Double-face urethroplasty in patients with obliterative bulbar strictures post-transurethral resection of the prostate mid-term outcomes in high-volume referral center  

作　　者：Pankaj M.Joshi Manuel Hevia Yatam Lakshmi Sreeranga Marco Bandini Amey Patil Shreyas Bhadranavar Vipin Sharma Sandeep Bafna Sanjay B.Kulkarni 

机构地区：[1]Kulkarni Reconstructive Urology Center,3,Rajpath Society,Paud Road,Pune 411038,India [2]Urology Department,Ramón y Cajal University Hospital,IRYCIS,University of Alcalá,Madrid,Spain [3]Urological Research Institute(URI),Unit of Urology,IRCCS Ospedale San Raffaele,Vita Salute,San Raffaele University,Milan,MI,Italy

出　　处：《Asian Journal of Urology》2023年第4期512-517,共6页亚洲泌尿外科杂志（英文）

摘　　要：Objective Incidences of post-transurethral resection of the prostate(post-TURP)strictures are between 2.2%and 9.8%.Stricture commonly occurs within the first 6 months.Our objective was to assess the outcomes of patients with obliterative strictures post-TURP that underwent a double-face urethroplasty.Methods This is a single-center prospective study of 17 patients with obliterative proximal bulbar stricture post-TURP who underwent double-face graft urethroplasty by two surgeons between January 2014 and January 2020.We defined post-TURP obliterative strictures as those patients who presented with complete or almost complete obstruction of the urethral lumen and who have had a history of acute urine retention.We have excluded patients with bladder neck contracture.Primary outcome was treatment success,defined as the no need for further treatments.Secondary outcome was post-urethroplasty continent rate.Results Seventeen patients were included in the study with median age of 66(interquartile range 40-77)years;median time of follow-up was 24(interquartile range 12-84)months;median stricture length was 4(interquartile range 2-6)cm.Of the 17 patients,15(88.2%)were successful.All patients were continent after urethroplasty.Conclusion With mid-term follow-up,treatment of obliterative proximal bulbar strictures with double-face buccal mucosa graft is a safe and effective procedure.Obliterative proximal bulbar strictures merit double-face urethroplasty with high-rate success and functional outcomes.

关 键 词：Double-face urethroplasty Obliterative urethral stricture Post-transurethral resection of prostate Urethral stricture Spongiofibrosis Iatrogenic stricture 

分 类 号：R699.8[医药卫生—泌尿科学]