Starting a Urethroplasty Service: Initial results from a UK centre

Published Date: 23rd December 2019

Publication Authors: Floyd Jr MS

Introduction

Stricture disease remains uncommon with an incidence of 0.9%. Most cases are initially managed endoscopically. Urethral reconstruction remains a specialised field and is typically concentrated in specialised centres. In 2018 a urethral centre was established in Whiston Hospital, Merseyside to cater for local demand.

Method(s)

Sixteen patients who underwent urethral reconstruction in the first 18 months of the unit being established were included. Source of referral, preoperative and postoperative symptom scores, length of graft and nature of procedure and complication rates were recorded.

Result(s)

Three patients were referred from the private sector and two from other Hospitals. The mean age of patient was 47 years. Four were BXO related and 3 were catheter related. Mean preoperative IPSS scores were 16 and 4 respectively with postoperative scores falling to 6 and 2. Mean Buccal graft size was 4.5 cm. A total of 21st stage, 6 ventral onlay, 3 asopa, 2 dorsal onlay, I combined procedure & 2 division of penoscrotal webs were performed. 1 wound infection was noted post op and 1 patient continued to intermittently self dilate. No oral wound or erectile problems were reported.

Conclusion(s)

Following the establishment of a dedicated unit the referral base has grown with promising results to date. Access to theatre remains a challenge and revised data will include 2nd stage procedures.

Floyd, MS Jr. (2019). Starting a Urethroplasty Service: Initial results from a UK centre . European Urology Supplements. 18 (5), e2528

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