1093 OUTCOME OF VESSEL-SPARING EXCISION AND PRIMARY ANASTOMOSIS FOR BULBAR URETHRAL STRICTURES

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery III1 Apr 20101093 OUTCOME OF VESSEL-SPARING EXCISION AND PRIMARY ANASTOMOSIS FOR BULBAR URETHRAL STRICTURES Britton E. Tisdale, Erik T. Grossgold, Lisa Parillo, Christopher Bayne, Jeremy B. Tonkin, and Gerald H. Jordan Britton E. TisdaleBritton E. Tisdale Norfolk, VA More articles by this author , Erik T. GrossgoldErik T. Grossgold Norfolk, VA More articles by this author , Lisa ParilloLisa Parillo Norfolk, VA More articles by this author , Christopher BayneChristopher Bayne Norfolk, VA More articles by this author , Jeremy B. TonkinJeremy B. Tonkin Portsmouth, VA More articles by this author , and Gerald H. JordanGerald H. Jordan Nofolk, VA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2290AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We have previously reported on our technique of vessel-sparing excision and primary anastomosis urethroplasty (VS EPA) for proximal bulbar urethral strictures. This paper will address and evaluate the outcomes and complications of VS EPA. METHODS 24 patients underwent VS EPA for bulbar urethral strictures between 2005-2009. Their charts were retrospectively reviewed. Failure was defined as recurrent stricture requiring intervention. Three weeks post surgery patients underwent voiding urethrography. Flexible cysto-urethroscopy is performed 6 months after surgery. An 18 month office appointment is scheduled, with a yearly follow-up thereafter. Long term follow-up relies mainly on patient symptoms, while diagnostic procedures such as urethroscopy and/or retrograde urethrogram are done selectively. RESULTS Mean age was 42 years. Stricture etiology was idiopathic in 14 (58%), perineal trauma in 4 (17%), pelvic fracture distraction injury in 4 (17%), instrumentation in 1 (4%) and congenital in 1 (4%). Mean follow-up averaged 48 weeks (range 12 to 237 weeks). Mean stricture length was 2.25cm (range 1.5-4.5). 19/24 (79%) had previous treatment procedures, with 13/24 (54%) having had dilations and 13/24 (54%) having urethrotomy, 0/24 previous urethroplasty, 14/24 (58%) had >/= 2 previous treatments before referral to our center. 24/24 have been successful with no further interventions needed. One patient has a stable 18F annularity being monitored. One patient that previously underwent transurethral prostatectomy had stress incontinence and underwent male sling. No significant perioperative complications occurred. CONCLUSIONS Vessel sparing excision and primary anastomosis for proximal bulbar urethral strictures has a high success rate up to 4 years after surgery. Longer term follow up data is still needed. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e425-e426 Peer Review Report Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Britton E. Tisdale Norfolk, VA More articles by this author Erik T. Grossgold Norfolk, VA More articles by this author Lisa Parillo Norfolk, VA More articles by this author Christopher Bayne Norfolk, VA More articles by this author Jeremy B. Tonkin Portsmouth, VA More articles by this author Gerald H. Jordan Nofolk, VA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...