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End-to-end urethroplasty: long-term results.
E Micheli1, A Ranieri, G Peracchia
1Division of Urology, Ospedali Riuniti di Bergamo, Italy. aranieri@ospedaliriuniti.bergamo.it
BJU International
|June 26, 2002
Summary
End-to-end anastomosis is a highly effective surgical treatment for short bulbous urethral strictures. This procedure offers excellent cure rates with no reported complications, making it the preferred option.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Urethral strictures, particularly short segments (<3 cm) of the bulbous urethra, present a significant clinical challenge.
- Previous treatments like urethrotomy and dilatation often have high recurrence rates.
Purpose of the Study:
- To evaluate the efficacy and safety of urethroplasty with excision and end-to-end anastomosis for short bulbous urethral strictures.
Main Methods:
- A retrospective review of 74 male patients (mean age 39) treated between 1989-1999 for strictures 5-30 mm long.
- Surgical technique involved perineal access, excision of the stenotic segment, and end-to-end anastomosis.
- Patients with prior treatments (55%) were included.
Main Results:
- A high cure rate of 93% was observed at a mean follow-up of 60 months.
- No treatment-related complications occurred during or after surgery.
- No complications related to patient positioning were reported.
Conclusions:
- End-to-end anastomosis is confirmed as the gold standard treatment for short bulbous urethral strictures.
- The procedure demonstrates excellent long-term outcomes with near-perfect cure rates.
- This surgical approach offers a safe and effective solution for recurrent or primary strictures.