COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE
ABSTRACT: OBJECTIVE: To compare end to end urethroplasty and optical urethrotomy in terms of postoperative urinary flow rate in patients presenting with short segment incomplete urethral stricture. STUDY DESIGN: Randomized controlled trial (RCT). PLACE AND DURATION WITH DATES: The study was conduct...
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University of Faisalabad
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doaj-5a3c39caf57944bc9c6d0c7b222ec5d82020-11-25T02:01:46ZengUniversity of FaisalabadJournal of University Medical & Dental College2221-78272310-55422018-06-0192COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTUREAmer Abbas0 Sajid Mumtaz Qazi1 Anam Altaf2Consultant Urologist, Federal Government Poly Clinic Hospital, Islamabad. Consultant Urologist, Pakistan Institute of Medical Sciences, Islamabad. Research Officer , Edo Eye Hospital, Wah Cant. ABSTRACT: OBJECTIVE: To compare end to end urethroplasty and optical urethrotomy in terms of postoperative urinary flow rate in patients presenting with short segment incomplete urethral stricture. STUDY DESIGN: Randomized controlled trial (RCT). PLACE AND DURATION WITH DATES: The study was conducted in department of Urology, Pakistan Institute of Medical Sciences (PIMS), Islamabad. The duration of study was 1 year. METHODOLOGY: In present study, 47 patients were randomly allocated to each of the intervention groups i.e. Group A underwent end to end urethroplasty procedure and Group B underwent optical urethrotomy. Peak urinary flow rates were measured preoperatively, at one week after the catheter removal post operatively and at 3 months after the catheter removal post operatively. Outcome in both groups was compared using 't' test. RESULTS: Mean age of patients in group A (End to End anastomotic Urethroplasty) was 31.98±11.14SD while mean age in Group B (Optical Urethrotomy) was 34.72±13.76SD. The mean peak urinary flow rate was found to be 21.39 ml/sec ± 1.89 SD in Group A and was 22.11 ml/sec ± 2.05 SD in Group B at one week post operatively after catheter removal (P> 0.05). The mean peak urinary flow rate was found to be 22.48 ml/sec ± 2.12 SD in Group A and was 17.99 ml/sec ± 1.52 SD in Group B at 3 months post operatively after catheter removal (P<0.05). CONCLUSION: End to end anatsomotic urethroplasty was found to be significantly better than optical urethrotomy in terms of peak urinary flow rate at one week and 3 months after catheter removal in the treatment of urethral strictures in men. http://jumdc.com/index.php/jumdc/article/view/58urethral stricturesend-to-end anastomotic urethroplastyoptical urethrotomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amer Abbas Sajid Mumtaz Qazi Anam Altaf |
spellingShingle |
Amer Abbas Sajid Mumtaz Qazi Anam Altaf COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE Journal of University Medical & Dental College urethral strictures end-to-end anastomotic urethroplasty optical urethrotomy |
author_facet |
Amer Abbas Sajid Mumtaz Qazi Anam Altaf |
author_sort |
Amer Abbas |
title |
COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE |
title_short |
COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE |
title_full |
COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE |
title_fullStr |
COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE |
title_full_unstemmed |
COMPARISON OF END TO END ANASTOMOTIC URETHROPLASTY AND OPTICAL URETHROTOMY IN THE MANAGEMENT OF PATIENTS PRESENTING WITH SHORT SEGMENT INCOMPLETE URETHRAL STRICTURE |
title_sort |
comparison of end to end anastomotic urethroplasty and optical urethrotomy in the management of patients presenting with short segment incomplete urethral stricture |
publisher |
University of Faisalabad |
series |
Journal of University Medical & Dental College |
issn |
2221-7827 2310-5542 |
publishDate |
2018-06-01 |
description |
ABSTRACT:
OBJECTIVE: To compare end to end urethroplasty and optical urethrotomy in terms of postoperative urinary flow rate in patients presenting with short segment incomplete urethral stricture.
STUDY DESIGN: Randomized controlled trial (RCT).
PLACE AND DURATION WITH DATES: The study was conducted in department of Urology, Pakistan Institute of Medical Sciences (PIMS), Islamabad. The duration of study was 1 year.
METHODOLOGY: In present study, 47 patients were randomly allocated to each of the intervention groups i.e. Group A underwent end to end urethroplasty procedure and Group B underwent optical urethrotomy. Peak urinary flow rates were measured preoperatively, at one week after the catheter removal post operatively and at 3 months after the catheter removal post operatively. Outcome in both groups was compared using 't' test.
RESULTS: Mean age of patients in group A (End to End anastomotic Urethroplasty) was 31.98±11.14SD while mean age in Group B (Optical Urethrotomy) was 34.72±13.76SD. The mean peak urinary flow rate was found to be 21.39 ml/sec ± 1.89 SD in Group A and was 22.11 ml/sec ± 2.05 SD in Group B at one week post operatively after catheter removal (P> 0.05). The mean peak urinary flow rate was found to be 22.48 ml/sec ± 2.12 SD in Group A and was 17.99 ml/sec ± 1.52 SD in Group B at 3 months post operatively after catheter removal (P<0.05).
CONCLUSION: End to end anatsomotic urethroplasty was found to be significantly better than optical urethrotomy in terms of peak urinary flow rate at one week and 3 months after catheter removal in the treatment of urethral strictures in men.
|
topic |
urethral strictures end-to-end anastomotic urethroplasty optical urethrotomy |
url |
http://jumdc.com/index.php/jumdc/article/view/58 |
work_keys_str_mv |
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