inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2025-10-2-135-142inovmed-1185Research ArticleОБЗОРЫREVIEWSОбструктивная уропатия: причины развития, подходы к лечению и анализ осложненийObstructive Uropathy: Causes, Treatment, and Analysis of Complicationshttps://orcid.org/0000-0003-4258-7156ГазимиевЭ. С.GazimievE. S.

Газимиев Эмильхан Саид-Хусейнович - аспирант кафедры урологии, КубГМУ; врач-уролог урологического отделения № 1, НИИ – ККБ № 1 им. проф. С.В. Очаповского.

350086, Краснодар, ул. 1 мая, 167

Emilkhan S. Gazimiev - Postgraduate Student, Urology Department, Kuban State Medical University; Urologist, Urology Unit No. 1, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.

ulitsa 1 Maya 167, Krasnodar, 350086

emilgzm@mail.ruhttps://orcid.org/0000-0001-8335-2578МедведевВ. Л.MedvedevV. L.

Медведев Владимир Леонидович - д. м. н., профессор, заведующий кафедрой урологии, КубГМУ; заместитель главного врача по урологии, руководитель краевого уронефрологического центра, НИИ – ККБ № 1 им. проф. С.В. Очаповского.

Краснодар

Vladimir L. Medvedev - Dr. Sci. (Med.), Professor, Head of the Urology Department, Kuban State Medical University; Deputy Chief Physician for Urology, Head of the Regional Uronephrology Center, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.

Krasnodar

https://orcid.org/0000-0001-5912-2668ДмитренкоГ. Д.DmitrenkoG. D.

Дмитренко Георгий Дмитриевич - к. м. н., доцент кафедры урологии, КубГМУ; заведующий урологическим отделением № 1, НИИ – ККБ № 1 им. проф. С.В. Очаповского.

Краснодар

George D. Dmitrenko - Cand. Sci. (Med.), Associate Professor at the Urology Department, Kuban State Medical University; Head of the Urology Unit No. 1, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.

Krasnodar

https://orcid.org/0000-0002-3462-8766ПалагутаГ. A.PalagutaG. A.

Палагута Георгий Александрович - врач-уролог урологического отделения № 1, НИИ – ККБ № 1 им. проф. С.В. Очаповского.

Краснодар

George A. Palaguta - Urologist, Urology Unit No. 1, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.

Krasnodar

https://orcid.org/0009-0000-3114-1293ВитаевА. А.VitaevA. A.

Витаев Артем Александрович - ассистент кафедры урологии, Кубанский государственный медицинский университет; врач-уролог урологического отделения № 1, НИИ – ККБ № 1 им. проф. С.В. Очаповского.

Краснодар

Artem A. Vitaev - Assistant Professor at the Urology Department, Kuban State Medical University; Urologist, Urology Unit No. 1, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.

Krasnodar

https://orcid.org/0000-0002-4625-9689СергеевВ. В.SergeevV. V.

Сергеев Владимир Витальевич - к. м. н., заведующий отделением урологии № 1, ККБ № 2.

Краснодар

Vladimir V. Sergeev - Cand. Sci. (Med.), Head of the Urology Unit No. 1, Regional Clinical Hospital No. 2.

Krasnodar

Научно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского; Кубанский государственный медицинский университетРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical UniversityRussian FederationНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. ОчаповскогоРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1Russian FederationКраевая клиническая больница № 2РоссияRegional Clinical Hospital No. 2Russian Federation202530062025102135142Copyright © Газимиев Э.С., Медведев В.Л., Дмитренко Г.Д., Палагута Г.A., Витаев А.А., Сергеев В.В., 20252025Газимиев Э.С., Медведев В.Л., Дмитренко Г.Д., Палагута Г.A., Витаев А.А., Сергеев В.В.Gazimiev E.S., Medvedev V.L., Dmitrenko G.D., Palaguta G.A., Vitaev A.A., Sergeev V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/1185

Целью данной статьи является всесторонний анализ одной из наиболее распространенных патологий в экстренной медицинской практике – обструкции мочевых путей. Рассматриваются современные методы диагностики, хирургического подхода, а также возможные осложнения, возникающие в ходе лечения.

В статье освещены современные эндоскопические техники дренирования при острой и хронической обструкции мочевых путей, проводится сравнительный анализ различных методов лечения и их эффективности, в зависимости от выбранного доступа. Обзор включает актуальные исследования, посвященные распространенности обструктивной уропатии в популяции, описание клинических проявлений заболевания, а также анализ наиболее частых патологий, приводящих к супра- и/или инфравезикальной обструкции.

The objective of this article is to provide a comprehensive analysis of urinary tract obstruction—one of the most common emergency conditions. We discuss modern diagnostic methods, surgical methods, and possible complications during treatment.

The article highlights modern endoscopic drainage techniques for acute and chronic urinary tract obstruction and compares various treatment methods and their effectiveness, depending on the chosen approach.

The literature review covers current research on the prevalence of obstructive uropathy in the population, clinical manifestations, and the most common causes of supravesical and/or infravesical obstruction.

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The authors declare that there are no conflicts of interest present.