1. The impact of age on urethroplasty outcomes: a match pair analysis
- Author
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Yaşar Pazır, Fatih Yanaral, Ufuk Çağlar, Sedat Çakmak, Akif Erbin, Ömer Sarılar, and Faruk Özgör
- Subjects
Medicine ,Specialties of internal medicine ,RC581-951 ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Objective: The success of urethroplasty depends on a well-vascularized urethra, and in graft procedures, also on a healthy and well-vascularized graft bed for neovascularization. Elderly patients have an increased comorbid burden that may result in decreased penile and urethral blood flow. Therefore, we aimed to investigate whether age is an independent determinant of surgical success in patients undergoing urethroplasty. Material and Methods: The data of male patients who underwent urethroplasty (Excision-primary anastomosis and buccal mucosa graft) between 2015 and 2020 in our clinic were retrospectively analyzed. Urethroplasty success was defined as no urethral intervention required for at least one year of follow-up. Patients under the age of 60 were matched in a 1: 1 ratio with patients aged 60 and over, according to the length of the stricture and the type of operation. Patient characteristics were compared between the two age groups. Factors affecting success were evaluated with multivariate logistic regression analysis. Results: Nineteen patients (n= 8 excision-primary anastomosis, n= 11 buccal mucosa graft) aged 60 years and older were matched with those
- Published
- 2021
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