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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Vessel-sparing Excision and Primary Anastomosis
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Urethroplasty- a single centre single surgeon experience.

Daniel Peter McNicholas1, Alexander Taylor2, Andrew D Baird2

  • 1Aintree University Hospital, Liverpool University Hospital Foundation Trust, Lower Lane, Fazakerley, Liverpool, England, L9 7AL. danielmcnicholas3@gmail.com.

Irish Journal of Medical Science
|September 3, 2024
PubMed
Summary

Urethroplasty is an effective treatment for male urethral stricture, with 71% of patients avoiding further surgery. This review highlights successful outcomes and patient-reported measures for this condition.

Keywords:
Anastomotic urethroplasty urethral strictureBuccal mucosal graftUrethral reconstructionUrethroplasty

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Area of Science:

  • Urology
  • Surgical Outcomes
  • Male Genitourinary Health

Background:

  • Male urethral stricture affects 100 in 100,000 men, often managed with endoscopic procedures with high failure rates.
  • Urethroplasty is increasingly recommended earlier for better patient outcomes.
  • This study reviews a single surgeon's experience with urethroplasty and its associated patient outcomes.

Purpose of the Study:

  • To evaluate the outcomes of urethroplasty performed by a single surgeon over a 5-year period.
  • To assess the success rates and complications associated with urethroplasty for male urethral stricture.
  • To compare patient outcomes with existing literature.

Main Methods:

  • Retrospective review of a prospectively maintained database of urethroplasty operations.
  • Analysis of 45 patient cases over a 5-year period.
  • Inclusion of data on presenting symptoms, diagnostic investigations, stricture characteristics, and surgical outcomes.

Main Results:

  • 71% of patients did not require further intervention after urethroplasty.
  • The most common symptom was poor flow; idiopathic strictures were most prevalent (67%).
  • Mean stricture length was 2.6 cm; 42% of strictures were complex, with outcomes comparable to published data.

Conclusions:

  • Urethroplasty, including augmentation and anastomotic techniques, demonstrates favorable outcomes for male urethral stricture.
  • Defining surgical success based on the lack of further intervention is common, with patient-reported outcomes offering additional insight.
  • Complex strictures present a higher complication risk, but results remain comparable to the literature.