Outcomes of urethral meatal preservation ventral urethroplasty for female urethral stricture: a series of cases
Rev. bras. ginecol. obstet
; 46: e, 2024. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1559569
Responsible library:
BR1.1
ABSTRACT
Abstract Objective:
To present a series of cases with our initial experience and short-term outcomes of a modified vaginal mucosal flap urethroplasty.Methods:
Patients diagnosed with urethral stricture and operated by the same operative technique between January 2012 and January 2018 were followed for at least 6 months. Uroflowmetry and clinical outcomes were evaluated.Results:
Nineteen patients were included with an average age of 56.4 years, mean preoperative Qmax of 5.3 ml/s, and PVR of 101.4 mL. After 6 months of the procedure, the mean Qmax improved to 14.7 mL/s (p<0.05), PVR decreased to 47.3 mL (p<0.05), and 84.2% of all patients reported improvement in clinical self-reported symptoms. There was an improvement in symptoms such as voiding effort in 84.2% of patients, weak stream (89.5%), and recurrent urinary tract infection (85.7%). The success rate (absence of symptoms and normal Qmax with no significant PVR) of the procedure was 84.2%.Conclusion:
The described technique was considered effective for the treatment of female urethra stricture, with a high clinical success rate and an objective improvement of Qmax and decrease in PVR after 6 months of the procedure.
Full text:
Available
Collection:
International databases
Database:
LILACS
Language:
English
Journal:
Rev. bras. ginecol. obstet
Journal subject:
Gynecology
/
Obstetrics
Year:
2024
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital de Clínicas de Porto Alegr/BR