Assessments of ReDo buccal mucosal urethroplasty in terms of functional outcomes

Topçuoğlu, Murat; Topaloğlu, Hikmet; Kartal, İbrahim; Kokurcan, Alihan; Sarı, Hilmi; Yalçınkaya, Fatih

doi:10.1007/s11255-022-03279-1

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…Хотя ряд авторов при развитии рецидива стриктуры рекомендуют начинать лечение с малоинвазивных методов (бужирование, оптическая уретротомия [57,59], но большинство рекомендуют выполнять повторную расширяющую уретропластику, которая эффективно нормализует мочеиспускание в 78%-100% случаев [52,60,61], так что эффективность повторной уретропластики не уступает результатам первичной аналогичной операции [62].…”

Section: поздние осложнения в области реконструкции уретрыunclassified

“…Однако текущий уровень доказательств ограничен небольшими обсервационными исследованиями, что подчеркивает необходимость дополнительных более крупных проспективных данных для оценки различных методов, используемых при рецидивирующих стриктурах уретры. В отдельных когортных исследованиях сообщается о хороших результатах повторных уретропластик [60,61] за исключением случаев с длинными и слοжными стриктурами [8,72,73].…”

Section: поздние осложнения в области реконструкции уретрыunclassified

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Complications of primary and recurrent buccal urethroplasty in men.

Abdulaev,

Polyakov,

Kazachenko

2023

ECU

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Introduction. Recently, there has been a tendency to perform reconstructive-plastic interventions for the treatment of both primary and recurrent urethral strictures. Buccal urethroplasty is currently recognized as the «gold standard» for the urethral strictures treatment. However, despite a large number of works on operative correction of urethral strictures using the cheek mucosa, the issues of prevention and correction of intra- and postoperative complications of buccal urethroplasty have not been finally resolved. The purpose. Using the world literature, to stydy complications, methods of their prevention and correction for improving the efficiency of primary and repeated recοnstructive-plastic οperations on the urethra using free autograft of mucous membranes οth cheeks. Materials and methods. The literature review was made using bibliographic databases: Pubmed, Web of Sience, Science Direct, Scopus, Cyberleninka, eLibrary.ru and others for the period from 1990–2022. The following keywords were used: urethral stricture, buccal graft, complications of buccal urethroplasty, buccal urethroplasty, diagnosis of complications of buccal urethroplasty, treatment of complications of buccal urethroplasty, anastomotic urethroplasty, urethroplasty replacement. In total, 150 original publications were identified and analyzed, and 104 articles of them were selected for a literary review. Results. The analysis of complications of primary and repeated buccal urethroplasty was carried out, possible options for diagnosis and correction of complications of reconstructive plastic surgery on the urethra of men using the cheek mucosa were studied and the quality of life of patients after surgical treatment was analyzed. Conclusion. The analysis of the scientific literature on the results of the surgical treatment of primary and recurrent urethral strictures using buccal mucosa graft shows that at present there is no single clinical position that would clearly classify the emerging complications of this method of uretroplastics and contributed to the development of measures for their prevention.

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Section: поздние осложнения в области реконструкции уретрыunclassified

Complications of primary and recurrent buccal urethroplasty in men.

Abdulaev,

Polyakov,

Kazachenko

2023

ECU

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“…При этом некоторые авторы сообщают об определенных различиях [14,15]. Также актуален вопрос об осложнениях и эффективности этих операций при повторной уретропластике после неудачных первичных операций, и хотя в целом ряд авторов не находят существенных различий [16][17][18], но по отдельным вариантам операций и в зависимости от локализации стриктуры они выявляются [13,19,20].…”

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Analysis of results and complications after plastic surgery of recurrent urethral strictures.

I.A.,

N.V.,

A.V.

et al. 2024

ECU

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Introduction. Over the past 30 years in reconstructive urology there has been a tendency to reduce the frequency of use of minimally invasive methods of surgical treatment of urethral strictures of various localizations and the predominant use of reconstructive plastic interventions with the expansion of the narrowed area of the urethra using inserts from various tissues. Buccal dilation urethroplasty is currently recognized as the optimal treatment option for urethral strictures of various locations and of varying length. Thus, the issue of choosing the most appropriate method of surgical intervention for recurrent urethral strictures, in the context of a possible increase in the risk of complications, requires additional research. Purpose. To analyze and evaluate the results and complications after plastic surgery of recurrent urethral strictures using a free autograft of the buccal mucosa. Materials and methods. The analysis included data on 51 patients operated on at the Research Institute of Urology and Interventional Radiology named after. N.A. Lopatkina–branch of the Federal State Budgetary Institution National Medical Research Center of Radiology of the Ministry of Health of the Russian Federation for the period from 2014 to 2021 regarding recurrent urethral stricture. The average age of the patients was 36.2±1.6 years (from 18 to 58 years). The diagnosis of recurrent urethral stricture was confirmed by anamnesis, clinical and laboratory examination according to a standard protocol, and special examination methods (uroflowmetry, ultrasound examination of the bladder, retrograde or antegrade cystourethrography, voiding urethrography). According to indications, fibrourethrocystoscopy was performed. According to radiological research methods, the localization and extent of urethral stricture were determined. The functional state of the bladder and the severity of bladder outlet obstruction were determined by the volume of residual urine determined by ultrasound of the bladder, as well as by uroflowmetry data. Results. An analysis of the results and complications after plastic surgery of recurrent urethral strictures using a buccal flap was carried out after repeated operations. As the length of the stricture increases, the risk of its recurrence increases significantly. The most significant factors are the location of the stricture in the penile region and its extent. No other long-term complications (newly developed urinary incontinence/erectile dysfunction) were observed in any case in the analyzed group of patients. Conclusion. Repeated operations for recurrent urethral strictures can eliminate urinary disorders with an effectiveness close to (or equal to) that of primary operations. When choosing a method of surgical treatment of recurrent strictures, both the extent of the stricture and its location should be taken into account. The presence of an extended stricture of the penile urethra may be a risk factor for its recurrence. Complications that develop after repeated operations in the vast majority of cases are not life-threatening. The question of the effectiveness of different types of surgery requires additional research with the accumulation of clinical material.

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Assessments of ReDo buccal mucosal urethroplasty in terms of functional outcomes

Cited by 2 publications

References 28 publications

Complications of primary and recurrent buccal urethroplasty in men.

Complications of primary and recurrent buccal urethroplasty in men.

Analysis of results and complications after plastic surgery of recurrent urethral strictures.

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