Endoscopic Surgery of Urethral Strictures: Laser Versus Knife
Yıl: 2020 Cilt: 15 Sayı: 1 Sayfa Aralığı: 39 - 44 Metin Dili: İngilizce DOI: 10.33719/yud.590392 İndeks Tarihi: 07-10-2021
Endoscopic Surgery of Urethral Strictures: Laser Versus Knife
Öz: Objective: We aimed to compare the ef-ficiency of cold knife urethrotomy and laser urethrotomy in endoscopic surgery of urethral strictures.Material and Methods: A total of 171 patients were evaluated retrospectively. A 118 patients with complete data were divided into two groups (group 1; n = 53 cold knife ure-throtomy, group 2; n = 65 laser urethrotomy) in the study. Length of the stricture, operation time, preoperative and postoperative 3rd, 6th and 12th-month Qmax values, recurrence and the presence of complications (such as bleed-ing, extravasation, fever etc.) were compared in terms of the two groups.Results: The operation time was found to be shorter in patients who underwent cold knife urethrotomy (14.01 ± 3.86 min vs 25.03±4.43 min, p=0.001). The Q max values at the postoperative 3rd, 6th and 12th months were ob-served to be higher in patients who underwent laser urethrotomy (p=0.03, p=0.001, p=0.001). At the end of a one-year follow-up, recurrence was determined in 28 (52.83%) patients in group 1 and 12 (18.46%) patients had a recur-rence in group 2 (p=0.01). No statistically sig-nificant difference was observed between the two groups in terms of postoperative complica-tions. (p=0.209).Conclusion: In this study, it was deter-mined that laser urethrotomy technique was a more successful surgical method than cold knife urethrotomy in the endoscopic surgery of urethral strictures as it has higher Qmax values and lower recurrence rate. The results should be supported by prospective, randomized studies.
Anahtar Kelime: Üretra Darlığında Endoskopik Cerrahi: Bıçağa Karşı Lazer
Öz: Amaç: Üretra darlığının endoskopik cerra-hisinde cold knife üretrotomi ile laser üretrot-ominin etkinliğini karşılaştırmayı amaçladık.Gereç ve Yöntemler: Toplam 171 hasta retrospektif olarak değerlerlendirildi. Çalışma kapsamında verileri tam olan 118 hasta 2 gruba ayrıldı (grup 1; n=53 cold knife üret-rotomi, grup 2; n= 65 lazer üretrotomi). Darlığın uzunluğu, operasyon süresi, preop-eratif ve postoperatif 3., 6. ve12. aylardaki Qmax değerleri, nüks olup olmadığı ve kom-plikasyon varlığı (kanama, extravazasyon, ateş gb) açısından iki grup karşılaştırıldı.Bulgular: Operasyon zamanının cold knife üretrotomi yapılan hastalarda daha kısa olduğu görüldü (14.01 ± 3.86 dk vs 25.03 ± 4.43 dk, p=0.001). Postoperatif 3., 6., ve 12. aylardaki Q max değerlerinin lazer üretrotomi yapılan hastalarda daha yüksek olduğu görüldü (p=0.03, p=0.001, p=0.001). Bir yıllık takip sonucunda grup-1’ de 28 (52.83%) hastada nüks saptanırken, grup-2’ de 12 (18.46%) has-tada nüks geliştiği gözlendi (p=0.01). Postop-eratif komplikasyonlar açısından her iki grup arasında istatiksel olarak anlamlı fark izlen-medi. (p=0.209).Sonuç: Yaptığımız bu çalışmada üretra darlığını endoskopik cerrahisinde, lazer üretro-tomi tekniğinin, cold knife üretrotomiye göre yüksek Qmax değerlerine ve daha düşük nüks oranına sahip olması nedeniyle daha başarılı bir cerrahi yöntem olduğu saptanmıştır. Sonuçların prospektif, randomize çalışmalarla desteklenmesi gerekmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | solakhan m, BAYRAK O (2020). Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. , 39 - 44. 10.33719/yud.590392 |
| Chicago | solakhan mehmet,BAYRAK OMER Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. (2020): 39 - 44. 10.33719/yud.590392 |
| MLA | solakhan mehmet,BAYRAK OMER Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. , 2020, ss.39 - 44. 10.33719/yud.590392 |
| AMA | solakhan m,BAYRAK O Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. . 2020; 39 - 44. 10.33719/yud.590392 |
| Vancouver | solakhan m,BAYRAK O Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. . 2020; 39 - 44. 10.33719/yud.590392 |
| IEEE | solakhan m,BAYRAK O "Endoscopic Surgery of Urethral Strictures: Laser Versus Knife." , ss.39 - 44, 2020. 10.33719/yud.590392 |
| ISNAD | solakhan, mehmet - BAYRAK, OMER. "Endoscopic Surgery of Urethral Strictures: Laser Versus Knife". (2020), 39-44. https://doi.org/10.33719/yud.590392 |
| APA | solakhan m, BAYRAK O (2020). Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. Yeni Üroloji Dergisi, 15(1), 39 - 44. 10.33719/yud.590392 |
| Chicago | solakhan mehmet,BAYRAK OMER Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. Yeni Üroloji Dergisi 15, no.1 (2020): 39 - 44. 10.33719/yud.590392 |
| MLA | solakhan mehmet,BAYRAK OMER Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. Yeni Üroloji Dergisi, vol.15, no.1, 2020, ss.39 - 44. 10.33719/yud.590392 |
| AMA | solakhan m,BAYRAK O Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. Yeni Üroloji Dergisi. 2020; 15(1): 39 - 44. 10.33719/yud.590392 |
| Vancouver | solakhan m,BAYRAK O Endoscopic Surgery of Urethral Strictures: Laser Versus Knife. Yeni Üroloji Dergisi. 2020; 15(1): 39 - 44. 10.33719/yud.590392 |
| IEEE | solakhan m,BAYRAK O "Endoscopic Surgery of Urethral Strictures: Laser Versus Knife." Yeni Üroloji Dergisi, 15, ss.39 - 44, 2020. 10.33719/yud.590392 |
| ISNAD | solakhan, mehmet - BAYRAK, OMER. "Endoscopic Surgery of Urethral Strictures: Laser Versus Knife". Yeni Üroloji Dergisi 15/1 (2020), 39-44. https://doi.org/10.33719/yud.590392 |
