Urethral meatus preserving ventral onlay augmentation urethroplasty for female urethral stricture: our technique with initial experience
| Autor: | Hemant Goel, Rajeev Sood, Varun Gunavanthe, Nikhil Khattar, Anurag Singla, Varun Kumar Katiyar |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urethral meatus Meatus Urethral stricture business.industry Urology Urethroplasty medicine.medical_treatment Residual urine medicine.disease Diseases of the genitourinary system. Urology Surgery Female urethral stricture Mucosal graft Meatus sparing Substitution urethroplasty Lower urinary tract symptoms medicine Augmentation urethroplasty Ventral onlay Major complication RC870-923 business |
| Zdroj: | African Journal of Urology, Vol 27, Iss 1, Pp 1-8 (2021) |
| ISSN: | 1961-9987 1110-5704 |
| Popis: | Background Female urethral stricture (FUS) is an uncommon cause of lower urinary tract symptoms (LUTS) in women. Reconstructive techniques are being increasingly used for strictures resistant to the more conservative form of management. Most forms of reconstruction require cutting open of urethral meatus, thereby resulting in some loss of the meatus function. We hereby describe the technique of urethral meatus sparing ventral onlay mucosal graft augmentation urethroplasty with our initial experience. Methods We performed this procedure in 10 cases of FUS with normal meatus and prospectively studied the outcomes over a period of 6 months follow-up. Results There was 90 percent success rate with one recurrence. The mean Qmax increased from 7.2 to 19.5 ml/s, mean post-void residual urine (PVRU) decreased from 96.5 to 22.7 ml and the mean IPSS decreased from 26.1 to 5.7. There were no major complications noted and the patients demonstrated significant subjective and objective improvement of symptoms in the follow-up period. Conclusion The technique of meatus sparing ventral onlay augmentation graft urethroplasty is a promising approach with good outcomes, is reproducible and has minimal complication rate. |
| Databáze: | OpenAIRE |
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