Dmitry Shkarupa
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View article: Urethrovaginal fistula: is fistuloplasty always indicated?
Urethrovaginal fistula: is fistuloplasty always indicated? Open
Introduction. A urethrovaginal fistula is a type of genitourinary fistula characterised by an abnormal communication between the urethra and the vagina. The principal clinical features include urinary leakage through the vagina, partial or…
View article: Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study
Hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in the management of post-hysterectomy prolapse: A retrospective study Open
Aim. To evaluate the anatomical effectiveness and safety of hybrid pelvic floor reconstruction using a vaginal flap with unilateral apical fixation in women with post-hysterectomy prolapse. Materials and methods. This retrospective study i…
View article: Algorithm of patient’s quality of life monitoring to control quality of medical care and its testing in the Clinic of High Medical Technologies named after N.I. Pirogov of St. Petersburg State University
Algorithm of patient’s quality of life monitoring to control quality of medical care and its testing in the Clinic of High Medical Technologies named after N.I. Pirogov of St. Petersburg State University Open
In patient-centered health care, patients’ perspective about treatment outcomes, namely their quality of life (QoL), is an important indicator of quality of medical care. Aim . To develop the algorithm for QoL monitoring and satisfaction w…
View article: Integral Theory Paradigm- common pelvic ligament pathogenesis guides management for Urology, Gynecology, Coloproctology
Integral Theory Paradigm- common pelvic ligament pathogenesis guides management for Urology, Gynecology, Coloproctology Open
Background The pathophysiology behind this work is the same as for the midurethral sling: collagen-deficient ligaments weaken the closure muscles which contract against them; precise insertion of tapes in the anatomical position of the lig…
View article: Medical and social profile of patients with pelvic organ prolapse/stress urinary incontinence indicated for reconstructive surgery
Medical and social profile of patients with pelvic organ prolapse/stress urinary incontinence indicated for reconstructive surgery Open
Introduction . Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are common urogynecological diseases that cause serious damage to the psychoemotional state of patients and have an extremely negative impact on their quality…
View article: Comparison of pathomorphologic properties of non-resorbable and partially resorbable implants for reconstructive surgery of pelvic organ prolapse and stress urinary incontinence: an animal model study
Comparison of pathomorphologic properties of non-resorbable and partially resorbable implants for reconstructive surgery of pelvic organ prolapse and stress urinary incontinence: an animal model study Open
Introduction . It is well-known that the use of transvaginal mesh implants is not devoid of specific complications that meaningfully impair the quality of life of female patients. The volume of permanent material used has been shown to cor…
View article: Comprehensive assessment of the quality of life in patients with pelvic organ prolapse before surgical treatment: A prospective cohort observational study
Comprehensive assessment of the quality of life in patients with pelvic organ prolapse before surgical treatment: A prospective cohort observational study Open
Aim. To evaluate comprehensively the quality of life (QoL) of patients with pelvic organ prolapse (POP) who have indications for reconstructive surgery (RS) and determine the optimal tools for QoL assessment as part of preoperative screeni…
View article: The peptide regulator Vezusten in the management of overactive bladder syndrome: an efficacy evaluation
The peptide regulator Vezusten in the management of overactive bladder syndrome: an efficacy evaluation Open
Introduction . Overactive bladder (OAB) remains one of the most difficult-to-treat conditions in neurourology. The number of patients seeking help for OAB symptoms does not decrease each year, while a pathogenetic treatment has not yet bee…
View article: Extracorporeal shockwave therapy in treatment of chronic prostatitis/chronic pelvic pain syndrome: Systematic review and meta‐analyses
Extracorporeal shockwave therapy in treatment of chronic prostatitis/chronic pelvic pain syndrome: Systematic review and meta‐analyses Open
Aims Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) prevalence varies from 8.4% to 25% of the male population and is associated with diminished health‐related quality of life. Managing CP/CPPS remains challenging and there is n…
View article: Bioabsorbable ureteral stents: current state-of-the-art
Bioabsorbable ureteral stents: current state-of-the-art Open
Ureteral stenting is one of the main methods for draining the upper urinary tract. The main drawbacks associated with the use of ureteral stents include high treatment costs, stent-associated symptoms, "forgotten" ureteral stents, encrusta…
View article: Functional mapping of the lower urinary tract by epidural electrical stimulation of the spinal cord in decerebrated cat model
Functional mapping of the lower urinary tract by epidural electrical stimulation of the spinal cord in decerebrated cat model Open
Several neurologic diseases including spinal cord injury, Parkinson’s disease or multiple sclerosis are accompanied by disturbances of the lower urinary tract functions. Clinical data indicates that chronic spinal cord stimulation can impr…
View article: A brief physiology and pathophysiology of the bladder
A brief physiology and pathophysiology of the bladder Open
The remit of this review is confined to experimental works and publications relevant to the integral theory of female urinary incontinence (IT). Since its first publication in 1990, the IT has challenged the general view that the pathogene…
View article: A comparison of native vaginal and ligament surgery for cure of pelvic organ prolapse and overactive bladder
A comparison of native vaginal and ligament surgery for cure of pelvic organ prolapse and overactive bladder Open
The key messages from the Shkarupa et al. native cardinal/uterosacral ligament (CL/USL) study, was that, in premenopausal women, ligament repair alone is sufficient for cure of pelvic organ prolapse (POP) and urgency, achieving cure rates …
View article: The evolution of POP surgery via vaginal access in high-volume referral centre in Russia: the way from XL to XS mesh
The evolution of POP surgery via vaginal access in high-volume referral centre in Russia: the way from XL to XS mesh Open
Background The use of large vaginal meshes for the treatment of pelvic organ prolapse (POP) in combination with poor surgical experience are the dominating risk factors for serious postoperative complications. The main goal of this study i…
View article: Sterilization of single-use flexible ureteroscopes: myths and reality.
Sterilization of single-use flexible ureteroscopes: myths and reality. Open
Introduction. Retrograde flexible ureteroscopy is the most safe and effective method of treatment of patients with kidney stones and urothelial tumors. Since 2017, disposable flexible ureteroscopes (URS) have been introduced into clinical …
View article: Radical prostatectomy in the Russian Federation: features of perioperative management and nuances of technical execution
Radical prostatectomy in the Russian Federation: features of perioperative management and nuances of technical execution Open
Despite constant improvements in radical prostatectomy technique, some questions on standardization of both perioperative management stages and surgical intervention itself remain. We conducted an anonymous online survey of 45 oncological …
View article: Peripheral Sacral Magnetic Stimulation in Patients with Idiopathic Overactive Bladder: a Single Blind Prospective Randomized Comparative Clinical Study
Peripheral Sacral Magnetic Stimulation in Patients with Idiopathic Overactive Bladder: a Single Blind Prospective Randomized Comparative Clinical Study Open
INTRODUCTION. Overactive bladder (OAB) is a symptom complex that includes urgency, frequent urination, imperative urinary incontinence and nocturia. The idiopathic form of OAB is associated with dysfunction of sensory signal transmission a…
View article: Comparative evaluation of simulators for practising fluoroscopy-guided renal pelvic puncture
Comparative evaluation of simulators for practising fluoroscopy-guided renal pelvic puncture Open
Introduction. The skill of puncture of the kidney pelvicalyceal system is one of the basic urological skills, as it is used for various surgical interventions. There are different training models, from laboratory animals to virtual reality…
View article: The role of electroneuromyography evaluation of the bulbocavernosal reflex in the diagnosis of pelvic nerve damage in patients with chronic pelvic pain syndrome
The role of electroneuromyography evaluation of the bulbocavernosal reflex in the diagnosis of pelvic nerve damage in patients with chronic pelvic pain syndrome Open
Introduction . One of the additional instrumental methods for diagnosing pudendal neuropathy is needle electroneuromyography (ENMG) of the bulbocavernosus reflex (BCR). The accumulated data on ENMG BCR in patients with primary chronic pelv…
View article: Comparative analysis of unilateral and bilateral flexible ureterorenoscopy: a cohort multicentre study
Comparative analysis of unilateral and bilateral flexible ureterorenoscopy: a cohort multicentre study Open
Introduction . Flexible ureteroscopy (fURS) with laser lithotripsy is the «gold standard» for minimally invasive treatment in patients with kidney stones less than 20 mm. Currently, there are no objective data on the efficacy and safety of…
View article: Midurethral synthetic tuneable tension tape in treatment of stress urinary incontinence in women.
Midurethral synthetic tuneable tension tape in treatment of stress urinary incontinence in women. Open
Introduction. The use of midurethral synthetic slings is currently considered to be the most widespread treatment option for stress urinary incontinence (SUI). The most difficult in the existing approaches is to achieve the optimal tension…
View article: Сomparison of biomechanical properties of non-absorbable and partially absorbable mesh implants used in surgery for urinary incontinence and genital prolapse: experimental study
Сomparison of biomechanical properties of non-absorbable and partially absorbable mesh implants used in surgery for urinary incontinence and genital prolapse: experimental study Open
Introduction . The amount of non-absorbable synthetic material used in the surgical treatment of pelvic organ prolapse and stress urinary incontinence has been shown to directly correlate with the risks of mesh-associated complications. Pr…
View article: New-generation synthetic implants for the surgical correction of pelvic organ prolapse and stress urinary incontinence: design and testing
New-generation synthetic implants for the surgical correction of pelvic organ prolapse and stress urinary incontinence: design and testing Open
Introduction . Up to 50.0% of postpartum women experience stress urinary incontinence (SUI) and pelvic organ prolapse (POP). One of the most common and pathogenetically substantiated methods for surgical correction of severe SIU and POP is…
View article: Urinary pH: its regulation and relevance in urolithiasis metaphylaxis
Urinary pH: its regulation and relevance in urolithiasis metaphylaxis Open
Urolithiasis is a common multifactorial disease characterized by a high recurrence rate. This review is devoted to the urine pH as one of the main factors determining its lithogenic properties. It affects the excretion of lithogenic substa…
View article: Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men
Efficacy of focused shock-wave therapy in the treatment of chronic prostatitis / chronic pelvic pain syndrome in men Open
Introduction . Chronic prostatitis / Chronic pelvic pain syndrome (CP / CPPS) is an extremely common condition for which no effective treatment has been found yet. Focused shockwave therapy (fSWT) is a safe method of physical intervention …
View article: Current status of transvaginal mesh implants use in the surgical treatment of stress urinary incontinence and pelvic prolapse
Current status of transvaginal mesh implants use in the surgical treatment of stress urinary incontinence and pelvic prolapse Open
The use of synthetic implants in stress urinary incontinence and pelvic prolapse surgery is being actively debated today, not only among experts in the field but also in the media, the patient community, and even in legal and political set…
View article: Meshless sacrocolpopexy for post-hysterectomy vaginal vault prolapse: vascularized flap technique. Case report. Video case**
Meshless sacrocolpopexy for post-hysterectomy vaginal vault prolapse: vascularized flap technique. Case report. Video case** Open
The absence of rigid fixation point, tissue atrophy and multi-compartment defects make post-hysterectomy vaginal vault prolapse a real challenge for the surgeon. The gold standard for treatment of post-hysterectomy vaginal vault prolapse i…
View article: Vesico-vaginal fistulas: modern concepts of diagnosis and treatment.
Vesico-vaginal fistulas: modern concepts of diagnosis and treatment. Open
Introduction. Vesicovaginal fistula (VVF) is a pathological communication between the urinary bladder and the vagina. The lack of common approaches to the treatment choice, its timing and postoperative management of patients makes this dis…
View article: Efficacy of a synthetic middle urethral sling in patients with mixed urinary incontinence
Efficacy of a synthetic middle urethral sling in patients with mixed urinary incontinence Open
Introduction. Mixed urinary incontinence is believed to be more difficult to treat than stress urinary incontinence and overactive bladder (OAB) alone. However, the mixed form occurs in one in three women with complaints of incontinence. T…