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Dorsal versus ventral anterior urethral spatulation in posterior urethroplasty.

Hosseini J, et al. Urol J. 2010.

Abstract

PURPOSE: To compare dorsal versus ventral anterior urethral spatulation in posterior urethroplasty.

MATERIALS AND METHODS: In a retrospective study, we evaluated the records of 320 posterior urethroplasties which have been done in our center over a 7-year period from January 2000 to December 2006. The results of dorsal and ventral anterior urethral spatulations were compared.

RESULTS: The studied subjects consisted of 264 men and 54 prepubescent boys (≤ 15 years) with the mean age of 23 years (range, 5 to 84 years). The mean follow-up was 52 months (range, 27 to 107 months). Six o'clock (group A) and 12 o'clock (group B) anterior urethral spatulations were performed in 101 (32%) and 219 (68%) of the patients, respectively. The success rates were 96% and 87.6% in groups A and B, respectively (P = .025). There were no urethro-rectal fistula and perineal wound infection during the follow-up period.

CONCLUSION: Our data suggest that the dorsal anterior urethral spatulation in urethroplasty is more efficient than ventral anterior urethral spatulation in terms of treatment success outcome.

PMID

21170856 [Indexed for MEDLINE]

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