MP13-02 COMPARATIVE STUDY BETWEEN THE USE OF MODIFIED ANNULAR PENILE FLAP AND CIRCULAR ISLAND PENILE FLAP FOR REPAIR OF PAN-ANTERIOR URETHRAL STRICTURE.

Aim: To evaluate the effectiveness of SonoVue urethrosonography in diagnosing the adult male anterior urethral strictures pathology in comparison with retrograde urethrography.Material and method: We standardised the method and performed a comparative study evaluating the diagnosis of urethral strictures using retrograde urethrography and retrograde ultrasonographic exploration with SonoVue on 6 male patients.Results: In all patients, the existence of urethral stricture, localization and its extension were confirmed. Contrast-enhanced ultrasonographic exploration brought additional categories of information: the degree of spongiofibrosis, the elasticity of the urethral walls and the presence of urethral lithiasis. There were no periprocedural incidents.Conclusion: This pilot study demonstrates the feasibility and innocuity of urethral ultrasound with SonoVue. Real-time ultrasound exploration highlights aspects that are not seen in radiological examination, so the method can be complementary or alternative to this procedure.

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A Comparative Study of patients, Undergoing Transurethral Resection of Prostate Gland With Or Without Otis Urethrotomy Before Surgery – A Single Institution Experience

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v14i1.17484 ◽

2017 ◽

Vol 14 (1) ◽

pp. 5-7

Author(s):

Naresh Man Shrestha

Keyword(s):

Comparative Study ◽

Urethral Stricture ◽

Transurethral Resection ◽

Prostate Gland ◽

Transurethral Resection Of Prostate ◽

Stricture Formation ◽

Medical College ◽

Urological Complications ◽

Group A ◽

Group B

Background: Transurethral resection of prostate (TURP) is considered as the gold standard surgical treatment for Benign prostatic Hyperplasia (BPH). Among many post TURP complications, urethral stricture is one of the most dreaded urological complications, which may result in lifelong misery. The present study aimed to report the outcomes of Otis urethrotomy to prevent urethral stricture before TURP.Method: This was a comparative study between two equal groups of 100 patients who met inclusion criteria. Study conducted in the department of surgery, Urology unit, Nepalgunj Medical College from 2014 May to 2016 April. In group A, included all the patients underwent TURP without Otis urethrotomy and in group B , included all patients underwent TURP after doing Otis Urethrotomy. The patients were evaluated for evidence of urethral stricture formation.Result: In Group A, 20 patients out of 100(20%) developed urethral stricture whereas in Group B, 8 patients out of 100(8%) developed urethral stricture .The rate of Urethral Stricture in Group A is significantly more than in Group B (p<0.05).Conclusion: The incidence of urethral stricture formation can be significantly reduced by doing Otis urethrotomy before TURP than TURP alone.JNGMC Vol. 14 No. 1 July 2016, Page: 5-7

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A comparative study of lingual mucosal graft urethroplasty with buccal mucosal graft urethroplasty in urethral stricture disease: An institutional experience

Urology Annals ◽

10.4103/0974-7796.172214 ◽

2016 ◽

Vol 8 (2) ◽

pp. 157 ◽

Cited By ~ 3

Author(s):

DilipKumar Pal ◽

DepakKumar Gupta ◽

Bastab Ghosh ◽

MalayKumar Bera

Keyword(s):

Comparative Study ◽

Urethral Stricture ◽

Urethral Stricture Disease ◽

Buccal Mucosal Graft ◽

Institutional Experience

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Prospective comparative study of hypospadias surgical repair with and without the use of fibrin sealant

International Surgery Journal ◽

10.18203/2349-2902.isj20193315 ◽

2019 ◽

Vol 6 (8) ◽

pp. 2722

Author(s):

Tamer A. Sultan ◽

Tamer A. Faktry ◽

Ahmad Nabil ◽

Mohammed Z. Shenishn

Keyword(s):

Comparative Study ◽

Urethral Stricture ◽

Fibrin Sealant ◽

Tertiary Care ◽

Hypospadias Repair ◽

Flap Necrosis ◽

Significant Difference ◽

Group A ◽

Prospective Comparative Study ◽

Group B

Background: Hypospadias is the most common congenital malformation of the penis, affecting about 4-6 males per 1000 male births, and ranging in severity from a urethral meatus that is slightly off-center to a meatus in the perineal area, The aim of this study was to evaluate whether the application of fibrin sealant over the suture lines of neo-urethra reduces complications and improve overall outcome in children hypospadias repair.1,2 Methods: It was a prospective comparative study conducted in a tertiary care center (Department of pediatric surgery - Menoufia University), we included the patients age more than 6 months and less than 4 years presented with hypospadias to our department in this study. A total 30 patients of coronal, sub coronal, mid shaft hypospadias and distal hypospadias were studied and were divided into two groups, group (A) 15 cases and group (B) 15 cases. All patients underwent a tabularized incised plate (TIP) repair with a Dartos vascularized pedicle flap to cover the neo-urethra, In group (B) a thin layer of fibrin sealant applied over the suture line of neo-urethra but no sealant was used in group (A).Results: Postoperative surgical complications: urethra cutaneous fistula, flap dehiscence, flap necrosis and urethral stricture were recorded. Urethrocutaneous fistula flap dehiscence and flap necrosis were lower in group (B) patients. There was no significant difference in postoperative urethral stricture between two groups. Conclusions: Use of fibrin sealant in hypospadias repair is safe and can reduce complications.

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