A retrospective analysis of delayed complications of urethroplasty at a tertiary care centre

Urethroplasty is commonly performed worldwide by reconstructive urologists and such a large scale practice is often faced with numerous complications, yet “complication based analysis” still persists as a gray area. Our study aims to provide an evaluation of long-term post-urethroplasty complication...

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Bibliographic Details
Published in:Updates in surgery 2011-09, Vol.63 (3), p.185-190
Main Authors: Mathur, Rajkumar, Aggarwal, Gaurav, Satsangi, Bhaskar
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Postoperative Complications
Reconstructive Surgical Procedures
Recurrence
Retrospective Studies
Surgery
Urethra - surgery
Urethral Stricture - surgery
Urinary Tract Infections - etiology
Urologic Surgical Procedures, Male - methods
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Summary:Urethroplasty is commonly performed worldwide by reconstructive urologists and such a large scale practice is often faced with numerous complications, yet “complication based analysis” still persists as a gray area. Our study aims to provide an evaluation of long-term post-urethroplasty complications, after the five commonly practiced procedures, at our centre. 302 male patients with urethral strictures due to various etiologies were assessed preoperatively via retrograde urethrogram, urethrosonogram, and uroflowmetry. They were then subjected to different urethroplasty techniques viz. tunica albuginea urethroplasty (TAU), U-shaped prostato-bulbar anastomosis (USPBA), dorsal buccal mucosa graft urethroplasty, skin substitution urethroplasty and Dartos flap urethroplasty. Postoperatively, patients were assessed at regular intervals, regarding the occurrence of complications. The overall complication rate was 21% at 5 years follow-up, with the majority during the initial 2 years. Infection and restenosis were the major long-term complications (12%). Maximum complications were seen in patients, who underwent TAU and USPBA simultaneously followed by Dartos flap urethroplasty and minimum were seen with TAU. In conclusion, a meticulous post-urethroplasty follow-up reveals a wide range of long-term complications. The complication rate differs in accordance with the etiology, site and length of stricture as well as the reconstructive technique.
ISSN:2038-131X
2038-3312
DOI:10.1007/s13304-011-0093-4