A retrospective analysis of delayed complications of urethroplasty at a tertiary care centre.
Summary of "A retrospective analysis of delayed complications of urethroplasty at a tertiary care centre."
Urethroplasty is commonly performed worldwide by reconstructive urologists and such a large scale practice is often faced with numerous complications, yet "complication based analysis" still persists as a gray area. Our study aims to provide an evaluation of long-term post-urethroplasty complications, after the five commonly practiced procedures, at our centre. 302 male patients with urethral strictures due to various etiologies were assessed preoperatively via retrograde urethrogram, urethrosonogram, and uroflowmetry. They were then subjected to different urethroplasty techniques viz. tunica albuginea urethroplasty (TAU), U-shaped prostato-bulbar anastomosis (USPBA), dorsal buccal mucosa graft urethroplasty, skin substitution urethroplasty and Dartos flap urethroplasty. Postoperatively, patients were assessed at regular intervals, regarding the occurrence of complications. The overall complication rate was 21% at 5 years follow-up, with the majority during the initial 2 years. Infection and restenosis were the major long-term complications (12%). Maximum complications were seen in patients, who underwent TAU and USPBA simultaneously followed by Dartos flap urethroplasty and minimum were seen with TAU. In conclusion, a meticulous post-urethroplasty follow-up reveals a wide range of long-term complications. The complication rate differs in accordance with the etiology, site and length of stricture as well as the reconstructive technique.
Department of Surgery, M.G.M Medical College and M.Y.H Group of Hospitals, Indore, Madhya Pradesh, 452001, India, email@example.com.
This article was published in the following journal.
Name: Updates in surgery
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21739332
- DOI: http://dx.doi.org/10.1007/s13304-011-0093-4
Since the 1990s, it has been well known that orchiopexies should be performed by no later than 2 years of age. Nevertheless, studies from other countries report a substantial number of delayed orchiop...
Retrieval rates of optional recovery inferior vena cava (IVC) filters in US hospitals range from 11 - 70%. We conducted a retrospective study in a Canadian tertiary care centre to determine retrieval ...
Advance Care Planning is a process of discussion with individuals about their wishes and preferences regarding the type of care they would wish to receive or refuse in the future, should they lack cap...
To investigate the causes for loss-to-follow-up of hepatitis patients at a liver centre of a tertiary care hospital.
The GSF was developed in 2000 to improve palliative care in primary care. National dissemination was facilitated through a cascade approach with a Central Team supporting local facilitators. GSF has b...
The purpose of this retrospective study is to identify all neonates (newborns < 30 days of age) from January 1, 2002 through June 20, 2006 at Children’s Healthcare of Atlanta who have su...
To review the characteristics and treatment of gastrointestinal tumours at the two tertiary centres in Singapore
The Satellite™ Retrospective Analysis is an international, retrospective, multi-center, non-interventional post-marketing study designed to document and analyze existing data with the de...
One year prospective analysis of drug utilization and prescription point prevalence of medications in a pediatric tertiary care university medical center. Off-label use of medications in t...
The goal of this clinical research study is to evaluate a new two-stage approach (delayed-immediate reconstruction) to breast reconstruction in women who may require post-mastectomy radiat...
Medical and Biotech [MESH] Definitions
The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or performed by other physicians or other health professionals (From The Facts On File Dictionary of Health Care Management, 1988).
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Organization of medical and nursing care according to the degree of illness and care requirements in the hospital. The elements are intensive care, intermediate care, self-care, long-term care, and organized home care.
Formal programs for assessing drug prescription against some standard. Drug utilization review may consider clinical appropriateness, cost effectiveness, and, in some cases, outcomes. Review is usually retrospective, but some analysis may be done before drugs are dispensed (as in computer systems which advise physicians when prescriptions are entered). Drug utilization review is mandated for Medicaid programs beginning in 1993.
The lack of development of SEXUAL MATURATION in boys and girls at a chronological age that is 2.5 standard deviations above the mean age at onset of PUBERTY in a population. Delayed puberty can be classified by defects in the hypothalamic LHRH pulse generator, the PITUITARY GLAND, or the GONADS. These patients will undergo spontaneous but delayed puberty whereas patients with SEXUAL INFANTILISM will not.