Faculty Collaboration Database

Outcomes of grafted bulbar urethroplasty in men with class II or III obesity. Urology 2011 Dec;78(6):1420-3

Date

10/22/2011

Pubmed ID

22014595

DOI

10.1016/j.urology.2011.07.1429

Scopus ID

2-s2.0-82955233078 (requires institutional sign-in at Scopus site)   7 Citations

Abstract

OBJECTIVE: To evaluate the outcomes of grafted bulbar urethroplasty in class II or III obese patients.

MATERIAL AND METHODS: Retrospective chart review was performed for men with World Health Organization class II/III obesity undergoing grafted urethroplasty for management of bulbar strictures from 2003-2010. Extracted data included age, body mass index (BMI), stricture etiology, stricture length/location, number/type of previous therapies, definitive therapy, follow-up, outcome, and complications. Outcomes were compared with a cohort of 20 age-matched nonobese men with bulbar strictures managed with grafted urethroplasty.

RESULTS: Fifteen class II/III obese men were included in the study. Obese patient age (43.8 years, range 27-60) and BMI (44.0 kg/m(2), range 35-57) were averaged. Each patient reported a mean of 3.8 previous dilations or urethrotomies (range 0-9). All men were treated with grafted bulbar urethroplasty (11 ventral, 4 dorsal) with oral mucosa (13 buccal, 2 lingual). After a mean follow-up of 29.4 months (range 7-62), the urethral patency rate was 66.7% (10/15). Complications included prolonged urethral leak in 5/15 (33%) and wound infection in 5/15 (33%) patients. Urethral patency rates and complications were significantly higher in class II/III obese patients when compared with the nonobese cohort.

CONCLUSION: Obese men demonstrated poorer outcomes after grafted bulbar urethroplasty when compared with published success rates in the general population as well as an aged-matched, nonobese cohort from our institution. Prior failed endoscopic procedures and other medical comorbidities may have also contributed to the observed results in this patient population.

Author List

Privratsky JR, Almassi N, Guralnick ML, Anderson BJ, O'Connor RC

Authors

Michael Guralnick MD Professor in the Urologic Surgery department at Medical College of Wisconsin
Robert Corey O'Connor MD Professor in the Urologic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Body Mass Index
Case-Control Studies
Humans
Male
Middle Aged
Mouth Mucosa
Obesity
Postoperative Complications
Recurrence
Retrospective Studies
Treatment Outcome
Urethral Stricture