathogenic microflora from the outside into the urethra.

Conducting a therapeutic procedure for women

Women bear bougie urethra much easier. The procedure itself is easier than for men. Primarily for manipulation choose straight metal tools with an oval thickening at the end. For the procedure, several bougiers of different caliber are used.

Buzhirovanie stricture urethra is carried out as follows:

1. The patient is placed on his back in a special urological chair. Tools are lubricated with gel or petroleum jelly.
2. The first bougie is introduced into the urethra, the diameter of which slightly exceeds the diameter of the stricture section.
3. The first bougie is extracted, in its place is entered the next, whose diameter is larger.
4. The number of tools and their maximum diameter is determined by the specialist. The final bougie remains in the urethra for a few minutes, after which it is slowly removed.

Between the procedures a break is maintained for at least 12 hours, but it is important that it does not last for a day or more. The diameter of the first bougain of each following procedure should be equal to the diameter of the final device at the previous manipulation.

If the doctor has difficulty in stretching the stricture, then he repeats the introduction of a bougie of the same diameter several times. In this case, it will take 2-3 procedures, not less than five.

Procedure for men

If the procedure uses a set of straight metal bougies, then the technology is practically the same as above. It should be borne in mind that the urinary organ slightly resembles the shape of the Latin letter S.

The constriction can be localized in the posterior part of the urethra, then the manipulation becomes more difficult:

• The doctor puts the patient and introduces the first curved bougie into the urethra. The tool can be metal or synthetic. Sometimes for its introduction requires a flexible synthetic conductor of small diameter. Curved bougie with the expansion of the required thickness is screwed to the end of the conductor.
• The thickened part of the instrument is scrolled clockwise as it passes through the narrowed section of the urethra.
• Buzh slowly and gently moves up the urethra to the bladder.
• After the procedure, the canal is treated with antiseptics.

The metal tool remains in the urethra for 5-10 minutes. If a synthetic balloon bougie is used, it is gradually filled with saline, stretching at the designated location. The balloon must remain in place of the constriction for the same amount of time.

To restore the urinary tract, men need more procedures than women (from 5 to 15 manipulations). Often patients are afraid of pain, if bougie urethra is prescribed in men. Feedback about the procedure is very different. At the same time, everyone agrees that this manipulation is unpleasant, but quite tolerable. If necessary, the patient is given a local anesthetic.

Therapeutic procedure in children

In children, congenital narrowing of the urethra is quite often diagnosed, which makes it difficult to urinate and can lead to atony of the bladder. Boys mostly have problems in the back of the urethra or near the external opening. At girls - in a distal department. Buzhirovanie urethra in children must start as early as possible. This will avoid complications in the future.

If a narrowing of the external opening is detected, it is dissected out-patient, without anesthesia. The tissues in this place are thinned, and the pain sensations are minimal. When detecting distal narrowing in girls, patients are assigned a course of bougie without placement in the hospital. The remaining types of strictures are treated under stationary conditions.

Diagnostic procedure

Diagnostic boogie of the urethra is done once, without repeated manipulation. For carrying out use flexible synthetic devices of the head form. Bug is introduced into the lumen very slowly, the presence of strictures is determined by the patient's reaction. When the narrowed section passes, the patient experiences discomfort, with pathological changes, the bougie advances with a perceptible difficulty.

Contraindications

Despite the narrowing of the urethra, there are a number of conditions in which the conduct of bougie is contraindicated. These are benign and malignant tumors of the genitourinary system and other organs, aggravated inflammatory processes, including inflammation of the prostate. Contraindications include renal failure and trauma to the urethra.

It is often necessary to cancel the procedure, because the patient is not psychologically ready for it. When the urethra bougie is prescribed, the reviews can scare the patient. It is important to explain that manipulation is necessary to restore health, and discomfort can be avoided by using local anesthesia.

Assessment of the state

Even with careful preparation for the procedure, medical personnel are obliged to monitor the patient's condition after manipulation, so as not to cause complications. It is important to monitor the following indicators:

• Whether the body temperature has changed;
• The amount and color of urine during the day;
• general state;
• The presence of pain;
• A feeling of discomfort in the abdomen.

If the symptoms of worsening are noticed on time, the doctor will be able to recognize the urethral rupture, the initial stage of inflammation, and septicemia.