Effects of groove negative pressure drainage on the short-term prognosis of patients undergoing transperineal anastomotic urethroplasty
10.3969/j.issn.1009-8291.2023.08.009
- VernacularTitle:沟槽负压引流对经会阴尿道吻合术患者短期预后的影响
- Author:
Zhenhua LIU
1
;
Guanglin HUANG
1
;
Guizhong LI
1
Author Information
1. Department of Urology, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100096, China
- Publication Type:Journal Article
- Keywords:
groove negative pressure drainage;
rubber strip drainage;
urethral stricture;
transperineal anastomotic urethroplasty;
postoperative;
prognosis
- From:
Journal of Modern Urology
2023;28(8):683-686
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the impacts of groove negative pressure drainage on the short-term prognosis of patients with transperineal anastomotic urethroplasty. 【Methods】 A retrospective case-control study was conducted to analyze the clinical data of 78 patients who underwent transperineal anastomotic urethroplasty during May 2021 and Apr.2022, including 42 patients in the groove negative pressure drainage group (experimental group) and 38 in the rubber strip drainage group (control group). The postoperative drainage volume, rate of scrotal edema, rate of infection, visual analog scale (VAS) score, and maximum urine flow rate were compared between the two groups. 【Results】 Compared with the control group, the experimental group had a longer length of incision [ (12.9±1.6)cm vs. (12.1±1.5)cm, P=0.041] and larger drainage volume 3 days after surgery [(66.1±51.9)mL vs. (36.0±16.9)mL, P=0.001] , but lower rate of scrotal edema (21.4% vs.47.2%, P=0.016) and lower VAS score (3.2±1.0 vs.3.9±1.1, P=0.008). There were no significant differences in the infection rate 7 days after surgery and the maximum urine flow rate 1 month after surgery (P>0.05). 【Conclusion】 Groove negative pressure drainage can be used to drain the effusion of perineum tissue adequately and decrease wound-specific complications, which is beneficial to the rapid recovery after transperineal anastomotic urethroplasty.
