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Dorsal Versus Ventral Anterior Urethral Spatulation in Posterior Urethroplasty

Author(s): Jalil Hosseini | Mohammad Jabbari | Ali Kaviani | Mohammad Mohsen Mazloomfard | Hooman Mokhtarpour

Journal: Urology Journal
ISSN 1735-1308

Volume: 7;
Issue: 4;
Start page: 258;
Date: 2010;
Original page

Keywords: urethra | urethral stricture | pelvic bones | retrospective study | complications

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 wereno 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.
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