End to End Anastomotic Urethroplasty in the Management of Posterior Urethral Distraction Defect: End to End Anastomotic Urethroplasty

Khalid Farooq; Ilyas Zahoor; Awais Ahmed; Haris Hameed; Najma Hameed; Israr Ali Khan

doi:10.54393/pjhs.v4i12.1218

Authors

Khalid Farooq Lady Reading Hospital, Peshawar, Pakistan
Ilyas Zahoor Lady Reading Hospital, Peshawar, Pakistan
Awais Ahmed DHQ Hospital, Nowshera, Pakistan
Haris Hameed Bannu Medical College, Bannu, Pakistan
Najma Hameed Northwest General Hospital, Peshawar, Pakistan
Israr Ali Khan Bannu Medical College, Bannu, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i12.1218

Keywords:

Anastomotic Urethroplasty, Urethral Distraction Defect, Blind Stricture, Optical Urethrotomy, Retrograde Urethrography

Abstract

Posterior urethral distraction deficits are a difficult and complex clinical condition that necessitates specialized care in urological therapy. End-to-end anastomotic urethroplasty has emerged as a critical procedure for treating posterior urethral distraction abnormalities, providing a thorough and successful approach for restoring normal urethral function. Objective: To assess the outcome of end-to-end urethroplasty in posterior urethral distraction defects. Methods: This study was conducted at the departments of Urology, MTI LRH, and Peshawar from 1^st November 2017 to 31^st December 2021. It was a descriptive case-series study by design. Patients included were having blind urethral strictures. End to end urethroplasty was performed. Patients were followed for one year. Depending upon symptoms relief, uro-flowmetery studies, and radiographic findings at the end of one year, success was defined as good, fair, or poor. Results: The study included a total of 110 patients, with a majority being male (80%) and the remaining 20% being female. The mean age of the patients was 35 years, with the majority falling in the age group of 30-39 years (50.9%). Good outcomes were recorded in 79 patients (71.8%). 11 (10.0%) participants had poor outcomes. Conclusions: Urethroplasty is a gold standard treatment modality in terms of outcome for patients with posterior urethral distraction defects.

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