The Oral Cavity And Bladder Mucosa Urethroplasty For A Comparative Clinical Analysis Of The Long Anterior Urethra Urethral Stricture

Objective:By observing the oral mucosa and bladder mucosa urethroplasty substitutes for long anterior urethral stricture, contrast analysis of two kinds of surgery in patients with preoperative and postoperative urination improvement, come to understand the surgery effect of the oral mucosa and bladder mucosa as an alternative.Methods:Retrospective analysis of our hospital from2008-2012, bladder and oral mucosa urethroplasty, a total of12patients with long urethral stricture, oral mucosa urethroplasty in6cases,6cases of bladder mucosa urethroplasty, for postoperative recurrence rate, urinary tract stenosis site, pipe length, urine retention time, presence of diverticulum and preoperative surgery carries on the single factor analysis, comparative analysis of cystostomy in the success rate of the operation, and comparative observation of preoperative and postoperative2,6months of Qmax, follow-up to understand two kinds of surgery effect.Results:Contrast oral and bladder group in patients with preoperative and postoperative urethroplasty, Qmax changes in2,6months, two groups of patients p<0.01. Comparative analysis of two kinds of surgical urethral stricture recurrence rate, narrow length and the site, keep urine tube time, presence of diverticulum and preoperative operation rate had no statistical significance. Comparative analysis the operation success rate with and without bladder fistulization patients, P>0.05, cystostomy had no significant effect on postoperative operation success rate. Two groups of patients with an average follow-up of24months, bladder group,2cases of urethral stricture recurrence, the recurrence rate was33.3%, urinary fistula occurred in1case, urinary fistula incidence rate was16.7%; In1case, urethral stricture recurrence oral group recurrence rate was16.7%, urinary fistula occurred in1case, urinary fistula incidence was16.7%. Conclusion:1. Oral mucosa and the urethra mucous urethroplasty for long anterior urethra stricture with obvious therapeutic effect.2. Bladder mucous and oral mucosa as an alternative for postoperative stenosis recurrence rate had no obvious difference.3. Cystostomy has no obvious influence with urethroplasty success rate.