•  
  •  
 

Turkish Journal of Medical Sciences

Author ORCID Identifier

MUSAB KUTLUHAN: 0000-0001-7117-9210

SAİT AYGÜN: 0009-0002-4470-1944

SELMAN ÜNAL: 0000-0002-9000-304X

ASİM ÖZAYAR: 0000-0002-5302-1927

EMRAH OKULU: 0000-0002-6827-7319

KEMAL ENER: 0000-0002-7002-1152

ÖNDER KAYIGİL: 0000-0001-8261-3940

DOI

10.55730/1300-0144.5848

Abstract

Background/aim: To describe the ventral approach augmented non-transected anastomotic (vANTA) urethroplasty and to present the preliminary functional results of the patients in whom we used this technique.Materials and Methods: Twenty-three patients who underwent vANTA urethroplasty were included in the study. Stricture location, stricture length, preoperative uroflowmetry parameters (Maximum flow rate (Qmax) and mean flow rate (Qmean), preoperative International Index of Erectile Function (IIEF)-5 scores, operation time, postoperative complications, length of hospital stay and follow-up periods were recorded. Postoperative 2nd and 12th-month Qmax, Qmean, and IIEF-5 scores of the patients were recorded. Preoperative and postoperative Qmax and IIEF-5 scores were compared. Kaplan–Meier survival analysis was performed to demonstrate recurrence-free survival.Results: The mean age of the patients included in the study was 52.1±16.9 years. The mean stricture length was 2.5±0.5 cm. There was a statistically significant difference between preoperative and postoperative 2nd-month uroflowmetry Qmax (p<0.001) (6.9 (0.0-14.5) vs 18.5 (5.5-41.5) ml/s). There was no statistically significant difference in preoperative and postoperative 2nd month IIEF-5 scores (p>0.05). There was a statistically significant difference between preoperative and postoperative 1st-year median Qmax values (7.2 (0.0-12.3) vs 17.4 (11.2-24.3) (p=0.001). There was no statistically significant difference between preoperative and postoperative 1st year IIEF-5 scores (p>0.05). According to Kaplan Mayer's recurrence-free survival analysis, the 6th-month recurrence-free survival rate was 95.7%Conclusion: In bulbar urethral strictures, vANTA urethroplasty is an effective treatment option with limited postoperative complications. Preserving underlying corpus spongiosum is important to avoid sexual function impairment.

Keywords

quality of life, sexual function, Urethral stricture, urethroplasty, urinary function

First Page

771

Last Page

777

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Download

Share

COinS