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Long-term results of anterior and posterior urethroplasty with actuarial evaluation of the success rates.
uretra, stenosi uretrale
Barbagli G, Palminteri E, Bartoletti R, Selli C,
Rizzo M.
Long-term
results of anterior and posterior urethroplasty with actuarial evaluation of
the success rates.
J Urol. 1997 Oct;158(4):1380-2.
Long-term
results of anterior and posterior urethroplasty with actuarial evaluation of
the success rates.
PURPOSE: We analyzed the long-term results
of different urethroplasty techniques.
MATERIALS AND METHODS: We performed a
retrospective review of 98 patients who underwent different procedures for
anterior (78) and posterior (20) urethral strictures. Mean followup was 53
months. A total of 20 patients underwent end-to-end anastomosis (group 1), 30
underwent 1-stage procedures (group 2), 28 underwent 2-stage procedures (group
3), and 20 underwent bulboprostatic anastomosis (group 4). The results were
analyzed using Kaplan-Meier curves and log rank test.
RESULTS: The success rate
was 95% for group 1, 93.4% for group 2, 78.6% for group 3, and 70% for group 4.
Statistical evaluation of the actuarial success rates failed to show significant
differences among the 4 groups.
CONCLUSIONS: The stricture recurrences were
uniformly distributed over time. Urethroplasty patients must be followed for
the rest of their lives.
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