Üretra darlıklarında nüks sayısı, darlık uzunluğu ve lokalizasyonu öngören parametreler

Amaç: Bu çalışmada üretral darlıkların bilinen etiyolojik ve predispozan faktörlerine ek olarak, bilinmeyen ve net olarak tanımlanmamış faktörler incelendi. Gereç ve Yöntem: Merkezimizde 2017-2022 yılları arasında Vizüel internal üretrotom (VIU) operasyonu geçiren 317 hastanın tıbbi kayıtları retrospektif olarak incelendi. Total VIU operasyonu sayısı üzerinde etkili olan parametreler araştırıldı. Ek olarak total dar segment uzunluğuna ve darlık lokalizasyonuna etki eden faktörler araştırıldı. Bulgular: Geçirilmiş endoürolojik cerrahi öyküsü ve kardiyovasküler hastalık öyküsünün, daha fazla VIU operasyonu sayısı ile ilişkili olduğu görüldü (p<0.05). Yaş, daha uzun total üretral darlık segmentiyle ilişkiliydi (p<0.05). Daha önce geçirilmiş endoürolojik müdahale öyküsü ve kardiyovasküler hastalık hikayesi, darlığın daha distalde olma oranını istatistiksel anlamlı şekilde arttırmaktaydı (p<0.05). Sonuç: Kardiyovasküler hastalık hikayesi olan kişilerde endoürolojik girişim ve üretral kateter yerleştirilmesi işlemlerinden mümkün olduğunca kaçınılmalıdır. Erektil disfonksiyon hastalarında yapıldığı gibi, anterior üretral darlığı olan hastalarda da kardiyovasküler hastalık araştırmasının yapılması faydalı bir yaklaşım olacaktır.

Anahtar Kelimeler:

Üretral striktür, vizüel internal üretrotomi, kardiyovasküler arrest, koroner arter bypass

Parameters predicting the number of recurrences, strictural length and localization in urethral strictures

Purpose: In addition to the known etiological and predisposing factors of urethral stricture, we aimed to examine unknown and not clearly defined factors. Materials and Methods: Medical records of 317 patients who underwent visual internal urethrotome (VIU) surgery in our clinic between 2017 and 2022 were retrospectively reviewed. The effect of other parameters on the total number of VIU operations was investigated. Additionally, the factors affecting the total strictural segment length of urethra and stricture localization were investigated. Results: The presence of history of endourological surgery and history of cardiovascular disease were independently associated with a higher number of VIU operations (p<0.05). The age was independently associated with longer total urethral stricture segments (p<0.05). The history of previous endourological intervention or the presence of cardiovascular disease are significantly increased the rate of distally localized strictures (p<0.05). Conclusion: Endourological interventions and urethral catheter procedures should be avoided as much as possible for people with cardiovascular disease. It will be a useful approach to investigate the status of cardiovascular disease of patients with anterior urethral stricture, as It is done in erectile disfunction.

Keywords:

Urethral stricture, visual internal urethrotome, cardiovascular arrest, coronary artery bypass,

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