Urethroplasty among Elderly Men, Surgical Techniques and Outcomes

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dc.contributor.authorArhin Appiah, Kwaku Addai
dc.contributor.authorAmoah, , George
dc.contributor.authorOpoku Manu Maison, Patrick
dc.contributor.authorAzorliade, Roland
dc.contributor.authorOtu-Boateng, Kwaku
dc.contributor.authorArthur, Douglas
dc.contributor.authorAnnor Mintah, Dominic
dc.contributor.authorYorke, Joseph
dc.contributor.orcid0000-0002-5229-0340
dc.date.accessioned2024-05-29T16:27:58Z
dc.date.available2024-05-29T16:27:58Z
dc.date.issued2024
dc.descriptionThis article is published by Scientific Research Publishing and is also available at DOI: 10.4236/oju.2024.143018
dc.description.abstractUrethroplasty remains the gold standard for the management of urethral stricture. However, the treatment of stricture disease in the elderly tends to be less invasive due to the presumption that they might not be able to stand long hours of surgery and might have higher rates of recurrence due to poor wound healing from microangiopathy. We present our experience with the outcomes of urethroplasty among elderly men seen at the Komfo Anokye Teaching Hospital from January 2012 to December 2021. Methods: This was a retrospective review of data captured in the urology database on all patients 65 years and above who underwent urethroplasty at the hospital over the study period. Data was obtained on patients’ demographics, stricture characteristics, urethroplasty technique, and outcome. A successful outcome was defined as peak flow rate > 15 mls/s, a patent urethra on retrograde urethrogram, patient satisfaction with urine stream, or restoration of the normal stream of urine with only one attempt at urethral calibration or internal urethrotomy post operatively. Data was analyzed using PASW Statistics for Windows, Version 18.0. Results: Overall, 43 urethroplasties were done over the study period in elderly men. The age range was 65 to 87 years. The commonest aetiology was catheterization (62.79%) followed by urethritis (32.56%). Stricture length ranged from 0.5 cm to 16 cm with a mean of 3.93 cm. Most patients (60.46%) had bul bar urethral strictures. The repair methods employed were anastomotic ureth roplasty (62.80%), fasciocutaneous flap (FCF) ventral onlay (13.95%), buccal mucosa graft (BMG) ventral onlay urethroplasty (4.65%), and staged urethrop lasty (4.65%). Three of the patients (6.98%) had a combination of anastomotic and tissue transfer urethroplasty. The overall success rate was 88.37%. Com plications included three surgical site infections, two urethral diverticula and one glans dehiscence. Conclusion: Elderly men tolerate urethroplasty well and the procedure should not be denied solely based on age.
dc.description.sponsorshipKNUST
dc.identifier.citationOpen Journal of Urology, 2024, 14, 179-187
dc.identifier.uriDOI: 10.4236/oju.2024.143018
dc.identifier.urihttps://ir.knust.edu.gh/handle/123456789/15741
dc.language.isoen
dc.publisherScientific Research Publishing
dc.titleUrethroplasty among Elderly Men, Surgical Techniques and Outcomes
dc.typeArticle
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