인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Abstract Background The obliterated strictures in the anterior urethra are not uncommon. We describe a case series of 45 patients of obliterated strictures, their outcome analysis and postulate a management algorithm. Methods Urethral reconstruction was done in all the 45 patients from February 2015 to March 2019 at a single center. The prospectively collected data were evaluated retrospectively with symptom score, uroflowmetry, post void residue (PVR) and urethrogram. The lumen size, length of stricture and the degree of spongio-fibrosis were assessed. The strictures were subclassified into nearly obliterated stricture (NOS) and completely obliterated stricture (COS) based on the urethral lumen size. The patients were followed initially quarterly and yearly after. Any intervention needed was considered as failure. Results The average age was 49 years (IQR 31 to 67). The etiology was iatrogenic in 30 (67%) and Lichen Sclerosus (LS) in 13 (29%) and necrotizing scrotal infection in 2 (4%). There were 24 (53%) COS and 21 (47%) NOS. Seven management categories and their management decision tree are described. The average follow-up was 34 months (IQR 12–58). Overall average symptom score, flow rate and PVR improved from 21 to 7, 6 ml/s to 19 ml/s and 210 ml to 20 ml, respectively. Six patients (13%) developed minor complications. Recurrence was noted in six (13%). Conclusions Obliterated strictures are complex and challenging. A systematic approach as described, may be taken to manage them for a successful outcome with a reasonable complication and recurrence rate.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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