Everted Saphenous Vein Graft (eSVG) urethroplasty in long-segment anterior urethral strictures: Medium-term follow-up results

IF 0.8 Q4 UROLOGY & NEPHROLOGY
S. Rao, N. Khattar, A. Akhtar, Anuj Varshney, H. Goel
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引用次数: 0

Abstract

Purpose: An everted saphenous vein graft (eSVG) has been used for urethroplasty in men with long segment anterior urethral stricture and chronic tobacco exposed oral mucosa with good initial results. The present study aimed to assess the medium-term outcomes of eSVG urethroplasty (eSVGU) in such patients. Materials and Methods: Prospectively maintained database of 32 patients with chronic tobacco exposed oral mucosa, who underwent an eSVGU for long segment anterior urethral stricture (≥9 cm), was reviewed. Outcomes were assessed with International Prostate Symptom Score (IPSS), uroflowmetry with postvoid residual urine at 1, 3, and 6 months, and thereafter 6 monthly symptomatic assessments. Retrograde urethrogram was done at 3 months and repeated only if there was a recurrence. Successful urethroplasty was defined as satisfactory voiding (maximum flow rate [Qmax] >15 ml/sec) and no need for any auxiliary procedures in follow-up. Patients who lost to follow-up before 3 years were excluded from the final analysis. Data from the patients were recorded on a spreadsheet and expressed as mean and standard deviation wherever feasible. Results: Mean stricture length was 13.75 cm. Two patients were lost to follow-up after 12 months and were excluded from the final analysis. At a mean follow-up of 58 months, 19 patients (63.33%) were voiding successfully with mean IPSS 8.15 and Qmax 23.54 ml/s respectively, while 11 patients (36.67%) required auxiliary procedures and were considered failed. Conclusion: Medium-term results suggest that an eSVG can be considered as a good alternative graft for urethroplasty in patients with long anterior urethral strictures.
外翻隐静脉移植尿道成形术治疗长段前尿道狭窄:中期随访结果
目的:应用外翻大隐静脉移植物(eSVG)对男性长段前尿道狭窄和慢性烟草暴露口腔黏膜进行尿道成形术,取得了良好的初步效果。本研究旨在评估此类患者进行eSVG尿道成形术(eSVGU)的中期结果。材料和方法:前瞻性地保存了32例慢性烟草暴露口腔粘膜患者的数据库,这些患者接受了eSVGU治疗长段前尿道狭窄(≥9cm)。在1个月、3个月和6个月时,用国际前列腺症状评分(IPSS)、尿流量测定法和排尿后残余尿进行结果评估,然后进行6个月的症状评估。逆行尿道造影在3个月时进行,只有在复发时才重复。成功的尿道成形术被定义为令人满意的排尿(最大流速[Qmax]>15 ml/sec),并且在随访中不需要任何辅助程序。3年前随访失败的患者被排除在最终分析之外。患者的数据记录在电子表格上,并在可行的情况下用平均值和标准差表示。结果:平均狭窄长度为13.75cm。两名患者在12个月后失去随访,被排除在最终分析之外。在58个月的平均随访中,19名患者(63.33%)成功排尿,平均IPSS分别为8.15和23.54ml/s,而11名患者(36.67%)需要辅助手术,被认为失败。结论:中期结果表明,eSVG可以被认为是治疗长前尿道狭窄患者尿道成形术的一种良好的替代移植物。
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
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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