Role of Two Stage Urethroplasty in Modern Era with Special Reference to Impact on Sexual Health Function
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Urethral stricture is a prevalent problem throughout the globe. However, with improvement in surgical skill there is a shift towards single stage repair with substitution urethroplasty for long strictures. One concerning complications of urethroplasty is postoperative erectile dysfunction (ED). The purpose of this study is to highlight the role of two stage urethroplasty (in current era and impact on sexual function. Materials and Methods: We retrospectively analyzed data of patients who underwent urethroplasty between January 2011 to December 2014 at Government Medical College, Kota, Rajasthan. Patients with stricture length > 9 cm, or involving more than two segments of the urethra and urethral caliber < 6 Fr were included. Pelvic fracture urethral distraction defect were excluded. Patients demographic and surgical information included were collected and analysed. Results: The mean age of patients (37.3±12.1 years and 40.4±7.5 years in single stage and two stage urethroplasty respectively) and mean stricture length (9.7 ± 1.2 cm in single stage and 9.25 ± 2.1cm in two stage urethroplasty. The success rate after urethroplasty at one year was 86% in single stage urethroplasty and 70 % in two stage urethroplasty (p=0.046). The erectile function was noted using the IIEF-5 questionnaire. Conclusion: Single stage urethroplasty dominates the modern era, two stage repair has a definite role in the management of complex pan urethral strictures. Also, two stage urethroplasty have poor erectile function compared to single stage repair, which shows improvement over the time.
Authors and Affiliations
Nilesh Kumar Jain, Kawaljit Singh, Ankur Jhanwar, Nitin Lashkary, Saurabh Gupta, Yogesh Garg
Keywords
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- EP ID EP543721
- DOI 10.21276/ijmrp.2017.3.2.015
- Views 67
- Downloads 0
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