Context:Scoring systems have been an important tool of clinical decision making in medicine. As scoring systems like Glasgow Coma scale have made a revolutionary change in stratifying the patient, in particular, clinical scenario. Wiegand et al. in 2012 proposed UREThRAL Score a novel method to quantify anterior urethral stricture.Aims:The aim was to validate urethral stricture score (USS) for evaluating the efficacy of operative procedures.Settings and Design:Study was done in a retrospective manner and includes patients operated for anterior urethral stricture by a single surgeon in tertiary care center over the period of 2008–2014.Subjects and Methods:A total of 57 cases were included in this study who met the inclusion criteria, of these cases 7 underwent excision and primary anastomosis (EPA), 20 underwent preputial flap urethroplasty (PFUP), 22 underwent tunica albuginea urethroplasty (TAU), and rest 8 underwent scrotal flap urethroplasty (SFUP). Procedures were assigned different complexity level, and USS was compared with the particular procedure to see the relation between both.Statistical Analysis Used:Data were analyzed using ANOVA on SPSS software.Results:Mean USS for EPA, PFUP, TAU, and SFUP in our study group was found to be 6.57, 8.95, 9.00, and 10.00, respectively, with an overall USS of 9.03, with a standard deviation of 1.56. USS was significantly associated with complexity.Conclusions:Mean USS increased with increase in surgical complexity indicating that higher USS correlates with more complex surgery. Strongest association between complexity and the individual parameter was found with location and length.
To identify and study various factors and complications that crop up in postoperative period and pose a challenge to the treating urologist in providing a satisfactory outcome to patients. MATERIAL AND METHODS: 240 patients who underwent urethroplasty were included in this study. Patients were followed up postoperatively at 6 week and 6 month. The retrospective arm was used as experience and existing complications were taken as challenge for improvising urethroplasty skills in management of urethral stricture secondary to PFUDD. RESULTS: majority of the patients were of reproductive age group, with bulb membranous junction as the most common location. Of all about 60% had TILE A grade of pelvic fractures, 27% had TILE B and 13% with TILE C. at 6 week follow up post urethroplasty none of the patient had recurrence of the stricture, 15 (6.25%) had erectile dysfunction and 5 (2.08%) patients presented with the complications of the urinary incontinence. At 6 month follow up after urethroplasty 15(6.25%) patients developed recurrence of stricture 5 out of 15 who presented with erectile dysfunction showed improvement
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