Assessment of Wound Complications After Bulbar Urethroplasty: The Impact of a Lambda Perineal Incision

Urology
Alexandra BascomKeith F Rourke

Abstract

To analyze risk factors for wound-specific complications after bulbar urethroplasty, including the association between incision type and complications. This is a retrospective review of 829 urethroplasties excluding penile strictures, incomplete data sets, and radiation-induced urethral stenosis. Ninety-day wound complications were reported using the modified Clavien-Dindo classification of postoperative complications. Risk factors for wound complications were evaluated using univariable and multivariable analysis: patient age, positive preoperative urine culture, Charlson comorbidity index ≥ 2, diabetes, body mass index ≥ 35, smoking, and incision type (lambda perineal incision [LPI] vs. midline perineal incision [MPI]). Five hundred forty patients met inclusion criteria; 373 patients with an LPI and 167 patients with an MPI. Ninety-day wound complications (any Clavien grade) occurred in 21% of patients. Multivariable analyses indicated that incision type alone was significantly associated with wound complications (multivariable: MPI OR 0.53 (0.34-0.83), P = .01). The majority of complications were Clavien ≤ 2, which occurred in 23.3% (87 patients) of LPIs compared to 11.9% (20 patients) of MPIs (P = .002). The primary differe...Continue Reading

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Citations

Jul 5, 2016·Urology·Keith F Rourke
Jul 25, 2019·World Journal of Urology·Adarsh ManjunathMatthias D Hofer
Oct 20, 2018·World Journal of Urology·Maxim J McKibbenAllen F Morey

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