Dorsal versus ventral anterior urethral spatulation in posterior urethroplasty

Urol J. Fall 2010;7(4):258-61.

Abstract

Purpose: To compare dorsal versus ventral anterior urethral spatulation in posterior urethroplasty.

Materials and methods: In a retrospective study, we evaluated the records of 320 posterior urethroplasties which have been done in our center over a 7-year period from January 2000 to December 2006. The results of dorsal and ventral anterior urethral spatulations were compared.

Results: The studied subjects consisted of 264 men and 54 prepubescent boys (≤ 15 years) with the mean age of 23 years (range, 5 to 84 years). The mean follow-up was 52 months (range, 27 to 107 months). Six o'clock (group A) and 12 o'clock (group B) anterior urethral spatulations were performed in 101 (32%) and 219 (68%) of the patients, respectively. The success rates were 96% and 87.6% in groups A and B, respectively (P = .025). There were no urethro-rectal fistula and perineal wound infection during the follow-up period.

Conclusion: Our data suggest that the dorsal anterior urethral spatulation in urethroplasty is more efficient than ventral anterior urethral spatulation in terms of treatment success outcome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anastomosis, Surgical
  • Child, Preschool
  • Fractures, Bone / complications*
  • Humans
  • Male
  • Middle Aged
  • Pelvic Bones / injuries
  • Retrospective Studies
  • Treatment Outcome
  • Urethra / surgery*
  • Urethral Stricture / etiology*
  • Urethral Stricture / surgery*
  • Urologic Surgical Procedures, Male / methods*
  • Young Adult