Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre

Van Den Heever, A P; Lazarus, John; Naude, J  H; Wiechers, L; Tsheisi, M

Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre

Journal Article

2012

Journal Title

African Journal of Urology

Link to Journal

http://www.sciencedirect.com/science/article/pii/S1110570412000458

Publisher

Elsevier Ltd.

Publisher

University of Cape Town

Faculty

Centre for Higher Education Development

Abstract

Objectives: To compare the results of anastomotic versus augmentation urethroplasty (buccal mucosa graft (BMG) onlay), as well as dorsal versus ventral BMG techniques. Methods: A retrospective audit of 69 patients who underwent urethroplasty at Eersteriver Hospital in Cape Town, South Africa between October 2004 and July 2011 was undertaken. Analysis included stricture etiology, location and length, type of surgery performed as well as complication rates over the follow-up period. Results: The predominant stricture etiologies were traumatic and infective causes (55%), with a mean stricture length of 3 cm (0.5–15 cm). Forty two patients had bulbar urethra strictures (61%), with 8 (11%) located in the posterior, and penile & bulbar regions, respectively. The remaining strictures were located in the penile urethra (16%). Surgery performed included bulbar (12) and membranous anastomotic (8) urethroplasty, ventral (13) and dorsal (22) buccal mucosa onlay grafts (BMG), and 2-stage urethroplasty (14). Overall stricture recurrence was seen in 9 patients (13%), including 1 patient (8%) of the anterior end-to-end anastomotic group compared to 2 patients (6%) of the onlay BMG group (p = 0.77). The re-stricture rates were 5% and 8% in the dorsal (1/22) and ventral BMG onlay groups (1/13), respectively (p = 0.72).

Description

This is the author’s version of a work that was accepted for publication of the article: African Journal of Urology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in African Journal of Urology, VOL 18, Issue 3, 2012, DOI: 10.1016/j.afju.2012.03.001.

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