Efficacy of re‐do urethroplasty for post‐traumatic urethral stricture: An analysis of the anatomical and functional outcomes
Efficacy of re‐do urethroplasty for post‐traumatic urethral stricture: An analysis of the anatomical and functional outcomes
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再次尿道成形术治疗创伤后尿道狭窄的疗效：解剖和功能结果分析
DOI：
10.1111/iju.14547
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发表时间：
2021
影响因子：
2.6
通讯作者：
Azuma Ryuichi
中科院分区：
文献类型：
--
作者：
Tabei Tadashi;Horiguchi Akio;Ojima Kenichiro;Shinchi Masayuki;Kobayashi Kazuki;Ito Keiichi;Azuma Ryuichi
ObjectivesTo investigate re-do urethroplasty for post-traumatic urethritis stenosis in terms of anatomical and functional outcomes.MethodsA re-do urethroplasty for post-traumatic urethritis due to perineal trauma（n= 21）and pelvic fracture urethritis injury（n= 27）from October 2010 and March 2020 were retrospectively reviewed.再次尿道成形术后，对患者进行尿流率测定、排尿后残余容量评估和17 Fr软性膀胱镜检查。成功的尿道成形术被定义为尿道口径足以通过膀胱镜，不需要额外的治疗。患者完成了一个有效的患者报告的结果衡量尿道狭窄手术，包括整体满意度，和性健康的库存为mesen.ResultsThe类型的re-do尿道成形术吻合尿道成形术45（94%）患者和颊粘膜尿道成形术在三个（6%）患者。尿道成形术在47例（98%）患者中获得成功（中位随访35个月，四分位数间距21-75）。在36例（75%）患者中评估了尿道狭窄手术的患者报告结局指标和男性性健康量表，平均下尿路症状特异性生活质量、EuroQol-5D和EuroQol-视觉模拟量表评分从术前的2.86、0.63和54.17改善至0.78术后分别为0.86（P <0.001）和76.94（P< 0.001）。术前和术后平均男性性健康量表评分（分别为5.92和4.94）无显著差异（P= 0.318）。所有36例患者都满意他们的尿道成形术的结果，20（56%）非常满意patients.ConclusionsRe‐do尿道成形术创伤后尿道狭窄显示了较高的成功率和有益的影响解剖和功能的结果。
ObjectivesTo investigate the efficacy of re‐do urethroplasty for post‐traumatic urethral stricture in terms of anatomical and functional outcomes.MethodsA total of 48 patients who underwent re‐do urethroplasty for post‐traumatic urethral stricture due to perineal trauma (n= 21) and pelvic fracture urethral injury (n= 27) between October 2010 and March 2020 were retrospectively reviewed. Patients were followed by uroflowmetry, post‐void residual volume assessment and 17‐Fr flexible cystoscopy after re‐do urethroplasty. Successful urethroplasty was defined as having a urethral caliber adequate for the passage of a cystoscope and requiring no additional treatments. Patients completed a validated patient‐reported outcome measure for urethral stricture surgery, including overall satisfaction, and the sexual health inventory for men.ResultsThe type of re‐do urethroplasty was anastomotic urethroplasty in 45 (94%) patients and buccal mucosa urethroplasty in three (6%) patients. Urethroplasty was successful in 47 (98%) patients (median follow up 35 months, interquartile range 21–75). The patient‐reported outcome measure for urethral stricture surgery and Sexual Health Inventory for Men were assessed in 36 (75%) patients, and the mean lower urinary tract symptom‐specific quality of life, EuroQol‐5D and EuroQol‐visual analog scale scores improved from 2.86, 0.63 and 54.17 preoperatively to 0.78 (P< 0.001), 0.86 (P< 0.001) and 76.94 (P< 0.001) postoperatively, respectively. The pre‐ and postoperative mean Sexual Health Inventory for Men scores (5.92 and 4.94, respectively) did not significantly differ (P= 0.318). All 36 patients were satisfied with their urethroplasty outcomes, with 20 (56%) very satisfied patients.ConclusionsRe‐do urethroplasty for post‐traumatic urethral stricture shows a high success rate and beneficial effects on both anatomical and functional outcomes.
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影响因子：
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作者：
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影响因子：
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影响因子：
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作者：
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