RECONSTRUCTION OF BULBAR URETHRAL STRICTURES
Authors:
G. Barbagli 1; S. Sansalone 2; G. Romano 3; M. Lazzeri 4
Authors place of work:
Centro Chirurgico Toscano, Arezzo, Italy
1; Department of Experimental Medicine and Surgery, University of Tor Vergata, Rome, Italy
2; Unit of Urology, Ospedale San Donato, ASL 8, Arezzo, Italy
3; Division of Oncology, Unit of Urology, URI, IRCCS Ospedale San Raffaele, Universita` Vita‑ Salute San Raffaele, Milan, Italy
4
Published in the journal:
Urol List 2014; 12(4): 24-28
Summary
We performed a retrospective, observational study to evaluate the success rate of surgical techniques used to repair bulbar urethral strictures in an Italian high‑volume centre from 1988 to 2013. Patients requiring bulbar urethroplasty were included. Patients with penile stricture or incomplete clinical records were excluded from the study. The primary outcome of the study was to evaluate the overall success rate of surgical repair of bulbar urethral strictures. The secondary outcome of the study was to investigate the success rate of the single surgical techniques. Descriptive statistical methods were applied. Six hundred fourteen male patients with a median age of 39 years were included in the study. The median followup was 82 months (range 12– 302 months). Out of 614 patients, 338 (55%) underwent ventral onlay graft urethroplasty, 208 (33.9%) end‑to‑ end anastomosis, 44 (7.2%) dorsal onlay graft urethroplasty and 24 (3.9%) augmented anastomotic repair. Out of 614, 520 (84.7%) were classified as success and 94 (15.3%) as failures. End‑to‑ end anastomosis provided 87% success rate, ventral onlay graft technique, 85.5%, dorsal onlay graft technique 72.7% and augmented anastomotic repair 75%. Reconstruction of bulbar urethral strictures using four different one‑stage surgical techniques provided satisfactory results in 84.7% of patients.
Key words:
urethra, treatment, stricture, oral mucosa
Zdroje
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Štítky
Paediatric urologist UrologyČlánok vyšiel v časopise
Urological Journal
2014 Číslo 4
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