PD22-03 RANDOMIZED PROSPECTIVE STUDY TO COMPARE OUTCOMES BETWEEN VENTRAL AND DORSAL ONLAY URETHROPLASTY IN FEMALE URETHRAL STRICTURE

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Urethral Reconstruction (including Stricture, Diverticulum) II (PD22)1 Sep 2021PD22-03 RANDOMIZED PROSPECTIVE STUDY TO COMPARE OUTCOMES BETWEEN VENTRAL AND DORSAL ONLAY URETHROPLASTY IN FEMALE URETHRAL STRICTURE Varun Katiyar, Hemant Goel, Rajeev Sood, and Karandeep Guleria KatiyarVarun Katiyar More articles by this author , GoelHemant Goel SoodRajeev Sood GuleriaKarandeep View All Author Informationhttps://doi.org/10.1097/JU.0000000000002011.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: Female urethral stricture (FUS) isn’t as rare a cause LUTS in women previously thought. It remains largely undertreated, being managed mostly repeated dilatations, which provide at best temporary relief possibly worsening disease.Reconstructive techniques been described with improved results, using either dorsal (refers 12 o’clock position) or ventral approach (6 oral/vaginal grafts. A would avoid dissection around neurovascular bundle reducing sexual complications also division pubo-urethral ligaments incision sphincter aspect, theoretically the risk incontinence. Proponents claim achieve more natural urinary stream avoiding hypospadiatic meatus reduced urethra-vaginal fistula. To our knowledge, direct comparison between two hasn’t made. METHODS: We performed prospective randomised study on total 24 patients directly compare approaches their effectiveness management strategy for FUS. Patients were evaluated objective subjective parameters before after intervention followed up minimum 6 months each participant. RESULTS: Mean Qmax from 7.0 19.3 ml/s, mean PVR decreased 101 25 ml IPSS 19 points months. One patient group developed recurrence (8% rate). Though postoperative flow rates, symptom score improvements function comparable among both groups, technical differences noted easier preservation lesser bleeding approach, whereas proximal strictures dealt approach. There was no dyspareunia, urethrovaginal fistula any major complication. CONCLUSIONS: Both urethroplasty present very promising modality FUS outcomes but important highlighting need tailor individual patient. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e381-e381 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...