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Journals / Journal of Urological Surgery / 2016 / Cilt: 3 - Sayı: 1

Prostat Cerrahisi Sonrası Can Sıkıcı Komplikasyon Üretral Darlık, Güncel Literatürün Kritik Analizi

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Emrullah SÖĞÜTDELEN
Hakan Bahadır HABERAL
Fuad GULİYEV
Bülent AKDOĞAN
Pages
1–6
DOI
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AI Summary & Key Takeaways

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

Rarely, urethroplasty with buccal mucosa grafts is needed for more complicated cases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Urethral stricture is narrowing of the urethra due to inflammation that results in scarring.
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Key Findings & Data:Urethral stricture or bladder neck contraction following transurethral resection of the prostate (TURP) is seen in up to 19% of men in different series.
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Conclusion & Impact:Rarely, urethroplasty with buccal mucosa grafts is needed for more complicated cases.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Urethral stricture is narrowing of the urethra due to inflammation that results in scarring. Prostatectomies for benign and malign prostatic diseases are common surgical procedures among men mainly after their fifties. Urethral stricture or bladder neck contraction following transurethral resection of the prostate (TURP) is seen in up to 19% of men in different series. Urethral stricture after laser prostatectomy is less frequently reported than TURP, which is about 3.6%. Open prostatectomy for benign prostatic hyperplasia is the oldest technique, nonetheless, it is a reasonable alternative for patients with larger prostates. Urethral stricture is reported in 1.9-4.8% of patients after open prostatectomy. Radical prostatectomy (RP) is the most common surgical procedure done worldwide for the treatment of localized prostate cancer. Contracture of the bladder neck at the level of the anastomosis is a well-recognized complication after RP occurring in 0.4-32% of patients. Strictures are mainly treated with endoscopic procedures. Rarely, urethroplasty with buccal mucosa grafts is needed for more complicated cases.

Özet

Üretral striktür enflamasyona bağlı olarak skarlaşma sonrası üretradaki daralmadır. Elli yaş üzeri erkeklerde benign ve malign hastalıklara bağlı olarak yapılan prostatektomiler oldukça yaygın olarak uygulanmaktadır. Prostatın transüretral rezeksiyonu sonrası farklı serilerde %19'a kadar çıkan oranlarda üretral darlık ve mesane boynu kontraksiyonu görülmektedir. Lazer prostatektomi sonrası üretral darlık prostatın transüretral rezeksiyonuna oranla daha az olarak görülmektedir, yaklaşık olarak %3,6 oranındadır. Açık prostatektomi en eski yöntem olmasına rağmen büyük prostat boyutlu hastalarda oldukça mantıklı bir alternatiftir. Açık prostatektomi sonrası yaklaşık olarak %1,9-4,8 oranında darlık bildirilmiştir. Radikal prostatektomi (RP) lokalize prostat kanseri tedavisinde bütün dünyada en yaygın olarak uygulanan yöntemdir. RP sonrası anastomoz seviyesinde mesane boynu kontraksiyonu olması iyi bilinen bir komplikasyondur ve yaklaşık olarak hastaların %0,4-32'sinde görülmektedir. Darlık büyük oranda endoskopik yöntemlerle tedavi edilmektedir, nadiren komplike olgularda bukkal mukoza greftli üretroplasti gerekebilmektedir.

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Cite This Article

SÖĞÜTDELEN, E., HABERAL, H. B., GULİYEV, F., AKDOĞAN, B. (2016). Prostat Cerrahisi Sonrası Can Sıkıcı Komplikasyon Üretral Darlık, Güncel Literatürün Kritik Analizi. Journal of Urological Surgery, Cilt: 3 - Sayı: 1, 1–6. https://ajindex.com/articles/208769

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