Perineostomy: the last oportunity

Detalhes bibliográficos
Autor(a) principal: Lopez,Juan Carlos Regueiro
Data de Publicação: 2015
Outros Autores: Gomez,Enrique Gomez, Carrillo,Alberto Alonso, Castiñeira,Roque Cano, Tapia,Maria Jose Requena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000100091
Resumo: Objective To review the technique and outcome of perineal urethrostomy or urethral perineostomy and to identify factors related to the procedure failure. Material and methods We studied 17 patients who underwent perineal urethrostomy between 2009-2013 in a single hospital. Success was defined as no need for additional surgical treatment or urethral dilatation. We reviewed the clinical data related to age, weight, previous urethral surgery, diabetes, hypertension, ischemic cardiopathy, lichen sclerosus and other causes and studied their association with the procedure failure (univariate analysis). We completed the analysis with a multivariate test based on binary regression. Results The average follow-up was 39.41 months. From all the causes, we found Lichen Sclerosus in 35%, idiopathic etiology in 29% and prior hypospadia repair in 18%. Postoperative failure occurred in 3 patients, with a final success of 82.4%. The binary regression model showed as independent risk factors ischemic cardiopathy (OR: 2.34), and the presence of Lichen Sclerosis (OR: 3.21). Conclusions The success rate with the perineal urethrostomy technique shows it to be a valid option above all when we preserve the urethral blood supply and plate. Lichen sclerosus and ischemic vascular problems are risk factors to re-stenosis.
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spelling Perineostomy: the last oportunityPerineumLichen Sclerosus et AtrophicusBalanitis Xerotica Obliterans Objective To review the technique and outcome of perineal urethrostomy or urethral perineostomy and to identify factors related to the procedure failure. Material and methods We studied 17 patients who underwent perineal urethrostomy between 2009-2013 in a single hospital. Success was defined as no need for additional surgical treatment or urethral dilatation. We reviewed the clinical data related to age, weight, previous urethral surgery, diabetes, hypertension, ischemic cardiopathy, lichen sclerosus and other causes and studied their association with the procedure failure (univariate analysis). We completed the analysis with a multivariate test based on binary regression. Results The average follow-up was 39.41 months. From all the causes, we found Lichen Sclerosus in 35%, idiopathic etiology in 29% and prior hypospadia repair in 18%. Postoperative failure occurred in 3 patients, with a final success of 82.4%. The binary regression model showed as independent risk factors ischemic cardiopathy (OR: 2.34), and the presence of Lichen Sclerosis (OR: 3.21). Conclusions The success rate with the perineal urethrostomy technique shows it to be a valid option above all when we preserve the urethral blood supply and plate. Lichen sclerosus and ischemic vascular problems are risk factors to re-stenosis. Sociedade Brasileira de Urologia2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000100091International braz j urol v.41 n.1 2015reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-5538.IBJU.2015.01.13info:eu-repo/semantics/openAccessLopez,Juan Carlos RegueiroGomez,Enrique GomezCarrillo,Alberto AlonsoCastiñeira,Roque CanoTapia,Maria Jose Requenaeng2015-04-07T00:00:00Zoai:scielo:S1677-55382015000100091Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2015-04-07T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Perineostomy: the last oportunity
title Perineostomy: the last oportunity
spellingShingle Perineostomy: the last oportunity
Lopez,Juan Carlos Regueiro
Perineum
Lichen Sclerosus et Atrophicus
Balanitis Xerotica Obliterans
title_short Perineostomy: the last oportunity
title_full Perineostomy: the last oportunity
title_fullStr Perineostomy: the last oportunity
title_full_unstemmed Perineostomy: the last oportunity
title_sort Perineostomy: the last oportunity
author Lopez,Juan Carlos Regueiro
author_facet Lopez,Juan Carlos Regueiro
Gomez,Enrique Gomez
Carrillo,Alberto Alonso
Castiñeira,Roque Cano
Tapia,Maria Jose Requena
author_role author
author2 Gomez,Enrique Gomez
Carrillo,Alberto Alonso
Castiñeira,Roque Cano
Tapia,Maria Jose Requena
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Lopez,Juan Carlos Regueiro
Gomez,Enrique Gomez
Carrillo,Alberto Alonso
Castiñeira,Roque Cano
Tapia,Maria Jose Requena
dc.subject.por.fl_str_mv Perineum
Lichen Sclerosus et Atrophicus
Balanitis Xerotica Obliterans
topic Perineum
Lichen Sclerosus et Atrophicus
Balanitis Xerotica Obliterans
description Objective To review the technique and outcome of perineal urethrostomy or urethral perineostomy and to identify factors related to the procedure failure. Material and methods We studied 17 patients who underwent perineal urethrostomy between 2009-2013 in a single hospital. Success was defined as no need for additional surgical treatment or urethral dilatation. We reviewed the clinical data related to age, weight, previous urethral surgery, diabetes, hypertension, ischemic cardiopathy, lichen sclerosus and other causes and studied their association with the procedure failure (univariate analysis). We completed the analysis with a multivariate test based on binary regression. Results The average follow-up was 39.41 months. From all the causes, we found Lichen Sclerosus in 35%, idiopathic etiology in 29% and prior hypospadia repair in 18%. Postoperative failure occurred in 3 patients, with a final success of 82.4%. The binary regression model showed as independent risk factors ischemic cardiopathy (OR: 2.34), and the presence of Lichen Sclerosis (OR: 3.21). Conclusions The success rate with the perineal urethrostomy technique shows it to be a valid option above all when we preserve the urethral blood supply and plate. Lichen sclerosus and ischemic vascular problems are risk factors to re-stenosis.
publishDate 2015
dc.date.none.fl_str_mv 2015-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000100091
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1677-5538.IBJU.2015.01.13
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.41 n.1 2015
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
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