Repair of sphincter urethral strictures preserving urinary continence: surgical technique and outcomes

World Journal of Urology
Guido BarbagliMassimo Lazzeri

Abstract

Repair of post-TURP sphincter urethral strictures represents challenging problem, due to the risk of urinary incontinence after the repair. We described a surgical technique we use to repair these strictures preserving urinary continence in patients with incompetent bladder neck. An observational, retrospective, study was conducted to include patients with post-TURP urethral strictures in the area of distal sphincter. We included only patients with complete clinical data and follow-up who previously underwent TURP or HOLEP or TUIP, and subsequently developed proximal bulbar urethral strictures close to the membranous urethra and the related distal urethral sphincter. Patients were included, if they were fully continent after TURP or other procedures to treat BPH. The primary outcome of the study was treatment failure, defined as the need for any post-operative instrumentation. Secondary outcome was post-urethroplasty urinary continence. Patients showing stricture recurrence or post-operative incontinence were classified as failure. Overall, 69 patients were included in the study. Median patient's age was 67 years; median stricture length was 4 cm. Thirty-tree patients (47.8%) underwent previous urethrotomy. Median follow-up was...Continue Reading

References

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Sep 15, 2011·BJU International·Guido BarbagliMassimo Lazzeri
Mar 29, 2014·International Urology and Nephrology·Xiang-dong WangXue-song Wang
Nov 26, 2015·The Journal of Urology·Stephen BlakelyDmitriy Nikolavsky
Sep 30, 2018·World Journal of Urology·Sanjay B KulkarniPankaj M Joshi

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