Treatments of 1242 bulbar urethral strictures: multivariable statistical analysis of results
Barbagli G., Montorsi F., Balò S., Sansalone S., Loreto C., Butnaru D. V., Bini V., Lazzeri M.
World Journal of Urology
Vol.37, Issue6, P. 1165-1171
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.1007/s00345-018-2481-6
Аннотация:
Purpose: We investigated the success rate of different surgical techniques for bulbar stricture repair. Methods: Retrospective study of patients with bulbar urethral strictures treated using different techniques. The primary outcome of the study was to evaluate the overall results of treatment (success vs. failure); the secondary outcome was to evaluate the outcome according to any surgical technique. Cysto-urethrography was performed 1 month following surgery. Patients underwent clinical evaluation, uroflowmetry and residual urine measurement every 6 months for 2 years after surgery and later once on year. When patient showed obstructive symptoms, Qmax < 12 ml/s, the urethrography was repeated. Patients who underwent further treatment for recurrent stricture were classified as failures. A bivariable and multivariable statistical analysis was performed. Results: Overall, 1242 patients were included in the study with mean age 40 years (range 12–84). Median stricture length was 4 cm (
Ключевые слова:
Long-term results; Oral mucosa; Skin graft; Surgical technique; Urethra; Urethroplasty; Urethrotomy
adolescent; adult; aged; child; human; male; male genital system surgery; middle aged; multivariate analysis; procedures; retrospective study; treatment outcome; urethra stenosis; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Child; Humans; Male; Middle Aged; Multivariate Analysis; Retrospective Studies; Treatment Outcome; Urethral Stricture; Urologic Surgical Procedures, Male; Young Adult
Язык текста: Английский
ISSN: 1433-8726
Barbagli G.
Montorsi F.
Balò S.
Sansalone S.
Loreto C.
Butnaru D. V. Denis Viktorovich 1978-
Bini V.
Lazzeri M.
Барбагли Г.
Монторси Ф.
Балò С.
Сансалоне С.
Лорето C.
Бутнару Д. В. Денис Викторович 1978-
Бини В.
Лаззери М.
Treatments of 1242 bulbar urethral strictures: multivariable statistical analysis of results
Текст визуальный непосредственный
World Journal of Urology
Springer-Verlag GmbH
Vol.37, Issue6 P. 1165-1171
2019
Статья
Long-term results Oral mucosa Skin graft Surgical technique Urethra Urethroplasty Urethrotomy
adolescent adult aged child human male male genital system surgery middle aged multivariate analysis procedures retrospective study treatment outcome urethra stenosis very elderly young adult Adolescent Adult Aged Aged, 80 and over Child Humans Male Middle Aged Multivariate Analysis Retrospective Studies Treatment Outcome Urethral Stricture Urologic Surgical Procedures, Male Young Adult
Purpose: We investigated the success rate of different surgical techniques for bulbar stricture repair. Methods: Retrospective study of patients with bulbar urethral strictures treated using different techniques. The primary outcome of the study was to evaluate the overall results of treatment (success vs. failure); the secondary outcome was to evaluate the outcome according to any surgical technique. Cysto-urethrography was performed 1 month following surgery. Patients underwent clinical evaluation, uroflowmetry and residual urine measurement every 6 months for 2 years after surgery and later once on year. When patient showed obstructive symptoms, Qmax < 12 ml/s, the urethrography was repeated. Patients who underwent further treatment for recurrent stricture were classified as failures. A bivariable and multivariable statistical analysis was performed. Results: Overall, 1242 patients were included in the study with mean age 40 years (range 12–84). Median stricture length was 4 cm (