Clinical and Patient-reported Outcomes of 1-sided Anterior Urethroplasty for Long-segment or Panurethral Strictures

Spencer, Jeffrey; Blakely, Stephen; Daugherty, Michael; Angulo, Javier C.; Martins, Francisco E.; Venkatesan, Krishnan; Nikolavsky, Dmitriy

doi:10.1016/j.urology.2017.08.029

Cited by 19 publications

(10 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similar results were reported by other groups; a multicenter study concluded that the success rate of the Kulkarni technique was 88% in 73 patients with a mean stricture length of 13.6 cm in a mean follow-up period of 44 months. 18 In a study that investigated the conventional Barbagli technique, Tabassi et al reported a success rate of 92% among 117 patients with a mean age of 39 years and urethral stricture length of 9.3 cm in a follow-up period of 19 months. 19 However, the mean patient age and follow-up period were both conspicuously low in their study.…”

Section: Discussionmentioning

confidence: 99%

Comparison between dorsal onlay and one‐sided dorsolateral onlay buccal mucosal graft urethroplasty in long anterior urethral strictures

Kartal¹,

Çimen²,

Kokurcan³

et al. 2020

Int J of Urology

View full text Add to dashboard Cite

Objective To compare dorsal onlay (conventional Barbagli) and one‐sided dorsolateral onlay (Kulkarni technique) buccal mucosa substitution urethroplasty techniques for the treatment of long anterior urethral strictures. Methods Demographic data, treatment outcomes and success rates of patients who underwent either conventional Barbagli or Kulkarni urethroplasty for the treatment of an anterior urethral stricture longer than 8 cm between January 2010 and March 2019 in our center were retrospectively reviewed. Results Demographic parameters of patients who underwent the conventional Barbagli (n = 37) or Kulkarni procedure (n = 31) did not differ. The mean surgical duration and hospital stay were shorter for patients treated with the Kulkarni technique (179.5 ± 30.0 and 3.5 ± 1.2 vs 195.5 ± 28.9 min and 4.4 ± 1.8 days; P = 0.037, P = 0.002). Mean intraoperative blood loss and perioperative complication rates were signficantly lower in patients who underwent the Kulkarni technique than those who underwent the conventional Barbagli technique (164.3 ± 62.9 vs 202.4 ± 78.1 mL; P = 0.033 and 16.1% vs 37.8%; P = 0.046). The mean follow‐up time period was 59.8 ± 24.7 and 63.5 ± 26.8 months for Kulkarni and conventional Barbagli techniques, respectively. Success rates based these follow‐up time periods were 27 (87.1%) and 26 (70.3%) for the Kulkarni and conventional Barbagli techniques, respectively. Conclusion The Kulkarni technique should be more preferred for the treatment of long anterior urethral strictures over the conventional Barbagli technique based on surgical outcomes and success rates.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison between dorsal onlay and one‐sided dorsolateral onlay buccal mucosal graft urethroplasty in long anterior urethral strictures

Kartal¹,

Çimen²,

Kokurcan³

et al. 2020

Int J of Urology

View full text Add to dashboard Cite

show abstract

“…Antifibrotic injectables, acting as scar inhibitors, may be placed into the stricture after stricturotomy. Stents impregnated with tacrolimus or paclitaxel have been tried in animal and human models with apparently promising early results [86,87].…”

Section: Schematic Illustration Of Single-stage Combined Flap Graft mentioning

confidence: 99%

Historical Perspective and Innovations in Penile Urethroplasty

Martins¹,

Oliveira²,

Martins³

2020

Lower Urinary Tract Dysfunction - From Evidence to Clinical Practice

View full text Add to dashboard Cite

Penile urethral strictures are common and impact on quality of life and healthcare costs. Management of penile urethral strictures is complex and depends on the physical characteristics of the stricture. Contemporary studies show no difference between urethral dilation and internal urethrotomy in terms of long-term outcomes. Overall, long-term success rates range from 20 to 30%. However, their recurrence rate is greater for men with longer strictures, penile urethral strictures, multiple strictures, presence of infection, or history of prior procedures, which make them less cost-effective. Surgical urethroplasty is associated with higher long-term success rates, averaging from 85 to 90%, mostly in virgin or noncomplex cases. Historically, modern urethral reconstruction has evolved from 1950s with the revolutionary introduction of Johanson's technique for staged urethral reconstruction. Since then, many techniques have been developed and employed for urethroplasty, depending on the location, length, and character of the stricture. Successful management of urethral strictures requires detailed knowledge of anatomy, pathophysiology, proper patient selection, and reconstructive techniques.

show abstract

“…Considering etiological factors, the characteristics of stenosis, previous operations, the degree of fibrosis, the presence of tissues to be used as flaps or grafts, surgical experience and preference are effective factors in decision-making (16). (15,16,20,35,(44)(45)(46)(47)(48)(49). Bulbar urethral stenosis is treated using either direct (end-to-end anastomosis) or anastomosis techniques with free dorsal graft over the corporacaavernosa, or using epilated biaxial scrotal skin flap or free preputial skin or buccal mucosa, or with grafts placed ventrally or dorsally placed.…”

Section: Treatmentsmentioning

confidence: 99%

Urethral Stenosis and Urethroplasty in Male Elderly

Ayyıldız¹

2020

jarem

View full text Add to dashboard Cite

Clinical and Patient-reported Outcomes of 1-sided Anterior Urethroplasty for Long-segment or Panurethral Strictures

Cited by 19 publications

References 25 publications

Comparison between dorsal onlay and one‐sided dorsolateral onlay buccal mucosal graft urethroplasty in long anterior urethral strictures

Comparison between dorsal onlay and one‐sided dorsolateral onlay buccal mucosal graft urethroplasty in long anterior urethral strictures

Historical Perspective and Innovations in Penile Urethroplasty

Urethral Stenosis and Urethroplasty in Male Elderly

Contact Info

Product

Resources

About