Ishchenko A I, Chushkov Yu V, Bryunin D V, Gadaeva I V, Tevlina E V, Zholobova M N, Ishchenko A A, Zhogan G R
Department of Obstetrics and Gynecology No1 of Institute of the Clinical Medicine named after N.V. Sklifosovsky of FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Department of Oncology, Radiotherapy and Plastic Surgery of FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Urologiia. 2020 Mar(1):121-126.
The article is devoted to the interaction of a gynecologist and a urologist in a gynecological hospital, based on the experience of the gynecological department at the Clinic of obstetrics and gynecology of the Clinical Center of Sechenov University. The most common clinical scenarios were identified when the participation of a urologist in evaluation and treatment is urgently needed, including large pelvis mass, endometriosis with an involvement of pelvic organs, genital prolapse, small pelvis adhesions as a result of previous surgical procedures and postoperative urinary disorders. A close interaction between two specialties, which are dedicated to pelvic organs disorders, namely gynecology and urology, is extremely popular in modern clinical practice and allows to significantly reduce the number of intra- and postoperative complications, carry out a comprehensive examination and determine individual treatment tactics in a gynecological hospital, which increases quality of medical care.
本文基于谢马什克夫大学临床中心妇产科诊所妇科的经验,探讨了妇科医院中妇科医生与泌尿科医生的协作。文中确定了泌尿科医生急需参与评估和治疗的最常见临床情况,包括盆腔大肿块、累及盆腔器官的子宫内膜异位症、生殖器脱垂、既往手术导致的盆腔粘连以及术后泌尿系统疾病。妇科和泌尿科这两个专注于盆腔器官疾病的专业之间的密切协作,在现代临床实践中极为普遍,有助于显著减少术中和术后并发症的数量,在妇科医院进行全面检查并确定个体化治疗策略,从而提高医疗质量。