Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center
Objectives: To compare the results of anastomotic versus augmentation urethroplasty (buccal mucosa graft (BMG) onlay), as well as dorsal versus ventral BMG techniques. Methods: A retrospective audit of 69 patients who underwent urethroplasty at Eersteriver Hospital in Cape Town, South Africa between...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2012-09-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110570412000458 |
| _version_ | 1819068349027450880 |
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| author | A.P. van den Heever J. Lazarus J.H. Naudé L. Wiechers M. Tsheisi |
| author_facet | A.P. van den Heever J. Lazarus J.H. Naudé L. Wiechers M. Tsheisi |
| author_sort | A.P. van den Heever |
| collection | DOAJ |
| description | Objectives: To compare the results of anastomotic versus augmentation urethroplasty (buccal mucosa graft (BMG) onlay), as well as dorsal versus ventral BMG techniques.
Methods: A retrospective audit of 69 patients who underwent urethroplasty at Eersteriver Hospital in Cape Town, South Africa between October 2004 and July 2011 was undertaken. Analysis included stricture etiology, location and length, type of surgery performed as well as complication rates over the follow-up period.
Results: The predominant stricture etiologies were traumatic and infective causes (55%), with a mean stricture length of 3 cm (0.5–15 cm). Forty two patients had bulbar urethra strictures (61%), with 8 (11%) located in the posterior, and penile & bulbar regions, respectively. The remaining strictures were located in the penile urethra (16%). Surgery performed included bulbar (12) and membranous anastomotic (8) urethroplasty, ventral (13) and dorsal (22) buccal mucosa onlay grafts (BMG), and 2-stage urethroplasty (14). Overall stricture recurrence was seen in 9 patients (13%), including 1 patient (8%) of the anterior end-to-end anastomotic group compared to 2 patients (6%) of the onlay BMG group (p = 0.77). The re-stricture rates were 5% and 8% in the dorsal (1/22) and ventral BMG onlay groups (1/13), respectively (p = 0.72).
Conclusions: Both anastomotic and BMG onlay techniques are safe and effective surgical options. Similar outcomes were demonstrated between ventral and dorsal BMG onlay groups. |
| first_indexed | 2024-12-21T16:32:44Z |
| format | Article |
| id | doaj.art-e18e08ee45f043b795bf83862f02941a |
| institution | Directory Open Access Journal |
| issn | 1110-5704 |
| language | English |
| last_indexed | 2024-12-21T16:32:44Z |
| publishDate | 2012-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-e18e08ee45f043b795bf83862f02941a2022-12-21T18:57:19ZengSpringerOpenAfrican Journal of Urology1110-57042012-09-0118312713010.1016/j.afju.2012.03.001Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centerA.P. van den HeeverJ. LazarusJ.H. NaudéL. WiechersM. TsheisiObjectives: To compare the results of anastomotic versus augmentation urethroplasty (buccal mucosa graft (BMG) onlay), as well as dorsal versus ventral BMG techniques. Methods: A retrospective audit of 69 patients who underwent urethroplasty at Eersteriver Hospital in Cape Town, South Africa between October 2004 and July 2011 was undertaken. Analysis included stricture etiology, location and length, type of surgery performed as well as complication rates over the follow-up period. Results: The predominant stricture etiologies were traumatic and infective causes (55%), with a mean stricture length of 3 cm (0.5–15 cm). Forty two patients had bulbar urethra strictures (61%), with 8 (11%) located in the posterior, and penile & bulbar regions, respectively. The remaining strictures were located in the penile urethra (16%). Surgery performed included bulbar (12) and membranous anastomotic (8) urethroplasty, ventral (13) and dorsal (22) buccal mucosa onlay grafts (BMG), and 2-stage urethroplasty (14). Overall stricture recurrence was seen in 9 patients (13%), including 1 patient (8%) of the anterior end-to-end anastomotic group compared to 2 patients (6%) of the onlay BMG group (p = 0.77). The re-stricture rates were 5% and 8% in the dorsal (1/22) and ventral BMG onlay groups (1/13), respectively (p = 0.72). Conclusions: Both anastomotic and BMG onlay techniques are safe and effective surgical options. Similar outcomes were demonstrated between ventral and dorsal BMG onlay groups.http://www.sciencedirect.com/science/article/pii/S1110570412000458Urethral strictureUrethroplastyBuccal mucosa graft |
| spellingShingle | A.P. van den Heever J. Lazarus J.H. Naudé L. Wiechers M. Tsheisi Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center African Journal of Urology Urethral stricture Urethroplasty Buccal mucosa graft |
| title | Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center |
| title_full | Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center |
| title_fullStr | Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center |
| title_full_unstemmed | Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center |
| title_short | Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African center |
| title_sort | retrospective outcome analysis of urethroplasties performed for various etiologies in a single south african center |
| topic | Urethral stricture Urethroplasty Buccal mucosa graft |
| url | http://www.sciencedirect.com/science/article/pii/S1110570412000458 |
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