Modified urethral pull-through procedure for posterior urethral stricture or atresia.
- Author:
Qing-xiang XIE
1
;
Cong-xiang HANG
;
Li ZHAO
;
Hong-wei HUANG
;
Xia-cong LIN
;
Zhi-ming XIE
;
Zhi HU
;
Xian-zhong ZHU
;
Wei-jie XU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Humans; Male; Middle Aged; Retrospective Studies; Treatment Outcome; Urethra; surgery; Urethral Stricture; surgery; Urologic Surgical Procedures; methods; Young Adult
- From: National Journal of Andrology 2011;17(10):905-908
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the feasibility and safety of the modified urethral pull-through procedure for the treatment of posterior urethral stricture or atresia.
METHODSWe retrospectively analyzed 212 cases of posterior urethral stricture or atresia treated by the modified urethral pull-through procedure. The length of the stricture or atresia was 1.5 - 12 cm, and 66 cases had experienced 1 - 4 previous unsuccessful urethral repairs. Simple transperineal approach was adopted in 208 cases and transperineal-inferiorpubic approach in the other 4. And 15 of the patients underwent urethral construction with grafts.
RESULTSSatisfactory voiding was achieved in 198 (93.4%) of the patients, of whom 16 received 3 - 15 urethral dilations. Of the 14 cases that failed, 10 succeeded after a second and 2 after a third operation. Of the 15 cases that underwent substitution urethroplasty, 14 achieved satisfactory voiding, and only 1 needed repeat dilation. No serious complications were observed in any of the patients.
CONCLUSIONModified urethral pull-through procedure, with its advantages of safety, mini-invasiveness, simple operation and high success rate, is feasible for the treatment of posterior urethral stricture or atresia, while for that with the length >5 cm, substitution urethroplasty should be considered.