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Assiut Medical Journal. 2012; 36 (1): 129-138
em Inglês | IMEMR | ID: emr-126270

RESUMO

To evaluate the success of urethroplasty according to site, length and etiology of urethral stricture, previous attempts of management and the technique of repair according to different definitions of success in urethroplasty. Of 64 patients, 8 patients had stricture fossa navicularis [group 1], 15 patients had pendulous urethral stricture [Group 2] and 41 patients had bulbar urethral stricture [Group 3]. In group [1], 5 patients were managed by ventral longitudinal penile fasciocutaneous flap and 3 patients were managed by staged B.M.G urethroplasty, in group [2], 7 patients were managed by distal penile fasciocutaneous flap, 3 patients were managed by staged buccal mucosal graft urethroplasty and 5 patients were managed by combined penile skin flap with buccal mucosal graft an in group [3], 28 patients were managed by excision primary anastomosis and 13 patients were managed by augmented anastomotic urethroplasty. Within the follow-up period [mean 30.6 months], of 64 patients, 57 patients [89%] didn't need any additional surgical procedure and 52 patients [81.3%] didn't need even dilatation, the statistical difference between the two groups is nearly significant [P value 0.058]


Assuntos
Humanos , Masculino , Procedimentos de Cirurgia Plástica/métodos , Seguimentos , Resultado do Tratamento
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