Perineal urethrostomy: surgical and functional evaluation of two techniques

BioMed Research International
Nicolaas LumenWillem Oosterlinck

Abstract

PU is an option to manage complex and/or recurrent urethral strictures and is necessary after urethrectomy and/or penectomy. PU is generally assumed to be the last option before abandoning the urethral outlet. Between 2001 and 2013, 51 patients underwent PU. Mean age (± standard deviation) was 60 ± 15 years. Only 13 patients (25.5%) did not undergo previous urethral interventions. PU was performed according to the Johanson (n = 35) or Blandy (n = 16) technique and these 2 groups were compared for surgical failure, maximum urinary flow (Qmax), urinary symptoms, and quality of life (according to the International Prostate Symptom Score). Both groups were similar for patient's and stricture characteristics. Only follow-up duration was significantly longer after Johanson PU (47.9 months versus 11.1 months; P = 0.003). For the entire cohort, 11 patients (21.6%) were considered a failure (9 or 25.7% for Johanson group and 2 or 12.5% for Blandy group; P = 0.248). There was a significant improvement of Qmax in both groups. Quality of life after PU was comparable in both groups. PU is associated with a 21.6% recurrence rate and the patient should be informed about this risk.

References

Jun 1, 1968·British Journal of Urology·J P BlandyG C Tresidder
Mar 11, 2005·The Journal of Urology·Keith F Rourke, Gerald H Jordan
Mar 2, 2006·World Journal of Urology·D N WoodA R Mundy
Feb 12, 2008·Annales D'urologie·W OosterlinckG Van Cauwenberghe
Dec 19, 2009·The Journal of Urology·Benjamin N BreyerBryan B Voelzke
Jan 15, 2010·International Journal of Urology : Official Journal of the Japanese Urological Association·Nicolaas LumenWillem Oosterlinck
Feb 19, 2010·European Urology·Giorgio PizzocaroUNKNOWN European Association of Urology (EAU) Guidelines Group on Penile Cancer
Mar 23, 2010·The Journal of Urology·Richard Santucci, Lauren Eisenberg
Oct 23, 2010·Journal of Pediatric Urology·Nicolaas LumenWillem Oosterlinck
Jan 25, 2011·Urology·David FrenchAllen F Morey
Jun 22, 2012·European Urology·Duncan J SummertonUNKNOWN European Association of Urology
Apr 16, 2013·European Urology·Georgios GakisAmir M Sherif

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Citations

Feb 27, 2020·Case Reports in Urology·Lennert EismannFrank Strittmatter
Jun 18, 2021·Urologic Oncology·Hielke M de VriesPhilippe E Spiess

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