Evaluation of demographic, etiologic and surgical technique findings in male patients with urethral injury undergone posterior urethroplasty: 10-years experience from a referral center

Abstract

The aim of this study is the evaluation of treatment outcomes of posterior urethroplasty in urethral injury patients. Materials and Methods: This study was a descriptive study and was performed on all patients who were admitted to Imam Khomeini and Imam Reza Hospitals at Tabriz University of Medical Sciences and have been undergoing posterior urethroplasty in 2008-18 and their files were available (101 patients). Sampling was done census. The data collection methods by reviewing the records of patients. The questionnaire included demographic characteristics, (age, living in a city or village, occupation), the time elapsed from the trauma to the time of surgery, (car accident, work accidents, falling from a height unrelated to work, staying under rubble, etc.) occupational or non-occupational injury, problems and associated injuries, surgeries on other parts of the body due to the same trauma and complications during hospitalization for surgery. Results: In this study, the median age (25th and 75th percentages) of the subjects was 39.0 (27.5-47.5) years. Regarding the living place 66 patients (65.3%) were living in the urban and 35 patients (34.7%) in rural area. 28 cases (27.7%) of these patients had low risk and 71 cases (70.3%) had high risk jobs. The most common types of trauma in this study were Car Accident, Falling and Iatrogenic with 44 cases (43.6%), 26 cases (25.7%) and 11 cases (10.9%), respectively. Also, in 20 cases (19.8%) the injuries resulted from occupational trauma and in 81 patients (80.2%) due to non-occupational trauma. The median (25th and 75th percentile) time elapsed from the trauma to the time of surgery was 6.0 (4.0-12.0) months. Also, the mean (standard deviation) duration of surgery in the subjects of this study was 4.86 (± 1.1) hours. In this study, short-term complications of the disease during hospitalization for surgery occurred in 6 cases (5.9%). Also, 10 cases (9.9%) of the subjects required pubectomy and 1 case (1.0%) required symphysotomy. Median (25th and 75th percentiles) number of surgical procedures on other parts of the body due to the same trauma was 1.0 (0.0-1.0). Among the variables: type of trauma, age, duration of treatment and additional procedures (pubectomy or symphysotomy), none of them had a statistically significant relationship with the presence of complications in the subjects (P <0.05).