To evaluate risk factors for stenosis recurrence following primary excision and primary anastomosis (EPA) urethroplasty and assess predictors of specific postoperative complications, including reoperation rates and functional outcomes.
Key Findings:
High success rates of posterior urethroplasty for PFUI-related stenosis, with reported success rates up to 96%.
Postoperative complications, including urinary incontinence and erectile dysfunction, and recurrent stenosis remain significant concerns.
Stenosis recurrence defined as re-narrowing requiring re-intervention, confirmed by imaging or urethroscopy.
Interpretation:
Identifying risk factors for recurrence and complications is crucial for optimizing surgical outcomes in patients undergoing posterior urethroplasty for PFUI.
Limitations:
Retrospective nature of the study may introduce selection bias and confounding factors.
Exclusion of patients requiring redo urethroplasty limits generalizability.
Conclusion:
The study highlights the importance of understanding risk factors for recurrence and complications in posterior urethroplasty to improve patient management and surgical outcomes, emphasizing the need for tailored follow-up strategies.
