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End‐to‐end urethroplasty: long‐term results
Author(s) -
Micheli E.,
Ranieri A.,
Peracchia G.,
Lembo A.
Publication year - 2002
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2002.02832.x
Subject(s) - lithotomy position , medicine , urethroplasty , surgery , urethrotomy , anastomosis , urethra , stenosis , alternative medicine , pathology
Objective To retrospectively review patients with strictures (<3 cm) of the bulbous urethra who had undergone urethroplasty with excision of the stenotic segment and end‐to‐end anastomosis. Patients and methods The review included 74 patients (all men, mean age 39 years, range 18–70) treated between 1989 and 1999 for strictures 5–30 mm long. Forty‐one of the patients (55%) had been treated previously, 39 endoscopically (urethrotomy and/or dilatation) and two surgically. Surgical access was perineal, with the patient in an exaggerated lithotomy position; the stenotic segment was excised and the stumps spatulated for end‐to‐end anastomosis. The mean (range) duration of surgery was 140 (75–280) min. There were no complications during or after surgery, and none related to the duration in the lithotomy position. Results At a mean follow‐up of 60 months, 93% of the patients had no recurrence of the stricture and were therefore considered cured. There were no treatment‐related complications. Conclusion End‐to‐end anastomosis is confirmed as the treatment of choice for short bulbous urethral strictures, giving cure rates close to 100%.