{"id":718,"date":"2018-09-17T17:15:50","date_gmt":"2018-09-17T17:15:50","guid":{"rendered":"http:\/\/cru.aeu.es\/?p=718"},"modified":"2018-09-17T17:15:50","modified_gmt":"2018-09-17T17:15:50","slug":"una-buena-revision-de-barbagli","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=718","title":{"rendered":"Una buena revisi\u00f3n de Barbagli"},"content":{"rendered":"
World J Urol.<\/a><\/span>\u00a02018 Sep 15. doi: 10.1007\/s00345-018-2481-6. [Epub ahead of print]<\/div>\n

Treatments of 1242 bulbar urethral strictures: multivariable statistical analysis of results.<\/h1>\n
Barbagli G<\/a>1<\/sup>,\u00a0Montorsi F<\/a>2<\/sup>,\u00a0Bal\u00f2 S<\/a>1<\/sup>,\u00a0Sansalone S<\/a>3<\/sup>,\u00a0Loreto C<\/a>4<\/sup>,\u00a0Butnaru D<\/a>5<\/sup>,\u00a0Bini V<\/a>6<\/sup>,\u00a0Lazzeri M<\/a>7<\/sup><\/div>\n
\n
<\/div>\n<\/div>\n
\n

Abstract<\/h3>\n
\n

PURPOSE:<\/h4>\n

We investigated the success rate of different surgical techniques for bulbar stricture repair.<\/p>\n

METHODS:<\/h4>\n

Retrospective study of patients with bulbar urethral strictures treated using different techniques. The primary outcome of the study was to evaluate the overall results of treatment (success vs. failure); the secondary outcome was to evaluate the outcome according to any surgical technique. Cysto-urethrography was performed 1\u00a0month following surgery. Patients underwent clinical evaluation, uroflowmetry and residual urine measurement every 6\u00a0months for 2\u00a0years after surgery and later once on year. When patient showed obstructive symptoms, Qmax<\/sub> < 12\u00a0ml\/s, the urethrography was repeated. Patients who underwent further treatment for recurrent stricture were classified as failures. A bivariable and multivariable statistical analysis was performed.<\/p>\n

RESULTS:<\/h4>\n

Overall, 1242 patients were included in the study with mean age 40\u00a0years (range 12-84). Median stricture length was 4\u00a0cm (range 1-8). The median follow-up was 103\u00a0months (range 12-362). Over 1242 patients, 916 (73.8%) were success and 326 (26.2%) failures. Fourteen different surgical techniques showed a success rate ranging from 87.5 to 14.3%. The multivariable analysis showed that stricture length was an independent predictor factors for failure: p < 0.0001 CI 1146-1509. End-end anastomosis and oral mucosa graft urethroplasty are independent predictor factor of success after internal urethrotomy failure.<\/p>\n

CONCLUSIONS:<\/h4>\n

Our results showed that treatment of bulbar urethral stricture is satisfactory on 73.8% of patients, but with a wide range of success rate (from 14.3 to 87.5%) using different techniques. Oral mucosa is greatly superior to the skin as substitute material.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

World J Urol.\u00a02018 Sep 15. doi: 10.1007\/s00345-018-2481-6. [Epub ahead of print] Treatments of 1242 bulbar urethral strictures: multivariable statistical analysis of results. Barbagli G1,\u00a0Montorsi F2,\u00a0Bal\u00f2 S1,\u00a0Sansalone S3,\u00a0Loreto C4,\u00a0Butnaru D5,\u00a0Bini V6,\u00a0Lazzeri M7 Abstract PURPOSE: We investigated the success rate of different …<\/p>\n

Una buena revisi\u00f3n de Barbagli<\/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-718","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\/718","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=718"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/718\/revisions"}],"predecessor-version":[{"id":719,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/718\/revisions\/719"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=718"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=718"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}