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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 99 - 106 (8page)
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Purpose: To determine the impact of pelvic bone fracture on the recurrence of urethral stenosis after bulbomembranous anastomotic urethroplasty. Materials and Methods: A total of 197 patients with complete posterior urethral injuries underwent bulbomembranous anastomotic urethroplasty. These patients were divided into two groups according to the presence of pelvic bone fracture. Recurrence of urethral stenosis was defined as the need for any postoperative surgical intervention. The surgical outcomes and postoperative recurrence rate of urethral stenosis were compared between the two groups, and significant predictors for posterior urethral restenosis, including pelvic bone fracture, were analyzed via multivariate analysis. Results: Of the patients, 92 had pelvic bone fractures and the other 105 patients did not. The patients with pelvic bone fracture had increased involvement of the prostatic urethra compared to the group without pelvic bone fracture (3.8% vs. 17.4%, p=0.002). Recurrence of urethral stenosis was more common in the pelvic bone fracture group (42/92, 45.7%) than the group without pelvic fracture (27/105, 25.7%). In a Kaplan—Meier analysis, the recurrence rate at 5 years was significantly lower in the pelvic bone fracture group (59.1% vs. 72.6%, p=0.003). A Cox proportional hazard analysis showed that the presence of pelvic bone injury was a significant predictor of posterior urethral re-stenosis. Conclusions: Patients with posterior urethral injuries associated with pelvic bone fracture had a higher recurrence rate of urethral stenosis after bulbomembranous anastomotic urethroplasty than those without pelvic bone fracture.
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참고문헌 (30)
참고문헌 신청
민병달 / 2012 / Tubal Buccal Mucosa Graft without Anastomosis of the Proximal Urethra for Long Segment Posterior Urethral Defect Repair / Investigative and Clinical Urology 53(10):737~740
Scarberry K / 2018 / Delayed posterior urethroplasty following pelvic fracture urethral injury : do we have to wait 3 months? / Urology 116:193~197
Horiguchi A / 2017 / Primary realignment for pelvic fracture urethral injury is Associated with Prolonged Time to Urethroplasty and Increased Stenosis Complexity / Urology 108:184~189
Zou Q / 2017 / The immediate management of pelvic fracture urethral injury-endoscopic realignment or cystostomy? / J Urol 198:869~874
Mathur R / 2011 / Prognosis of urethral strictures following pelvic fracture urethral distraction defects--a single centre study / Int J Surg 9:68~71
Scarberry K / 2018 / Delayed posterior urethroplasty following pelvic fracture urethral injury : do we have to wait 3 months? / Urology 116:193~197
Horiguchi A / 2017 / Primary realignment for pelvic fracture urethral injury is Associated with Prolonged Time to Urethroplasty and Increased Stenosis Complexity / Urology 108:184~189
Zou Q / 2017 / The immediate management of pelvic fracture urethral injury-endoscopic realignment or cystostomy? / J Urol 198:869~874
Mathur R / 2011 / Prognosis of urethral strictures following pelvic fracture urethral distraction defects--a single centre study / Int J Surg 9:68~71
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