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Urethral stricture following aortic graft surgery
1Department of Urology, Royal Infirmary, Glasgow.
Insights
Urethral strictures can occur after aortic graft surgery due to catheter use. This study found a 3.2% incidence, highlighting a potential surgical complication.
Area of Science:
- Urology
- Vascular Surgery
- Medical Complications
Background:
- Urinary catheterization is common in surgical patients.
- Aortic graft surgery involves significant patient risk.
- Post-operative complications require careful monitoring.
Purpose of the Study:
- To determine the incidence of urethral strictures after aortic graft surgery.
- To assess the long-term urinary symptom profile of patients.
- To identify potential risk factors and complications associated with catheter use in this population.
Main Methods:
- Retrospective investigation of 127 men undergoing aortic graft surgery.
- Inclusion of patients catheterized pre-operatively with latex catheters.
- Post-operative urinary symptom assessment via postal questionnaires and urological review for 94 patients.
Main Results:
- One case of urethral stricture identified 9 months post-operation.
- Urological review of 8 patients identified 3 cases of urethral strictures.
- Overall incidence of urethral stricture was 3.2%.
Conclusions:
- Urethral stricture is a potential complication following aortic graft surgery.
- The incidence is comparable to that observed after cardiac surgery.
- Catheter use in surgical procedures necessitates consideration of urethral stricture as a hazard.
Abstract:
The incidence of urethral stricture following aortic graft surgery was investigated retrospectively in a group of 127 men. They had been catheterised prior to their operation with latex catheters. One man had been treated for a stricture 9 months after his operation. Information about post-operative urinary symptoms was obtained from a further 94 surviving patients by postal questionnaires sent at least 12 months following surgery. Eight patients underwent urological review including, where indicated, urethrography under antibiotic cover; 3 patients were identified with urethral strictures, an incidence of 3.2%. This is similar to that occurring after cardiac surgery, and urethral strictures should be considered a hazard whenever catheters are used in surgical procedures.