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, firstname.lastname@example.org.
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
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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.
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