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Tunica albuginea versus buccal mucosa graft urethroplasty for anterior urethral stricture:A prospective randomised pilot study

摘要Objective:The objective of the study was to compare the outcome of tunica albu-ginea urethroplasty(TAU)and buccal mucosa graft(BMG)urethroplasty for anterior urethral stricture.Methods:Thirty patients who met the inclusion criteria were randomised into two groups:TAU(Group A)and BMG urethroplasty(Group B).Surgical outcome was evaluated with pre-and post-operative work-up involving retrograde urethrogram,voiding cystourethrogram,uroflow-metry,and urethroscopy.Patients were followed up till 1 year.Results:Mean duration of surgery was statistically significant between two groups(p=0.0005).Maximum urine flow rate was comparable when compared between two groups(p=0.22)but statistically significant when compared pre-and post-operatively(p<0.001).At follow-up of 1 year,the successful outcomes were 80% in Group A and 87% in Group B.A total of five patients who had unsuccessful results required redo urethroplasty.Complications were minimal in both the groups.Conclusion:TAU provides outcomes equivalent to those of BMG urethroplasty.TAU has less operative time,easy to perform,and beneficial in patients with poor oral hygiene.

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作者 Mohammad Shazib Faridi [1] Vikas Sharma [2] Adittya K.Sharma [3] Rahul Yadav [3] 学术成果认领
作者单位 Division of Urology,Department of Surgery,Hamdard Institute of Medical Sciences & Research and HAHC Hospital,New Delhi,India [1] Department of Urology,Rajiv Gandhi Super Speciality Hospital,Tahirpur,Delhi,India [2] Department of Urology,Apollomedics Super Speciality Hospital,Lucknow,Uttar Pradesh,India [3]
DOI 10.1016/j.ajur.2021.12.003
发布时间 2024-03-11
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