How and why bougie urethra in men?

Scarring of the urethra can be caused by prolonged inflammation, trauma, swelling. The narrowness of the urethra causes difficulty in emptying the bladder. To return this ability to the patient, the urologist conducts the bougie.

The main indication for bougienage is the presence of urethral stricture.

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Procedure The procedure involves stretching or enlargement of the lumen of the urethra opening using a special elongated tool - bougie passed. Outwardly, it resembles a metal catheter with which patients release urine with delay or difficulty in excretion, but these two instruments differ slightly in shape.

Like every medical event, bougie has testimonies and contraindications to the procedure, requires a thorough knowledge of the anatomy of the urinary system from the urologist and skillful possession of the technique.

Indications and contraindications for the bougie

The urologist suggests carrying out the bougie in the event that the patient has a stricture of the urethra, in other words, there are scar tissue lesions that help narrow the urethral lumen. This is the only and direct indication for manipulation.

As with every medical intervention, there are certain conditions that preclude the possibility of carrying out the procedure in question. The most important contraindication is the presence of a tumor. Even a correctly performed procedure does not exclude the possibility of occurrence of microscopic cracks. The damage caused by the instrument to the tumor tissues causes the cells of the neoplasm to separate from the circulation of the blood. Also, bougie can not be performed if there is a suspicion of a tumor.

Other contraindications include:

• inflammation in the exacerbation stage( prostatitis, cystitis, pyelonephritis, orhoepididymitis);
• the presence of renal failure;
• suffered damage to the urethra;
• phimosis, paraphimosis;
• psychological unpreparedness of the patient for manipulation.

Channel boring assumes hospitalization. Because the patient must be under certain medical supervision for a certain time, manipulation is not performed on an outpatient basis. The approximate period of stay in the hospital is up to several weeks. This time is enough to fully examine the patient - to perform laboratory tests, to conduct ultrasound. Also during this period, the effectiveness of the restorative process of the male's organism is observed to ensure that there are no complications( both from anesthesia performed and directly from the bougie procedure).

Procedure of

The procedure for extending the channel delivers pain. It is in view of this feature, before conducting bougie, invite a team of anesthetists to provide anesthesia to the patient. A man who is 12 hours before the intervention can not eat, and immediately before the procedure - and drink, put on the couch in the dressing( or operating room).

Tools for conducting bougie - bougie. A) Straight bougie b) Curved bougie

The nurse pre-prepares the required set of tools( bougie have their numbering depending on the thickness in diameter) in accordance with the parameters of the patient's urethra. If you do not identify or ignore this important indicator, you can damage the urethra using a larger bug.

Anesthesia is underway, status indicators( respiratory rate, pulse, blood pressure) are monitored. Being to the right of the couch on which the patient lies, the urologist conducts his hygienic treatment of the genital organ. This will prevent the movement of pathogenic microflora in the urethra from the outside. Then bougie is processed by Vaseline or glycerin to ensure its safe advancement through the urethra.

The instrument is injected to the level of the anatomical transition of the urethra to the bladder. If buzh is made of metal, the duration of its stay in the urethra should not exceed 10 minutes. The filling of balloon rods with physiological saline ensures their swelling at the site of constriction. The doctor does this gradually, leaving for the same time. Then the metal conductor is carefully extracted from the urethra, and the organ is washed with an antiseptic solution, which will prevent the development of the infectious process.

Procedure for boiling the urethra.

Possible complications after bougie

In order to follow the dynamics of the patient's condition, after the intervention, the medical staff observes such indicators as:

• body temperature;
• volume of diuresis;
• the color of urine, the presence of impurities in it;
• pain syndrome;
• general condition;
• results of clinical analyzes.

This observation is required for the timely recognition of complications associated with bougie: urethral rupture, development of the inflammatory process, sepsis. An increase in the body's total temperature indicates the onset of the inflammatory process, and the presence of blood during urination in conjunction with the pain syndrome indicates damage to the organ.

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