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Outcomes of urethral meatal preservation ventral urethroplasty for female urethral stricture: a series of cases
- João Vitor Quadra Vieira dos Santos
, - Antônio Rebello Horta Görgen ,
- Tiago Bortolini ,
- Gabriel Veber Moisés da Silva ,
- Emanuel Burck dos Santos , [ … ],
- Tiago Elias Rosito
Summary
Outcomes of urethral meatal preservation ventral urethroplasty for female urethral stricture: a series of cases
Rev Bras Ginecol Obstet. 2024;46:e-rbgo20
- João Vitor Quadra Vieira dos Santos ,
- Antônio Rebello Horta Görgen ,
- Tiago Bortolini ,
- Gabriel Veber Moisés da Silva ,
- Emanuel Burck dos Santos ,
- Patric Machado Tavares ,
- Nelson Silvonei da Silva Batezini ,
- Tiago Elias Rosito
Views151Abstract
Objective:
To present a series of cases with our initial experience and short-term outcomes of a modified vaginal mucosal flap urethroplasty.
Methods:
Patients diagnosed with urethral stricture and operated by the same operative technique between January 2012 and January 2018 were followed for at least 6 months. Uroflowmetry and clinical outcomes were evaluated.
Results:
Nineteen patients were included with an average age of 56.4 years, mean preoperative Qmax of 5.3 ml/s, and PVR of 101.4 mL. After 6 months of the procedure, the mean Qmax improved to 14.7 mL/s (p<0.05), PVR decreased to 47.3 mL (p<0.05), and 84.2% of all patients reported improvement in clinical self-reported symptoms. There was an improvement in symptoms such as voiding effort in 84.2% of patients, weak stream (89.5%), and recurrent urinary tract infection (85.7%). The success rate (absence of symptoms and normal Qmax with no significant PVR) of the procedure was 84.2%.
Conclusion:
The described technique was considered effective for the treatment of female urethra stricture, with a high clinical success rate and an objective improvement of Qmax and decrease in PVR after 6 months of the procedure.
Key-words Urethral strictureUrethroplastyUrinary bladder neck obstructionUrological surgical proceduresSee moreViews151
Summary
Outcomes of urethral meatal preservation ventral urethroplasty for female urethral stricture: a series of cases
Rev Bras Ginecol Obstet. 2024;46:e-rbgo20
- João Vitor Quadra Vieira dos Santos ,
- Antônio Rebello Horta Görgen ,
- Tiago Bortolini ,
- Gabriel Veber Moisés da Silva ,
- Emanuel Burck dos Santos ,
- Patric Machado Tavares ,
- Nelson Silvonei da Silva Batezini ,
- Tiago Elias Rosito
Views151Abstract
Objective:
To present a series of cases with our initial experience and short-term outcomes of a modified vaginal mucosal flap urethroplasty.
Methods:
Patients diagnosed with urethral stricture and operated by the same operative technique between January 2012 and January 2018 were followed for at least 6 months. Uroflowmetry and clinical outcomes were evaluated.
Results:
Nineteen patients were included with an average age of 56.4 years, mean preoperative Qmax of 5.3 ml/s, and PVR of 101.4 mL. After 6 months of the procedure, the mean Qmax improved to 14.7 mL/s (p<0.05), PVR decreased to 47.3 mL (p<0.05), and 84.2% of all patients reported improvement in clinical self-reported symptoms. There was an improvement in symptoms such as voiding effort in 84.2% of patients, weak stream (89.5%), and recurrent urinary tract infection (85.7%). The success rate (absence of symptoms and normal Qmax with no significant PVR) of the procedure was 84.2%.
Conclusion:
The described technique was considered effective for the treatment of female urethra stricture, with a high clinical success rate and an objective improvement of Qmax and decrease in PVR after 6 months of the procedure.
Key-words Urethral strictureUrethroplastyUrinary bladder neck obstructionUrological surgical proceduresSee more - João Vitor Quadra Vieira dos Santos
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