Limited experience, high body mass index and previous urethral surgery are risk factors for failure in open urethroplasty due to penile strictures

Autor:	Ralph Peeker, Teresa Olsen Ekerhult, Lars Grenabo, Klas Lindqvist
Rok vydání:	2015
Předmět:	Adult Male medicine.medical_specialty Penile Diseases Urologic Surgical Procedures Male Urethral stricture Urology Urethroplasty medicine.medical_treatment Surgical Flaps Body Mass Index Urethra Risk Factors medicine Humans Treatment Failure Significant risk High body mass index Retrospective Studies Urethral Stricture business.industry Urethral surgery Mouth Mucosa Buccal administration Middle Aged medicine.disease Surgery Treatment Outcome Nephrology Free skin graft business Body mass index Penis
Zdroj:	Scandinavian Journal of Urology. 49:415-418
ISSN:	2168-1813 2168-1805
DOI:	10.3109/21681805.2015.1030689
Popis:	The aim of this study was to evaluate outcomes and possible risk factors for failure of open urethroplasty due to penile urethral strictures.A retrospective chart review was undertaken of 90 patients with penile stricture undergoing 109 open urethroplasties between 2000 and 2011. In 80 urethroplasties, a one-stage procedure was performed: 68 of these had a pediculated penile skin flap, nine had a free buccal mucosal graft and three had a free skin graft. A two-stage procedure using buccal mucosa was performed in 29 urethroplasties. Failure was defined as when further urethral instrumentation was needed.The mean age in the one-stage and two-stage groups were 50 and 54 years, respectively. The success rates in the corresponding groups were 65% and 72%, with follow-up times of 63 and 40 months, respectively. Multivariable analyses disclosed body mass index (BMI) and previous urethral surgery to be significant risk factors for failure in the one-stage group. Failure over time significantly decreased during the study period.Both one- and two-stage penile urethroplasty demonstrated success rates in line with previous reports. Limited experience, high BMI and previous urethral surgery appear to be associated with less favourable outcome.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3bc23d8cb7aa83d08f4799aaccd634f3 https://doi.org/10.3109/21681805.2015.1030689 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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