{"id":428,"date":"2017-08-24T10:18:05","date_gmt":"2017-08-24T10:18:05","guid":{"rendered":"http:\/\/cru.aeu.es\/?p=428"},"modified":"2017-08-24T10:18:05","modified_gmt":"2017-08-24T10:18:05","slug":"retraso-en-realizar-una-uretroplastia","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=428","title":{"rendered":"RETRASO EN REALIZAR UNA URETROPLASTIA"},"content":{"rendered":"
J Urol.<\/a><\/span>\u00a02017 Aug 18. pii: S0022-5347(17)77378-8. doi: 10.1016\/j.juro.2017.08.081. [Epub ahead of print]<\/div>\n

Delayed Reconstruction of Bulbar\u00a0Urethral<\/span>\u00a0Strictures is Associated with Multiple Interventions, Longer Strictures, and More Complex Repairs.<\/strong><\/p>\n

Viers BR<\/a>,\u00a0Pagliara TJ<\/a>,\u00a0Shakir NA<\/a>,\u00a0Rew CA<\/a>,\u00a0Folgosa-Cooley L<\/a>,\u00a0Scott JM<\/a>,\u00a0Morey AF<\/a>.<\/div>\n
\n

Abstract<\/h3>\n
\n

PURPOSE:<\/h4>\n

Prior to\u00a0urethral<\/span>\u00a0reconstruction, many\u00a0stricture<\/span>\u00a0patients undergo a variable period during which endoscopic treatments are employed for recurrent obstructive symptoms. We evaluate the association between urethroplasty delay, endoscopic treatments, and subsequent reconstructive outcomes.<\/p>\n

MATERIALS AND METHODS:<\/h4>\n

We reviewed men undergoing primary bulbar urethroplasty from 2007-2014. Prior urethroplasty, penile and\/or membranous strictures, and cases with incomplete data were excluded. Men were stratified by urethroplasty delay of <5, 5-10, and >10 years from diagnosis.<\/p>\n

RESULTS:<\/h4>\n

A total of 278 primary bulbar urethroplasty cases with complete data were evaluated. Median time between\u00a0stricture<\/span>\u00a0diagnosis and reconstruction was 5 years (IQR 2-10). Patients underwent an average 0.9 (\u00b1 2.4) endoscopic procedures per year of delay. Relative to <5 and 5-10 years, delay >10 years was associated with more endoscopic treatments (median 1 vs 2 vs 5), repetitive self-dilations (13% vs 14% vs 34%), strictures >2 cm (40% vs 39% vs 56%), and complex reconstructive techniques (17% vs 17% vs 34%). Increasing number of endoscopic treatments (OR 1.06; p=0.003) was independently associated with strictures >2 cm, which had worse 24-month\u00a0stricture<\/span>-free survival compared to shorter strictures (83% vs 96%; p=0.0003). Each consecutive DVIU was independently associated with risk of urethroplasty failure (HR 1.19; p=0.02).<\/p>\n

CONCLUSIONS:<\/h4>\n

Urethroplasty delay is common and often associated with symptomatic events managed by repetitive\u00a0urethral<\/span>manipulations. Endoscopic treatments appear to lengthen strictures and increase complexity of repair.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

J Urol.\u00a02017 Aug 18. pii: S0022-5347(17)77378-8. doi: 10.1016\/j.juro.2017.08.081. [Epub ahead of print] Delayed Reconstruction of Bulbar\u00a0Urethral\u00a0Strictures is Associated with Multiple Interventions, Longer Strictures, and More Complex Repairs. Viers BR,\u00a0Pagliara TJ,\u00a0Shakir NA,\u00a0Rew CA,\u00a0Folgosa-Cooley L,\u00a0Scott JM,\u00a0Morey AF. Abstract PURPOSE: Prior to\u00a0urethral\u00a0reconstruction, many\u00a0stricture\u00a0patients …<\/p>\n

RETRASO EN REALIZAR UNA 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":[11,4],"tags":[],"class_list":["post-428","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra","category-bibliografiainteres"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/428","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=428"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/428\/revisions"}],"predecessor-version":[{"id":429,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/428\/revisions\/429"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}