Yıl: 2020 Cilt: 46 Sayı: 5 Sayfa Aralığı: 383 - 387 Metin Dili: İngilizce DOI: 10.5152/tud.2020.20106 İndeks Tarihi: 10-10-2020

Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes

Öz:
tive bulbar urethral strictures and analyze the short-term outcomes.Material and methods: We retrospectively evaluated a prospectively maintained database of patients with near-obliterative bulbar urethral strictures (>2 cm), who underwent double-face augmentation urethroplasty. The patients’ demographic characteristics, clinical data, and data regarding the investigations conducted were analyzed. Near-obliterative urethral stricture was defined as lumen <6 Fr. Double-face urethroplasty was performed using a ventral approach, during which dorsal inlay and ventral onlay buccal mucosal graft (BMG) augmentation were performed. A successful outcome was defined as normal voiding without the need for any instrumentation to improve the urinary fl ow rate.Results: A total of 37 patients with a mean age of 50±11.7 years, who underwent this procedure were included in the study. The mean stricture length was 5.2±0.95 cm. The mean length of the dorsal inlay BMG augmentation was 3.1±0.5 cm and that of the ventral onlay BMG augmentation was 6.3±1.2 cm. Post-void dribbling (18.9%) was the most commonly reported complication. The maximum fl ow rates and symptom scores significantly improved in both groups compared with the preoperative parameters (p<0.001). The incidence of both erectile dysfunction and ejaculatory failure was reported in 6 (16.2%) patients; respectively. The overall success rate was 86.5% at a median follow-up period of 36 months (IQR: 26.5–43).Conclusion: Double-face augmentation urethroplasty is a safe and feasible option for near-obliterative bulbar urethral strictures, and our study showed satisfactory short-term outcomes for the same.
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  • 1. Joshi P, Kaya C, Kulkarni S. Approach to bulbar urethral strictures: Which technique and when? Turk J Urol 2016;42:53-9. [Crossref]
  • 2. Andrich DE, Mundy AR. Non-transecting anastomotic bulbar urethroplasty: a preliminary report. BJU Int 2012;109:1090-4. [Crossref]
  • 3. Barbagli G, De Stefani S, Annino F, De Carne C, Bianchi G. Muscle‐ and nerve‐sparing bulbar urethroplasty: a new technique. Eur Urol 2008;54:335-43. [Crossref]
  • 4. Palminteri E, Manzoni G, Berdondini E, Di Fiore F, Testa G, Poluzzi M, et al. Combined dorsal plus ventral double buccal mucosa graft in bulbar urethral reconstruction. Eur Urol 2008;53:81-9. [Crossref]
  • 5. Shahrour W, Joshi P, Hunter CB, Batra VS, Elmansy H, Surana S, et al. The benefits of using a small caliber ureteroscope in evaluation and management of urethral stricture. Adv Urol 2018;2018. [Crossref]
  • 6. Rosen RC, Catania JA, Althof SE, Pollack LM, O’Leary M, Seftel AD, et al. Development and validation of four-item version of Male Sexual Health Questionnaire to assess ejaculatory dysfunction. Urology 2007;69:805-9. [Crossref]
  • 7. Palminteri E, Berdondini E, Florio M, Cucchiarale G, Milan G, Valentino F, et al. Two‐sided urethra‐sparing reconstruction combining dorsal preputial skin plus ventral buccal mucosa grafts for tight bulbar strictures. Int J Urol 2015;22:861-6. [Crossref]
  • 8. Gelman J, Siegel JA. Ventral and dorsal buccal grafting for 1-stage repair of complex anterior urethral strictures. Urology 2014;831418-22. [Crossref]
  • 9. Cotter KJ, Flynn KJ, Hahn AE, Voelzke BB, Myers JB, Smith 3rd TG, et al. Prevalence of post-micturition incontinence before and after anterior urethroplasty. J Urol 2018;200:843-7. [Crossref]
  • 10. Palminteri E, Berdondini E, De Nunzio C, Bozzini G, Maruccia S, Scoffone C, et al. The impact of ventral oral graft bulbar urethroplasty on sexual life. Urology 2013;81:891-8. [Crossref]
  • 11. Palminteri E, Berdondini E, Shokeir AA, Iannotta L, Gentile V, Sciarra A. Two-sided bulbar urethroplasty using dorsal plus ventral oral graft: urinary and sexual outcomes of a new technique. J Urol 2011;185:1766-71. [Crossref]
  • 12. Barbagli G, Montorsi F, Balò S, Sansalone S, Loreto C, Butnaru D, et al. Treatments of 1242 bulbar urethral strictures: multivariable statistical analysis of results. World J Urol 2019;37:1165-71. [Crossref]
APA Enganti B, mannem s, chiruvella m, Bendigeri M, Ragoori D, Ghouse S, REDDY p (2020). Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. , 383 - 387. 10.5152/tud.2020.20106
Chicago Enganti Bhavatej,mannem srinath,chiruvella mallikarjuna,Bendigeri Mohammed Taif,Ragoori Deepak,Ghouse Syed Mohammed,REDDY purna chandra reddy Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. (2020): 383 - 387. 10.5152/tud.2020.20106
MLA Enganti Bhavatej,mannem srinath,chiruvella mallikarjuna,Bendigeri Mohammed Taif,Ragoori Deepak,Ghouse Syed Mohammed,REDDY purna chandra reddy Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. , 2020, ss.383 - 387. 10.5152/tud.2020.20106
AMA Enganti B,mannem s,chiruvella m,Bendigeri M,Ragoori D,Ghouse S,REDDY p Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. . 2020; 383 - 387. 10.5152/tud.2020.20106
Vancouver Enganti B,mannem s,chiruvella m,Bendigeri M,Ragoori D,Ghouse S,REDDY p Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. . 2020; 383 - 387. 10.5152/tud.2020.20106
IEEE Enganti B,mannem s,chiruvella m,Bendigeri M,Ragoori D,Ghouse S,REDDY p "Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes." , ss.383 - 387, 2020. 10.5152/tud.2020.20106
ISNAD Enganti, Bhavatej vd. "Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes". (2020), 383-387. https://doi.org/10.5152/tud.2020.20106
APA Enganti B, mannem s, chiruvella m, Bendigeri M, Ragoori D, Ghouse S, REDDY p (2020). Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. Turkish Journal of Urology, 46(5), 383 - 387. 10.5152/tud.2020.20106
Chicago Enganti Bhavatej,mannem srinath,chiruvella mallikarjuna,Bendigeri Mohammed Taif,Ragoori Deepak,Ghouse Syed Mohammed,REDDY purna chandra reddy Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. Turkish Journal of Urology 46, no.5 (2020): 383 - 387. 10.5152/tud.2020.20106
MLA Enganti Bhavatej,mannem srinath,chiruvella mallikarjuna,Bendigeri Mohammed Taif,Ragoori Deepak,Ghouse Syed Mohammed,REDDY purna chandra reddy Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. Turkish Journal of Urology, vol.46, no.5, 2020, ss.383 - 387. 10.5152/tud.2020.20106
AMA Enganti B,mannem s,chiruvella m,Bendigeri M,Ragoori D,Ghouse S,REDDY p Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. Turkish Journal of Urology. 2020; 46(5): 383 - 387. 10.5152/tud.2020.20106
Vancouver Enganti B,mannem s,chiruvella m,Bendigeri M,Ragoori D,Ghouse S,REDDY p Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes. Turkish Journal of Urology. 2020; 46(5): 383 - 387. 10.5152/tud.2020.20106
IEEE Enganti B,mannem s,chiruvella m,Bendigeri M,Ragoori D,Ghouse S,REDDY p "Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes." Turkish Journal of Urology, 46, ss.383 - 387, 2020. 10.5152/tud.2020.20106
ISNAD Enganti, Bhavatej vd. "Double-face augmentation urethroplasty for bulbar urethral strictures: Analysis of short-term outcomes". Turkish Journal of Urology 46/5 (2020), 383-387. https://doi.org/10.5152/tud.2020.20106