Reconstruction of Urethral Strictures in Patients with a Long History of Blind Urethral Dilatation
Urology Journal,
Vol. 11 No. 3 (2014),
9 July 2014
,
Page 1660-1665
https://doi.org/10.22037/uj.v11i3.2001
Abstract
Abstract
Purpose: To compare urethral reconstructions in patients after several years with or without blind urethral dilatation.
Materials and Methods: A retrospective study of 107 patients with urethral reconstructions was performed. Sixty patients with a long history of blind urethral dilatation (group 1) were compared with 47 patients without prior dilatations (group 2).
Results: The type of surgery planned according to urethrography and endoscopy findings was appropriate in 37/60 (61.6%) patients in group 1 and in 39/47 (83%) patients in group 2 (P < .03). Anastomotic repairs were more frequent among the patients in group 2 (P < .001). Eighty five out of 107 patients were available for the 24 months follow-up. The success rate was higher in group 2 (91.4%) than patients in group 1 (70%) (P < .04). The greatest improvement in symptoms and quality of life occurred three months after the surgery (P < .05). Postoperative infection was persistent in 20/107 (18.7%) patients.
Conclusion: Urethral strictures with a long history of blind dilatation are separate entity. They are more difficult to image, require more augmentation and staged procedures and have a lower success rate.
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