Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries
Purpose: To determine the impact of pelvic bone fracture on the recurrence of urethral stenosis after bulbomembranous anastomotic urethroplasty. Materials and Methods: A total of 197 patients with complete posterior urethral injuries underwent bulbomembranous anastomotic urethroplasty. These patient...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Urological Association
2020-01-01
|
| Series: | Investigative and Clinical Urology |
| Subjects: | |
| Online Access: | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-61-99.pdf |
| _version_ | 1818689284528406528 |
|---|---|
| author | Don Kyoung Choi Sungjin Kim Jong Jin Oh |
| author_facet | Don Kyoung Choi Sungjin Kim Jong Jin Oh |
| author_sort | Don Kyoung Choi |
| collection | DOAJ |
| description | Purpose: To determine the impact of pelvic bone fracture on the recurrence of urethral stenosis after bulbomembranous anastomotic urethroplasty. Materials and Methods: A total of 197 patients with complete posterior urethral injuries underwent bulbomembranous anastomotic urethroplasty. These patients were divided into two groups according to the presence of pelvic bone fracture. Recurrence of urethral stenosis was defined as the need for any postoperative surgical intervention. The surgical outcomes and postoperative recurrence rate of urethral stenosis were compared between the two groups, and significant predictors for posterior urethral restenosis, including pelvic bone fracture, were analyzed via multivariate analysis. Results: Of the patients, 92 had pelvic bone fractures and the other 105 patients did not. The patients with pelvic bone fracture had increased involvement of the prostatic urethra compared to the group without pelvic bone fracture (3.8% vs. 17.4%, p=0.002). Recurrence of urethral stenosis was more common in the pelvic bone fracture group (42/92, 45.7%) than the group without pelvic fracture (27/105, 25.7%). In a Kaplan—Meier analysis, the recurrence rate at 5 years was significantly lower in the pelvic bone fracture group (59.1% vs. 72.6%, p=0.003). A Cox proportional hazard analysis showed that the presence of pelvic bone injury was a significant predictor of posterior urethral re-stenosis. Conclusions: Patients with posterior urethral injuries associated with pelvic bone fracture had a higher |
| first_indexed | 2024-12-17T12:07:40Z |
| format | Article |
| id | doaj.art-ee61f015da95402d95d340470a8bc121 |
| institution | Directory Open Access Journal |
| issn | 2466-0493 2466-054X |
| language | English |
| last_indexed | 2024-12-17T12:07:40Z |
| publishDate | 2020-01-01 |
| publisher | Korean Urological Association |
| record_format | Article |
| series | Investigative and Clinical Urology |
| spelling | doaj.art-ee61f015da95402d95d340470a8bc1212022-12-21T21:49:34ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2020-01-016119910610.4111/icu.2020.61.1.99Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuriesDon Kyoung Choi0Sungjin Kim1Jong Jin Oh2Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea.Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea.Department of Urology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.Purpose: To determine the impact of pelvic bone fracture on the recurrence of urethral stenosis after bulbomembranous anastomotic urethroplasty. Materials and Methods: A total of 197 patients with complete posterior urethral injuries underwent bulbomembranous anastomotic urethroplasty. These patients were divided into two groups according to the presence of pelvic bone fracture. Recurrence of urethral stenosis was defined as the need for any postoperative surgical intervention. The surgical outcomes and postoperative recurrence rate of urethral stenosis were compared between the two groups, and significant predictors for posterior urethral restenosis, including pelvic bone fracture, were analyzed via multivariate analysis. Results: Of the patients, 92 had pelvic bone fractures and the other 105 patients did not. The patients with pelvic bone fracture had increased involvement of the prostatic urethra compared to the group without pelvic bone fracture (3.8% vs. 17.4%, p=0.002). Recurrence of urethral stenosis was more common in the pelvic bone fracture group (42/92, 45.7%) than the group without pelvic fracture (27/105, 25.7%). In a Kaplan—Meier analysis, the recurrence rate at 5 years was significantly lower in the pelvic bone fracture group (59.1% vs. 72.6%, p=0.003). A Cox proportional hazard analysis showed that the presence of pelvic bone injury was a significant predictor of posterior urethral re-stenosis. Conclusions: Patients with posterior urethral injuries associated with pelvic bone fracture had a higherhttps://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-61-99.pdfurethraurethral strictureurologic surgical procedures |
| spellingShingle | Don Kyoung Choi Sungjin Kim Jong Jin Oh Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries Investigative and Clinical Urology urethra urethral stricture urologic surgical procedures |
| title | Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries |
| title_full | Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries |
| title_fullStr | Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries |
| title_full_unstemmed | Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries |
| title_short | Effects of pelvic bone fracture on recurrence-free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries |
| title_sort | effects of pelvic bone fracture on recurrence free rate after bulbomembranous anastomotic urethroplasty in men with posterior urethral injuries |
| topic | urethra urethral stricture urologic surgical procedures |
| url | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-61-99.pdf |
| work_keys_str_mv | AT donkyoungchoi effectsofpelvicbonefractureonrecurrencefreerateafterbulbomembranousanastomoticurethroplastyinmenwithposteriorurethralinjuries AT sungjinkim effectsofpelvicbonefractureonrecurrencefreerateafterbulbomembranousanastomoticurethroplastyinmenwithposteriorurethralinjuries AT jongjinoh effectsofpelvicbonefractureonrecurrencefreerateafterbulbomembranousanastomoticurethroplastyinmenwithposteriorurethralinjuries |