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

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dc.contributor.authorVan Den Heever, A P
dc.contributor.authorLazarus, John
dc.contributor.authorNaude, J H
dc.contributor.authorWiechers, L
dc.contributor.authorTsheisi, M
dc.date.accessioned2014-12-03T08:00:32Z
dc.date.available2014-12-03T08:00:32Z
dc.date.issued2012
dc.descriptionThis 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.
dc.description.abstractObjectives: 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).en_ZA
dc.identifier.apacitationVan Den Heever, A. P., Lazarus, J., Naude, J. H., Wiechers, L., & Tsheisi, M. (2012). Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre. <i>African Journal of Urology</i>, http://hdl.handle.net/11427/9887en_ZA
dc.identifier.chicagocitationVan Den Heever, A P, John Lazarus, J H Naude, L Wiechers, and M Tsheisi "Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre." <i>African Journal of Urology</i> (2012) http://hdl.handle.net/11427/9887en_ZA
dc.identifier.citationVan Den Heever, A., Lazarus, J., Naude, J., Wiechers, L., Tsheisi, M. 2012. Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre. African Journal of Urology.en_ZA
dc.identifier.issn1110-5704en_ZA
dc.identifier.ris TY - Journal Article AU - Van Den Heever, A P AU - Lazarus, John AU - Naude, J H AU - Wiechers, L AU - Tsheisi, M AB - 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). DA - 2012 DB - OpenUCT DP - University of Cape Town J1 - African Journal of Urology LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 SM - 1110-5704 T1 - Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre TI - Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre UR - http://hdl.handle.net/11427/9887 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/9887
dc.identifier.vancouvercitationVan Den Heever AP, Lazarus J, Naude JH, Wiechers L, Tsheisi M. Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre. African Journal of Urology. 2012; http://hdl.handle.net/11427/9887.en_ZA
dc.languageengen_ZA
dc.publisherElsevier Ltd.en_ZA
dc.publisher.facultyCentre for Higher Education Developmenten_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceAfrican Journal of Urologyen_ZA
dc.source.urihttp://www.sciencedirect.com/science/article/pii/S1110570412000458
dc.titleRetrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centreen_ZA
dc.typeJournal Articleen_ZA
uct.subject.keywordsurethral strictureen_ZA
uct.subject.keywordsurethroplastyen_ZA
uct.subject.keywordsbuccal mucosa graften_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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