Anastomotic Urethroplasty: The Whiston Hospital experience

Published Date: 23rd September 2023

Publication Authors: Floyd Jr MS

Introduction
Recurrent bulbar strictures under 2 cm are treated with anastomotic urethroplasty. The purpose of this study was to analyse the aetiologies and validated outcomes of anastomotic urethroplasty in a tertiary centre

Methods
All anastomotic urethroplasties performed by a single Urologist were analysed. Age, prior urethrotomies, presence of a suprapubic catheter, stricture aetiology, pre and post operative symptom scores, erectile function and operative time were recorded. The referral source was also noted.

Results
A total of 18 cases were analysed with a mean age of 48 years. The mean number of urethrotomies was 2 (range 1–10) and 10 had suprapubic catheters in place. A total of 6 patients had idiopathic strictures,1 post CABG, 4 traumatic, 5 congenital and 2 had TURP related strictures. Only 2 Non-transecting anastomotics were performed. All underwent successful peri catheter urethrograms 3 weeks post operatively. Mean pre operative IPSS and QALY scores were 20 + 4 falling to 5 and 1 post operatively.Meanpre operative IIEF 5 scorewas 14 and 16 post operatively.Mean pre operative UPROMS scorewas 17 and 6 post operatively. Mean Pre operative Peelings voiding score was 4 and 2 post operatively. I NTABU developed recurrent stricture disease. Mean operating time was 190 mins. 2 patients had scrotal dysesthesia 3 months post operatively and I developed transient leg numbness. A total of 9 patients were referred from different institutions.

Conclusion
Anastomotic Urethroplasty has been successfully established as a tertiary service in Whiston Hospital with promising results to date.

 

Floyd Jr, MS. (2023). Anastomotic Urethroplasty: The Whiston Hospital experience. European Urology Open Science. 55(Suppl 1), pp.S5-S6. [Online]. Available at: https://doi.org/10.1016/S2666-1683(23)00935-7 [Accessed 4 April 2024]

 

 

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