Reconstruyendo lo reconstruido: resultados de la uretroplastia de repetición en estenosis uretrales recurrentes

IF 1.7 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2026-10-01 Epub Date: 2026-05-08 DOI:10.1016/j.acuro.2026.501996

R. Uğur, E.T. Keskin, M. Savun, E. Aktaş, A. Şimşek

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引用次数: 0

Abstract

Introduction

In this study, we aimed to evaluate the results of redo-urethroplasty and to determine the risk factors contributing to the recurrence of stricture.

Methods

Male patients with a history of urethroplasty who underwent redo-urethroplasty were retrospectively evaluated and included in the study. Classifications were made according to patient characteristics, features of the stricture, and the surgical procedure performed. Success criteria was defined as anatomical success, which was determined by the resistance-free passage of a 16-Fr flexible cystoscope through the reconstructed urethral lumen. After identifying the influencing factors, univariate and multivariable logistic regression analyses were conducted to determine the predictors for recurrence.

Results

A total of 396 male patients who underwent urethroplasty were evaluated, with 76 patients meeting the established criteria for inclusion. The mean age was 42.3 (10-81) years, and the average follow-up period was 44 (13-78) months. The majority of patients (54%) had bulbar strictures, and the average stricture length was 4.8 ± 2.4 (1.3-12) cm. Treatment success was achieved in 72.4% of patients. In univariate analyses, factors statistically significantly (P < .05) associated with recurrence included smoking, diabetes mellitus, stricture length, etiology, and the presence of complications. In the multivariable logistic regression analysis, presence of complications remained statistically significant (P < .05) as an independent predictor of recurrence.

Conclusions

Smoking, diabetes mellitus, stricture length, etiology, and postoperative complications were significantly associated with stricture recurrence. These results suggest that patient-related, stricture-related, and perioperative factors influence recurrence risk after redo-urethroplasty.

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重建重建的部分：反复尿道狭窄的重复尿道成形术结果

在这项研究中，我们的目的是评估尿道修补术的结果，并确定导致狭窄复发的危险因素。方法回顾性分析有尿道成形术史并行尿道再成形术的男性患者。根据患者的特点、狭窄的特征和手术过程进行分类。成功标准定义为解剖学上的成功，通过16-Fr柔性膀胱镜通过重建尿道管腔无阻力通过来确定。在确定影响因素后，进行单因素和多因素logistic回归分析，以确定复发的预测因素。结果共对396例行尿道成形术的男性患者进行了评估，其中76例符合既定的纳入标准。平均年龄42.3（10-81）岁，平均随访时间44（13-78）个月。大多数患者（54%）存在球茎狭窄，平均狭窄长度为4.8±2.4 (1.3-12)cm，治疗成功率为72.4%。在单因素分析中，与复发相关的有统计学意义（P < 0.05）的因素包括吸烟、糖尿病、狭窄长度、病因和并发症的存在。在多变量logistic回归分析中，并发症的存在作为复发的独立预测因子仍然具有统计学意义（P < 0.05）。结论吸烟、糖尿病、狭窄长度、病因及术后并发症与狭窄复发有显著关系。这些结果表明，患者相关、狭窄相关和围手术期因素影响尿道再造术后的复发风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.