Management of post TURP strictures
Introduction Urethral stricture is a well-known complication after transurethral surgeries. The incidence of urethral stricture after transurethral resection of prostate (TURP) varies between 2.2 and 9.8%. Most of the cases present within 6 months of transurethral surgery. Presentation is likely wit...
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| Veröffentlicht in: | World journal of urology 2019-04, Vol.37 (4), p.589-594 |
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| creator | Kulkarni, Sanjay B. Joglekar, Omkar Alkandari, Mohammad Joshi, Pankaj M. |
| description | Introduction
Urethral stricture is a well-known complication after transurethral surgeries. The incidence of urethral stricture after transurethral resection of prostate (TURP) varies between 2.2 and 9.8%. Most of the cases present within 6 months of transurethral surgery. Presentation is likely with poor flow, urinary tract infection or acute retention.
Materials and methods
A prospective study was undertaken from January 2010–June 2017 for the management of post TURP stricture. A total of 170 patients with stricture urethra due to TURP were studied.
Results
The age of patients was 54–87 years (mean age 67.34). The mean preop Qmax was 6.1 ml (range 0–15). The length of stricture varied from very short in the proximal bulbar to pan urethral stricture. Out of 170, 94 were treated with dorsal approach, 71 with ventral approach and 5 with simultaneous distal dorsal, proximal ventral approach. Five patients underwent endoscopic procedure. Mean BMG length was 6.25 cm (4–8) and width was 1.5 cm (1.3–1.8). Overall success rate was 82.43%.
Conclusion
Urethral stricture is a well-known complication after transurethral surgeries. Post TURP can cause stricture at any part urethra. BMG mucosa Urethroplasty is the safe, feasible and offer long-term success in these patient and should be strongly considered over CIC and VIU. Ventral approach is best suited for proximal bulbar strictures close to membranous urethra. This is a continence preserving surgery. |
| doi_str_mv | 10.1007/s00345-018-2498-x |
| format | Article |
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Urethral stricture is a well-known complication after transurethral surgeries. The incidence of urethral stricture after transurethral resection of prostate (TURP) varies between 2.2 and 9.8%. Most of the cases present within 6 months of transurethral surgery. Presentation is likely with poor flow, urinary tract infection or acute retention.
Materials and methods
A prospective study was undertaken from January 2010–June 2017 for the management of post TURP stricture. A total of 170 patients with stricture urethra due to TURP were studied.
Results
The age of patients was 54–87 years (mean age 67.34). The mean preop Qmax was 6.1 ml (range 0–15). The length of stricture varied from very short in the proximal bulbar to pan urethral stricture. Out of 170, 94 were treated with dorsal approach, 71 with ventral approach and 5 with simultaneous distal dorsal, proximal ventral approach. Five patients underwent endoscopic procedure. Mean BMG length was 6.25 cm (4–8) and width was 1.5 cm (1.3–1.8). Overall success rate was 82.43%.
Conclusion
Urethral stricture is a well-known complication after transurethral surgeries. Post TURP can cause stricture at any part urethra. BMG mucosa Urethroplasty is the safe, feasible and offer long-term success in these patient and should be strongly considered over CIC and VIU. Ventral approach is best suited for proximal bulbar strictures close to membranous urethra. This is a continence preserving surgery.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-018-2498-x</identifier><identifier>PMID: 30267196</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Bladder ; Catheters ; Endoscopy ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Mucosa ; Nephrology ; Oncology ; Patients ; Penis ; Postoperative Complications - surgery ; Prospective Studies ; Prostate ; Reconstructive Surgical Procedures ; Stricture ; Surgery ; Surgical outcomes ; Topic Paper ; Transurethral Resection of Prostate ; Urethra ; Urethral Stricture - surgery ; Urinary tract ; Urinary tract diseases ; Urinary tract infections ; Urogenital system ; Urologic Surgical Procedures, Male ; Urology</subject><ispartof>World journal of urology, 2019-04, Vol.37 (4), p.589-594</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>World Journal of Urology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-dfac77dc988949521f03150b3ebf335d1b6b3295c578a00279972001f82158063</citedby><cites>FETCH-LOGICAL-c371t-dfac77dc988949521f03150b3ebf335d1b6b3295c578a00279972001f82158063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-018-2498-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-018-2498-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30267196$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kulkarni, Sanjay B.</creatorcontrib><creatorcontrib>Joglekar, Omkar</creatorcontrib><creatorcontrib>Alkandari, Mohammad</creatorcontrib><creatorcontrib>Joshi, Pankaj M.</creatorcontrib><title>Management of post TURP strictures</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Introduction
Urethral stricture is a well-known complication after transurethral surgeries. The incidence of urethral stricture after transurethral resection of prostate (TURP) varies between 2.2 and 9.8%. Most of the cases present within 6 months of transurethral surgery. Presentation is likely with poor flow, urinary tract infection or acute retention.
Materials and methods
A prospective study was undertaken from January 2010–June 2017 for the management of post TURP stricture. A total of 170 patients with stricture urethra due to TURP were studied.
Results
The age of patients was 54–87 years (mean age 67.34). The mean preop Qmax was 6.1 ml (range 0–15). The length of stricture varied from very short in the proximal bulbar to pan urethral stricture. Out of 170, 94 were treated with dorsal approach, 71 with ventral approach and 5 with simultaneous distal dorsal, proximal ventral approach. Five patients underwent endoscopic procedure. Mean BMG length was 6.25 cm (4–8) and width was 1.5 cm (1.3–1.8). Overall success rate was 82.43%.
Conclusion
Urethral stricture is a well-known complication after transurethral surgeries. Post TURP can cause stricture at any part urethra. BMG mucosa Urethroplasty is the safe, feasible and offer long-term success in these patient and should be strongly considered over CIC and VIU. Ventral approach is best suited for proximal bulbar strictures close to membranous urethra. This is a continence preserving surgery.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bladder</subject><subject>Catheters</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mucosa</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Patients</subject><subject>Penis</subject><subject>Postoperative Complications - surgery</subject><subject>Prospective Studies</subject><subject>Prostate</subject><subject>Reconstructive Surgical Procedures</subject><subject>Stricture</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Topic Paper</subject><subject>Transurethral Resection of Prostate</subject><subject>Urethra</subject><subject>Urethral Stricture - surgery</subject><subject>Urinary tract</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urogenital system</subject><subject>Urologic Surgical Procedures, Male</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBcpPXmJziSbr6MUv6CiSHsO-5EtLd3dmuxC_fembFUQnMsc5pl3hoeQS4QbBFC3AYAnggJqyhKj6e6IDDHhnGrF5DEZgmIJjQM-IGchrAFQSRCnZMCBSYVGDsnkJa3Tpatc3Y6bcrxtQjueL97fxqH1q7ztvAvn5KRMN8FdHPqILB7u59MnOnt9fJ7ezWjOFba0KNNcqSI3WpvECIYlcBSQcZeVnIsCM5lxZkQulE4BmDJGsfhSqRkKDZKPyHWfu_XNR-dCa6tVyN1mk9au6YJliIk0sVhEJ3_QddP5On5nGdtHS4kRwh7KfROCd6Xd-lWV-k-LYPf-bO_PRn9278_u4s7VIbjLKlf8bHwLiwDrgRBH9dL538v_p34BQb53iw</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Kulkarni, Sanjay B.</creator><creator>Joglekar, Omkar</creator><creator>Alkandari, Mohammad</creator><creator>Joshi, Pankaj M.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>Management of post TURP strictures</title><author>Kulkarni, Sanjay B. ; Joglekar, Omkar ; Alkandari, Mohammad ; Joshi, Pankaj M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-dfac77dc988949521f03150b3ebf335d1b6b3295c578a00279972001f82158063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bladder</topic><topic>Catheters</topic><topic>Endoscopy</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Mucosa</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Patients</topic><topic>Penis</topic><topic>Postoperative Complications - surgery</topic><topic>Prospective Studies</topic><topic>Prostate</topic><topic>Reconstructive Surgical Procedures</topic><topic>Stricture</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Topic Paper</topic><topic>Transurethral Resection of Prostate</topic><topic>Urethra</topic><topic>Urethral Stricture - surgery</topic><topic>Urinary tract</topic><topic>Urinary tract diseases</topic><topic>Urinary tract infections</topic><topic>Urogenital system</topic><topic>Urologic Surgical Procedures, Male</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kulkarni, Sanjay B.</creatorcontrib><creatorcontrib>Joglekar, Omkar</creatorcontrib><creatorcontrib>Alkandari, Mohammad</creatorcontrib><creatorcontrib>Joshi, Pankaj M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kulkarni, Sanjay B.</au><au>Joglekar, Omkar</au><au>Alkandari, Mohammad</au><au>Joshi, Pankaj M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of post TURP strictures</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>37</volume><issue>4</issue><spage>589</spage><epage>594</epage><pages>589-594</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Introduction
Urethral stricture is a well-known complication after transurethral surgeries. The incidence of urethral stricture after transurethral resection of prostate (TURP) varies between 2.2 and 9.8%. Most of the cases present within 6 months of transurethral surgery. Presentation is likely with poor flow, urinary tract infection or acute retention.
Materials and methods
A prospective study was undertaken from January 2010–June 2017 for the management of post TURP stricture. A total of 170 patients with stricture urethra due to TURP were studied.
Results
The age of patients was 54–87 years (mean age 67.34). The mean preop Qmax was 6.1 ml (range 0–15). The length of stricture varied from very short in the proximal bulbar to pan urethral stricture. Out of 170, 94 were treated with dorsal approach, 71 with ventral approach and 5 with simultaneous distal dorsal, proximal ventral approach. Five patients underwent endoscopic procedure. Mean BMG length was 6.25 cm (4–8) and width was 1.5 cm (1.3–1.8). Overall success rate was 82.43%.
Conclusion
Urethral stricture is a well-known complication after transurethral surgeries. Post TURP can cause stricture at any part urethra. BMG mucosa Urethroplasty is the safe, feasible and offer long-term success in these patient and should be strongly considered over CIC and VIU. Ventral approach is best suited for proximal bulbar strictures close to membranous urethra. This is a continence preserving surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30267196</pmid><doi>10.1007/s00345-018-2498-x</doi><tpages>6</tpages></addata></record> |
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| ispartof | World journal of urology, 2019-04, Vol.37 (4), p.589-594 |
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| subjects | Aged Aged, 80 and over Bladder Catheters Endoscopy Humans Male Medicine Medicine & Public Health Middle Aged Mucosa Nephrology Oncology Patients Penis Postoperative Complications - surgery Prospective Studies Prostate Reconstructive Surgical Procedures Stricture Surgery Surgical outcomes Topic Paper Transurethral Resection of Prostate Urethra Urethral Stricture - surgery Urinary tract Urinary tract diseases Urinary tract infections Urogenital system Urologic Surgical Procedures, Male Urology |
| title | Management of post TURP strictures |
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