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Journals / Akdeniz Tıp Dergisi / 2025 / Cilt: 11 Sayı: 3

Predictive Factors and Long Term Outcomes of Urethroplasty In Male Anterior Urethral Stricture: Single Center Study

Erkek Hastalardaki Ön Üretral Darlıklarda Uygulanan Üretroplastinin Başarısını Etkileyen Faktörlerin ve Uzun Dönem Sonuçların Değerlendirilmesi: Tek Merkezli Çalışma

Ahmet Ender Caylan(Akdeniz Üniversitesi Tıp Fakültesi)0000-0003-1053-915X
Oğuzhan Önal(Akdeniz Üniversity)0009-0007-2923-7828
Pages
382–387
Publication Date
2025-09-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The length of stricture is the most reliable factor affecting success of surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The present study aimed to evaluate predictive factors affecting success rates and long term outcomes of urethroplasty due to male anterior urethral stricture.
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Key Findings & Data:Results: Both EAT and BMG techniques have similar success rate (65.7% and 72.2%, p:0.634) and mean re-stricture time (4.18 and 3.4 months, p: 0.556) respectively.
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Conclusion & Impact:The length of stricture is the most reliable factor affecting success of surgery.
🔬Design:Klinik Araştırma
📍Scope:Comprehensive Sample
⚙️Variables:Üretral darlık · Ön üretra · Üretroplasti

Abstract

Objective: The present study aimed to evaluate predictive factors affecting success rates and long term outcomes of urethroplasty due to male anterior urethral stricture. Material and Methods: Thirty-five patients who underwent anastomotic (EAT) urethroplasty and eighteen patients who underwent buccal mucosa graft (BMG) urethroplasty were evaluated retrospectively. Age, endoscopic interventions before urethroplasty, stricture length, follow-up time and re-stricture time were compared between groups. Univariate and Cox’s multivariate analyses were calculated to determine predictive factors of success. Kaplan Meier analysis was plotted to identify the stricture free survival. Results: Both EAT and BMG techniques have similar success rate (65.7% and 72.2%, p:0.634) and mean re-stricture time (4.18 and 3.4 months, p: 0.556) respectively. The stricture length was shown to be the prominent predictive factor for success (HR 1.6; 95% CI 0.453–12.797; p < 0.001). Conclusions: Both urethroplasty techniques had similar success rates. The length of stricture is the most reliable factor affecting success of surgery.

Özet

Amaç: Çalışma, erkek anterior üretral darlıklarda uygulanan üretroplastinin başarı oranını saptamayı ve başarıyı etkileyen faktörleri tespit etmeyi amaçlamaktadır. Gereç ve Yöntemler: Primer anostomoz (PA) ve bukkal mukoza grefti (BMG) teknikleri ile üretroplasti yapılan 35 ve 18 hastanın verileri geriye yönelik incelendi. Yaş, üretroplasti öncesi cerrahi girişimler, takip süresi ve rekürrens süresi ile gruplar değerlendirildi. Tek yönlü ve çok yönlü Cox’s analizleri ile başarıyı etkileyen faktörler araştırıldı. Rekürrenssiz sağ kalım süresi Kaplan Meier analizi ile tespit edildi. Bulgular: Her iki cerrahi tekniğin de (PA ve BMG) benzer başarı oranları (%65.7 ve %72.2, p:0.634) ve ortalama rekürrens sürelerine (4.18 ve 3.4 ay, p: 0.556) sahip olduğu tespit edildi. Darlık uzunluğunun başarıyı etkileyen en belirgin faktör olduğu görüldü (HR 1.6; 95% CI 0.453–12.797; p < 0.001). Sonuç: Çalışmamız, PA ve BMG tekniklerinin benzer başarı oranlarına sahip olduğunu ve üretroplasti başarısını etkileyen en belirgin faktörün darlık uzunluğu olduğunu ortaya koymaktadır.

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Cite This Article

Caylan, A. E., Önal, O. (2025). Predictive Factors and Long Term Outcomes of Urethroplasty In Male Anterior Urethral Stricture: Single Center Study. Akdeniz Tıp Dergisi, Cilt: 11 Sayı: 3, 382–387. https://doi.org/10.53394/akd.1531575

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