Results of urethral reconstruction in adults after multiple hypospadias repairs
| Autor: | S. I. Gamidov, A O Vasil'ev, D Yu Pushkar, Alexander Govorov, R D Dusmukhamedov, R I Ovchinnikov, M G Shneiderman, A. Yu. Popova |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Urethroplasty medicine.medical_treatment media_common.quotation_subject Foley catheter Urination Postoperative Complications Urethra medicine Humans Postoperative Period media_common Hypospadias Mouth business.industry General Medicine Middle Aged Plastic Surgery Procedures Cheek medicine.disease Surgery Catheter Treatment Outcome medicine.anatomical_structure Urologic Surgical Procedures Female business Penis |
| Zdroj: | Urologiia. :82-87 |
| ISSN: | 1728-2985 |
| Popis: | AIM To improve treatment results in patients after multiple hypospadias repairs by optimizing the postoperative management. MATERIALS AND METHODS Eighty-two patients (mean age 48.1+/-15.3 years) with urethral strictures secondary to failed hypospadias repairs underwent staged graft urethroplasty using oral mucosa (cheek, lip, tongue) as a grafting material. In 62 patients, at the end of surgery the bladder was drained with a standard Foley catheter. In twenty patients the bladder was drained with a modified silicone urethral catheter, which had an additional channel for delivering drugs and removing the urethral wound effluent, and a second additional channel for inflating a balloon fixed to the catheter tube at different parts of the catheter. RESULTS The mean length of the stricture was 5.4+/-1.2 cm (from 1 to 16 cm). Twenty-eight patients had postoperative complications. Using the modified catheter resulted in statistically significantly (p |
| Databáze: | OpenAIRE |
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