Work

Long-term outcomes of anastomotic urethroplasty for pelvic fracture urethral injury. The experience of a decade at Sindh Institute of Urology and Transplantation

Year: 2025

Type: article

Abstract: Objectives: To determine the long-term outcomes of anastomotic urethroplasty in cases of pelvic fracture urethral injury. METHODS: The retrospective study was conducted at a tertiary care hospital in Karachi, and comprised data from January 1, 2011, to December 31, 2020, related to all patients who had undergone anastomotic urethroplasty for pelvic fracture urethral injury. Clinical data as well as patient-reported outcomes were noted using a predesigned questionnaire. One-year followup data of those who expired was not used for analysis. Data was analysed using SPSS 22. RESULTS: Of the 440 patients with mean age 28.70±12.50 years, 2(0.45%) expired. Among the 438(99.55%) cases, success was observed in 350(79.9%). Spontaneous return of good erection was seen in 137 (60.2%) men, irrespective of the outcome of anastomotic urethroplasty. A successful case was found to have 35 (7.8%) fertility. Most patients reported high satisfaction with quality of life, surgical results, and genital appearance, while sexual performance and pain showed mixed outcomes. Conclusion: Anastomotic urethroplasty was found to be effective in providing long-term restoration of urine flow. Improvement in erectile function, and restoration of fertility were seen in long-term successful cases.

Source: Journal of the Pakistan Medical Association

DOI: 10.47391/jpma.11611

Authors: Mazahir Zulfiqar, Manzoor Hussain, Saeed Abedi, Tanzeel-Ur-Rahman Gazder, Syed Rabiullah, Sanjeet Kumar

Institution: Sindh Institute of Urology and Transplantation

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $650