{"id":1142,"date":"2024-01-22T19:27:58","date_gmt":"2024-01-22T19:27:58","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=1142"},"modified":"2024-01-22T19:27:58","modified_gmt":"2024-01-22T19:27:58","slug":"revision-de-tasas-de-exito-en-uretroplastia","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=1142","title":{"rendered":"Revision de tasas de \u00e9xito en uretroplastia"},"content":{"rendered":"<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n<div class=\"article-citation\">\n<div class=\"article-source\">\n<div class=\"journal-actions dropdown-block\"><button id=\"full-view-journal-trigger\" class=\"journal-actions-trigger trigger\" tabindex=\"0\" title=\"Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie\" aria-controls=\"full-view-journal\" aria-expanded=\"false\" aria-label=\"Toggle dropdown menu for journal Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie\" data-pinger-ignore=\"\">Prog Urol<\/button><\/div>\n<p><span class=\"period\">. <\/span><span class=\"cit\">2022 May;32(6):426-434.<\/span><\/div>\n<p><span class=\"citation-doi\">doi: 10.1016\/j.purol.2021.12.005.<\/span> <span class=\"secondary-date\">Epub 2022 Feb 9.<\/span><\/div>\n<h1 class=\"heading-title\">[Urethroplasties for male urethral strictures: Success rates and predictive factors]<\/h1>\n<div class=\"article-languages\">[Article in French]<\/div>\n<div class=\"inline-authors\">\n<div class=\"authors\">\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Feddal+MS&amp;cauthor_id=35148955\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"M S Feddal\">M S Feddal<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Urologie, CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France. Electronic address: msfeddal@gmail.com.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35148955\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Delporte+G&amp;cauthor_id=35148955\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"G Delporte\">G Delporte<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Urologie, CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France. Electronic address: gauthier.delporte@hotmail.fr.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35148955\/#full-view-affiliation-2\">2<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Marcelli+F&amp;cauthor_id=35148955\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"F Marcelli\">F Marcelli<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Urologie, CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France. Electronic address: francois.marcelli@chru-lille.fr.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35148955\/#full-view-affiliation-3\">3<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Villers+A&amp;cauthor_id=35148955\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"A Villers\">A Villers<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Urologie, CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France. Electronic address: arnauld.villers@wanadoo.fr.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35148955\/#full-view-affiliation-4\">4<\/a><\/sup><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\" data-fetch-url=\"\/35148955\/long-authors\/\" data-id-prefix=\"\"><span class=\"title\">expand<\/span><\/button><\/div>\n<ul id=\"full-view-identifiers\" class=\"identifiers\">\n<li><span class=\"identifier pubmed\"><span class=\"id-label\">PMID: <\/span><strong class=\"current-id\" title=\"PubMed ID\">35148955<\/strong><\/span><\/li>\n<li><span class=\"identifier doi\"><span class=\"id-label\">DOI: <\/span><a class=\"id-link\" href=\"https:\/\/doi.org\/10.1016\/j.purol.2021.12.005\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"DOI\">10.1016\/j.purol.2021.12.005<\/a><\/span><\/li>\n<\/ul>\n<\/div>\n<\/header>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Introduction: <\/strong>Urethroplasty has reported success rates ranging from 60 to 98%. Predictive factors for recurrence are rarely studied, postoperative urinary drainage modalities are not investigated. The primary objective was to evaluate the success rate of urethroplasty in our center. Secondary objectives were to identify recurrence predictive factors.<\/p>\n<p><strong class=\"sub-title\">Methods: <\/strong>A single-center retrospective cohort including men treated with urethroplasty for stricture between 2007-2017, followed up for a minimum of 12 months. Recurrence was defined as the necessity of a new procedure (endo-urethral or surgical). Data from penile urethra (SUP) and bulbo-membranous urethra (SUBM) stenosis were analyzed separately. Recurrence-free survival (success) was analyzed according to the Kaplan-Meier model. The characteristics of the patients, the stenosis, the surgical technique, the modalities of postoperative urinary drainage were analyzed in subgroups for the bulbo-membranous urethra looking for a correlation with recurrence.<\/p>\n<p><strong class=\"sub-title\">Results: <\/strong>A total of 103 patients included: 25 with SUP, 78 with SUBM. The overall success rate was 69%, CI95% [60-79] with a mean follow-up of 62.85 months. The success was 68%, CI95%[46-82] for SUP, 69.23%, CI95% [58-78] for SUBM. Recurrences occurred during the first 12 months. Only postoperative suprapubic urinary drainage was a predictive factor (HR=0.947, CI95% [0.905-0.992]). A period longer than 14 days reduced recurrence by 37%.<\/p>\n<p><strong class=\"sub-title\">Conclusion: <\/strong>Urethroplasty had a success rate of 69%, comparable to published series. Suprapubic urinary drainage improved the surgery outcomes.<\/p>\n<p><strong class=\"sub-title\">Level of proof: <\/strong>2, Grade B.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords: <\/strong>Bulbar urethra; Cath\u00e9ter sus-pubien; Cystocatheter; Cystocath\u00e9ter; Drainage urinaire; Muqueuse buccale; Oral mucosa; Penile urethra; Sonde v\u00e9sicale; St\u00e9nose ur\u00e9trale; Suprapubic catheter; Urethral stricture; Uretroplasty; Urinary catheter; Urinary drainage; Ur\u00e8tre bulbaire; Ur\u00e8tre p\u00e9nien; Ur\u00e9troplastie.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Prog Urol . 2022 May;32(6):426-434. doi: 10.1016\/j.purol.2021.12.005. Epub 2022 Feb 9. [Urethroplasties for male urethral strictures: Success rates and predictive factors] [Article in French] M S Feddal\u00a01,\u00a0G Delporte\u00a02,\u00a0F Marcelli\u00a03,\u00a0A Villers\u00a04 Affiliations expand PMID: 35148955 DOI: 10.1016\/j.purol.2021.12.005 Abstract Introduction: Urethroplasty has &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=1142\"> <span class=\"screen-reader-text\">Revision de tasas de \u00e9xito en uretroplastia<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1142","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1142"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1142\/revisions"}],"predecessor-version":[{"id":1143,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1142\/revisions\/1143"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}