Transpubic Urethroplasty: A Single Center Experience
Objective. To evaluate the long-term results of transpubic urethroplasty for pelvic fracture urethral distraction defects. Patients and Methods. Sixteen patients who had undergone transpubic urethroplasty for posttraumatic complex posterior urethral disruptions between 2007 and 2013 were analyzed re...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2014/826710 |
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| author | Raj Kumar Mathur Niraj Shriram Tiwari Sudharshan A. Odiya |
| author_facet | Raj Kumar Mathur Niraj Shriram Tiwari Sudharshan A. Odiya |
| author_sort | Raj Kumar Mathur |
| collection | DOAJ |
| description | Objective. To evaluate the long-term results of transpubic urethroplasty for pelvic fracture urethral distraction defects. Patients and Methods. Sixteen patients who had undergone transpubic urethroplasty for posttraumatic complex posterior urethral disruptions between 2007 and 2013 were analyzed retrospectively and prospectively. Patients were followed up for a mean (range) of 24 (6–60) months by history, urinary flow rate estimate, retrograde urethrography, and voiding cystourethrography. Results. The mean age of the patients was 30.4 years. The estimated radiographic stricture length before surgery was 4.3 cm. Transpubic urethroplasty was successful in 14 out of 16 patients. Postoperative complications were recurrent stricture (12.5%), urethrocutaneous fistula (12.5%), incontinence (31.25%), impotence (25%), and wound infection (18.75%). Failed repairs were successfully managed endoscopically in one patient and by perineal anastomotic repair in the other, giving a final success rate of 100%. Five out of 16 patients were incontinent of which 3 of them resolved and 2 had permanent incontinence. Impotence was seen in 4 out of 16 patients. There were no reported complications of pubectomy in any of our patients. Conclusions. Though considered obsolete now, transpubic urethroplasty for complex posterior urethral disruptions is still a viable alternative with excellent results and minimal morbidity. |
| format | Article |
| id | doaj-art-89a735ef218644e7824a7b3ca4a848e6 |
| institution | OA Journals |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-89a735ef218644e7824a7b3ca4a848e62025-08-20T02:09:37ZengWileyAdvances in Urology1687-63691687-63772014-01-01201410.1155/2014/826710826710Transpubic Urethroplasty: A Single Center ExperienceRaj Kumar Mathur0Niraj Shriram Tiwari1Sudharshan A. Odiya2Department of Surgery, MGM Medical College & MY Hospital, Indore 452001, IndiaDepartment of Surgery, MGM Medical College & MY Hospital, Indore 452001, IndiaDepartment of Surgery, MGM Medical College & MY Hospital, Indore 452001, IndiaObjective. To evaluate the long-term results of transpubic urethroplasty for pelvic fracture urethral distraction defects. Patients and Methods. Sixteen patients who had undergone transpubic urethroplasty for posttraumatic complex posterior urethral disruptions between 2007 and 2013 were analyzed retrospectively and prospectively. Patients were followed up for a mean (range) of 24 (6–60) months by history, urinary flow rate estimate, retrograde urethrography, and voiding cystourethrography. Results. The mean age of the patients was 30.4 years. The estimated radiographic stricture length before surgery was 4.3 cm. Transpubic urethroplasty was successful in 14 out of 16 patients. Postoperative complications were recurrent stricture (12.5%), urethrocutaneous fistula (12.5%), incontinence (31.25%), impotence (25%), and wound infection (18.75%). Failed repairs were successfully managed endoscopically in one patient and by perineal anastomotic repair in the other, giving a final success rate of 100%. Five out of 16 patients were incontinent of which 3 of them resolved and 2 had permanent incontinence. Impotence was seen in 4 out of 16 patients. There were no reported complications of pubectomy in any of our patients. Conclusions. Though considered obsolete now, transpubic urethroplasty for complex posterior urethral disruptions is still a viable alternative with excellent results and minimal morbidity.http://dx.doi.org/10.1155/2014/826710 |
| spellingShingle | Raj Kumar Mathur Niraj Shriram Tiwari Sudharshan A. Odiya Transpubic Urethroplasty: A Single Center Experience Advances in Urology |
| title | Transpubic Urethroplasty: A Single Center Experience |
| title_full | Transpubic Urethroplasty: A Single Center Experience |
| title_fullStr | Transpubic Urethroplasty: A Single Center Experience |
| title_full_unstemmed | Transpubic Urethroplasty: A Single Center Experience |
| title_short | Transpubic Urethroplasty: A Single Center Experience |
| title_sort | transpubic urethroplasty a single center experience |
| url | http://dx.doi.org/10.1155/2014/826710 |
| work_keys_str_mv | AT rajkumarmathur transpubicurethroplastyasinglecenterexperience AT nirajshriramtiwari transpubicurethroplastyasinglecenterexperience AT sudharshanaodiya transpubicurethroplastyasinglecenterexperience |