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[20 years urethroplasty experience. Retrospective review and outcomes.]. | LitMetric

AI Article Synopsis

  • The study examines the advancements in diagnosing and treating urethral stricture over two decades, specifically contrasting techniques used between 1997-2006 and 2007-2016.
  • After reviewing 495 medical records, 300 patients treated with urethroplasty were analyzed, with significant focus on four surgical techniques: termino-terminal urethroplasty, penile flap urethroplasty, and buccal mucosa grafts.
  • The results showed an increase in the use of open surgery and a consolidation of buccal mucosa grafts as a preferred method, achieving a high success rate, particularly with end-to-end urethroplasty.

Article Abstract

To present the evolution in the diagnosis and treatment of urethral stricture, after performing 300 surgical procedures over urethral meatus,penile and bulbar urethra along 20 years, contrasting two surgical periods: from 1997-2006 to 2007-2016. MATERIAL AND METHODS: A retrospective review of495 medical records between 1997-2016 was conducted.All the patients treated with urethroplasty were included and those who under went internal urethrotomy,stents or dilatations plus those with strictures due to prostate cancer treatment or orthotopic neobladder were excluded. RESULTS: 300 patients were selected: 100 patients within the first period (1997-2006) and 200 within the second (2007-2016). The median follow-up was 36 months (range 12-60). In relation to the surgical techniques, among the most employed, four are outstanding so their results can be compared in both periods:termino-terminal urethroplasty, penile flap urethroplasty and the buccal mucosa in penile or bulbar urethroplasty.Other techniques were incorporated during the second period. The best outcomes were provided by end' to endurethroplasty with 90 and 92% success. Over the second period, buccal mucosa indications were consolidated with an increase use from 16% to 56%. Were considered as successful those patients that did not need any endoscopic procedure and reporting excellent urinary flow without low urinary tract symptoms. CONCLUSIONS: A trend towards an increased usage of open surgery vs urethrotomy is observed. Buccal mucosa graft has been consolidated as a reconstructive technique. End-to end urethroplasty seems to provide the best functional outcomes.

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