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Limited experience, high body mass index and previous urethral surgery are risk factors for failure in open urethroplasty due to penile strictures

Authors :
Ralph Peeker
Teresa Olsen Ekerhult
Lars Grenabo
Klas Lindqvist
Source :
Scandinavian Journal of Urology. 49:415-418
Publication Year :
2015
Publisher :
Medical Journals Sweden AB, 2015.

Abstract

The aim of this study was to evaluate outcomes and possible risk factors for failure of open urethroplasty due to penile urethral strictures.A retrospective chart review was undertaken of 90 patients with penile stricture undergoing 109 open urethroplasties between 2000 and 2011. In 80 urethroplasties, a one-stage procedure was performed: 68 of these had a pediculated penile skin flap, nine had a free buccal mucosal graft and three had a free skin graft. A two-stage procedure using buccal mucosa was performed in 29 urethroplasties. Failure was defined as when further urethral instrumentation was needed.The mean age in the one-stage and two-stage groups were 50 and 54 years, respectively. The success rates in the corresponding groups were 65% and 72%, with follow-up times of 63 and 40 months, respectively. Multivariable analyses disclosed body mass index (BMI) and previous urethral surgery to be significant risk factors for failure in the one-stage group. Failure over time significantly decreased during the study period.Both one- and two-stage penile urethroplasty demonstrated success rates in line with previous reports. Limited experience, high BMI and previous urethral surgery appear to be associated with less favourable outcome.

Details

ISSN :
21681813 and 21681805
Volume :
49
Database :
OpenAIRE
Journal :
Scandinavian Journal of Urology
Accession number :
edsair.doi.dedup.....3bc23d8cb7aa83d08f4799aaccd634f3
Full Text :
https://doi.org/10.3109/21681805.2015.1030689