The result of bulbar urethroplasty using double layer end-to-end anastomosis at Binh Dan hospital

Tóm tắt

   Background: This study presents the surgical method of bulbar urethroplasty utilizing a two-layer end-to-end anastomosis technique because of it’s high success rate and widespread global use.

   Subjects and Methods: We conducted a retrospective analysis of 39 cases involving bulbar urethroplasty utilizing the two-layer end-to-end anastomosis technique at Binh Dan Hospital from April 2022 – November 2023. Success was defined as a satisfactory cystoscopy at 4 months postoperatively and a Qmax index at 1 year after surgery.

   Results: Among the 39 cases studied, the primary clinical symptom observed was dysuria. Thirty eight cases were successful, yielding a success rate of 97.4%. There was notable improvement in urinary function and postoperative satisfaction, with an average International Prostate Symptom Score (IPSS) of 6.9 points and an average Quality of Life (QoL) score of 1.14 points. No complications occurred, including rectal damage, perineal abscess, or urethral bleeding. The complications were assessed using the Clavien-Dindo classification, which revealed a complication-free rate of 79.4%; Grade I complications accounted for 15.4% (1 case superficial Incisional Infection, 5 case postoperative Urinary extravasation), and Grade II complications for 5.2% ( 1 case epididymitis, 1 case Surgical site infection).

   Conclusion: The end-to-end 2-layer anastomosis in the study with a success rate of 97.4% (38/39) is a very suitable and good option for bulbar urethral strictures ≤ 2 cm. The procedure was safe, with no serious complications recorded. Postoperative care, avoiding surgical site infection, and using a silicone urethral catheter are important factors contributing to the success of the 2-layer end-to-end urethral anastomosis surgery.

DOI: 10.59715/pntjmp.4.3.11