Transpubic Urethroplasty : A Single Center Experience
Joint Authors
Mathur, Raj Kumar
Odiya, Sudharshan A.
Tiwari, Niraj Shriram
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Objective.
To evaluate the long-term results of transpubic urethroplasty for pelvic fracture urethral distraction defects.
Patients and Methods.
Sixteen patients who had undergone transpubic urethroplasty for posttraumatic complex posterior urethral disruptions between 2007 and 2013 were analyzed retrospectively and prospectively.
Patients were followed up for a mean (range) of 24 (6–60) months by history, urinary flow rate estimate, retrograde urethrography, and voiding cystourethrography.
Results.
The mean age of the patients was 30.4 years.
The estimated radiographic stricture length before surgery was 4.3 cm.
Transpubic urethroplasty was successful in 14 out of 16 patients.
Postoperative complications were recurrent stricture (12.5%), urethrocutaneous fistula (12.5%), incontinence (31.25%), impotence (25%), and wound infection (18.75%).
Failed repairs were successfully managed endoscopically in one patient and by perineal anastomotic repair in the other, giving a final success rate of 100%.
Five out of 16 patients were incontinent of which 3 of them resolved and 2 had permanent incontinence.
Impotence was seen in 4 out of 16 patients.
There were no reported complications of pubectomy in any of our patients.
Conclusions.
Though considered obsolete now, transpubic urethroplasty for complex posterior urethral disruptions is still a viable alternative with excellent results and minimal morbidity.
American Psychological Association (APA)
Mathur, Raj Kumar& Tiwari, Niraj Shriram& Odiya, Sudharshan A.. 2014. Transpubic Urethroplasty : A Single Center Experience. Advances in Urology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-501245
Modern Language Association (MLA)
Mathur, Raj Kumar…[et al.]. Transpubic Urethroplasty : A Single Center Experience. Advances in Urology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-501245
American Medical Association (AMA)
Mathur, Raj Kumar& Tiwari, Niraj Shriram& Odiya, Sudharshan A.. Transpubic Urethroplasty : A Single Center Experience. Advances in Urology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-501245
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501245