Integrative review on current evidence for urethroplasty

Integrative review on current evidence for urethroplasty

Ana Ma. Ortiz-Zableh 1 , Laura Celis 2, Guillermo Sarmiento 1 , Paul Anthony-Camacho 3

1 Servicio de Urología, Centro Urológico FOSCAL, Colombia; 2 Servicio de Urología. Centro Urológico FOSCAL, Universidad Autónoma de Bucaramanga (UNAB), Floridablanca, Colombia; 3 Centro de Investigaciones FOSCAL-FOSCAL Internacional. Universidad Autónoma de Bucaramanga (UNAB), Floridablanca, Colombia

*Correspondence: Ana Ma. Ortiz-Zableh. Email: aortiz779@unab.edu.co

Abstract

Urethroplasty has become the standard for managing urethral stricture, depending on its location and etiology. Long-term outcome data varies depending on the definition of success used (subjective or objective). The objective of this integrative review is to show the available information on the functional results of patients with surgically managed urethral stricture. The study is an integrative review that was carried out through a literature search in PubMed, we included articles that described the results of patients undergoing urethral reconstruction with urethroplasty, only men, in English or Spanish, published between 1999-2022. The study included 34 articles, which showed that, depending on the type of procedure performed, the characteristics of the urethral stricture and the variables defined as success and failure, the risk factors associated with recurrence after reconstruction with urethroplasty in the urethra were the presence of comorbidities, obesity, and infectious etiology. In conclusion, urethroplasty is a procedure that has increased in recent years, with few studies that compare results depending on the type of procedure used. Our review found that there is more literature on the use of buccal mucosa graft (BMG) compared to excision and primary anastomotic urethroplasy (EPA), with comparable anatomical and functional results between both procedures.

Keywords: Urethroplasty. Urethral reconstruction. Urethra. Reconstructive surgery. Urology. Revision.

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