Buccal mucosal graft urethroplasty of the bulbomembranous part of urethra

Abstract

Introduction Urethral stricture is a partial or complete narrowing of the urethra, caused by damage to the urethral epithelium. This disease leads to a persistent urination dysfunction, the elimination of which is a difficult task. The aim of this study was to perform a comparative analysis of the immediate and long-term narrowing treatment results of the proximal part of the bulbar and membranous urethral parts using the developed magnifying and anastomotic methods. Material and methods A total of 102 patients with a confirmed diagnosis of stricture of the bulbomembranous urethral part of the urethra who underwent treatment in the urological hospital in Irkutsk City Clinical Hospital No. 1 during the period 2012–2018 participated in this prospective study. Urethroplasty operations were performed in two ways, using the anastomotic and intra-urethral substitution techniques. Through the assessment of preoperative parameters, statistical homogeneity of comparison groups was established. Results The final data analysis showed relapse for 4 patients from Group I and for 2 patients in Group II. The absence of relapse during the entire observation period was equal in both groups and after 2 years amounted to 83.0 ±7.9% in Group I and 92.5 ±5.1% in Group II. Conclusions In both groups, the desired result was achieved – adequate independent urination was restored. The anastomotic method of urethroplasty should be used with caution in patients at risk groups, as well as with the presence of predictors of complications: previous transurethral surgeries on the urethra and prostate, anastomotic urethroplasty, radical prostatectomy. The developed minimally invasive substitution technique has a similar effectiveness with a lower risk of complications.

Fast Track Surgery as the Latest Multimodal Strategy of Enhanced Recovery after Urethroplasty

“…An excellent result is considered a signifcant decrease in the severity of post-operative pain (p < 0.001), and, consequently, a decrease in surgical stress, as well as a reduction in the treatment period, from the moment of diagnosis to full recovery (p < 0.001) when using the developed FTS protocol. Te authors did not fnd similar studies of the efectiveness of FTS in urethroplasty; however, the general concept of the system and many works [35][36][37][38][39][40][41] demonstrate similar results.…”

Erectile function evaluation in patients after urethroplasty: systematic review and meta-analysis

“…В метаанализ были включены 16 научных работ [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] c общим числом пациентов 1476 (см. таблицу).…”