{"id":996,"date":"2020-04-14T14:56:48","date_gmt":"2020-04-14T14:56:48","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=996"},"modified":"2020-04-14T14:56:57","modified_gmt":"2020-04-14T14:56:57","slug":"no-seccion-versus-seccion-en-uretra","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=996","title":{"rendered":"No Secci\u00f3n versus Secci\u00f3n en uretra"},"content":{"rendered":"
Int Urol Nephrol.<\/a><\/span> 2017 Jan;49(1):83-88. doi: 10.1007\/s11255-016-1454-1. Epub 2016 Nov 14.<\/div>\n

Primary<\/span> non-transecting<\/span> bulbar<\/span> urethroplasty<\/span> long-term<\/span> success<\/span> rates<\/span> are similar<\/span> to transecting<\/span>urethroplasty<\/span>.<\/h1>\n
Anderson KM<\/a>1<\/sup>, Blakely SA<\/a>1<\/sup>, O’Donnell CI<\/a>1<\/sup>, Nikolavsky D<\/a>2<\/sup>, Flynn BJ<\/a>3<\/sup>.<\/div>\n
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Abstract<\/h3>\n
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OBJECTIVES:<\/h4>\n

To review the long-term<\/span> outcomes of transecting<\/span> versus non-transecting<\/span> urethroplasty<\/span> to repair bulbar<\/span> urethral strictures.<\/p>\n

METHODS:<\/h4>\n

A retrospective review was conducted of 342 patients who underwent anterior urethroplasty<\/span> performed by a single surgeon from 2003 to 2014. Patients were excluded from further analysis if there had been prior urethroplasty<\/span>, stricture location outside the bulbous urethra, or age <18\u00a0years. In the transecting<\/span> group, surgical techniques used included excision and primary<\/span> anastomosis and augmented anastomotic urethroplasty<\/span>. In the non-transecting<\/span> group, surgical techniques used included non-transecting<\/span> anastomotic urethroplasty<\/span> and dorsal and\/or ventral buccal grafting. The primary<\/span> endpoint was stricture resolution in transecting<\/span> vs. non-transecting<\/span>bulbar<\/span> urethroplasty<\/span>. Success<\/span> was defined as freedom from secondary procedures including dilation, urethrotomy, or repeat urethroplasty<\/span>.<\/p>\n

RESULTS:<\/h4>\n

One hundred and fifty-two patients met inclusion criteria. At a mean follow-up of 65\u00a0months (range: 10-138\u00a0months), stricture-free recurrence in the transecting<\/span> and non-transecting<\/span> groups was similar<\/span>, 83% (n\u00a0=\u00a085\/102) and 82% (n\u00a0=\u00a041\/50), respectively (p\u00a0=\u00a00.84). Surgical technique (p\u00a0=\u00a00.91), stricture length (p\u00a0=\u00a00.8), and etiology (p\u00a0=\u00a00.6) did not affect stricture recurrence rate on multivariate analysis. There was no difference detected in time to stricture recurrence (p\u00a0=\u00a00.21).<\/p>\n

CONCLUSIONS:<\/h4>\n

In this retrospective series, transecting<\/span> and non-transecting<\/span> primary<\/span> bulbar<\/span> urethroplasty<\/span> resulted in similar<\/span> long-term<\/span>stricture resolution rate. Prospective studies are needed to determine what differences may present in outcomes related to sexual function and long-term<\/span> success<\/span>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Int Urol Nephrol. 2017 Jan;49(1):83-88. doi: 10.1007\/s11255-016-1454-1. Epub 2016 Nov 14. Primary non-transecting bulbar urethroplasty long-term success rates are similar to transectingurethroplasty. Anderson KM1, Blakely SA1, O’Donnell CI1, Nikolavsky D2, Flynn BJ3. Abstract OBJECTIVES: To review the long-term outcomes of …<\/p>\n

No Secci\u00f3n versus Secci\u00f3n en uretra<\/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-996","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\/996","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=996"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/996\/revisions"}],"predecessor-version":[{"id":997,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/996\/revisions\/997"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=996"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}