Revista: | International braz j urol |
Base de datos: | PERIÓDICA |
Número de sistema: | 000434702 |
ISSN: | 1677-5538 |
Autores: | Aggarwal, Ajay1 Kumar, Manoj1 Pandey, Siddharth1 Agarwal, Samarth1 Sankhwar, Satya Narayan1 |
Instituciones: | 1King George’s Medical University, Department of Urology, Lucknow, Uttar Pradesh. India |
Año: | 2019 |
Periodo: | Sep-Dic |
Volumen: | 45 |
Número: | 5 |
País: | Brasil |
Idioma: | Inglés |
Tipo de documento: | Artículo |
Enfoque: | Analítico, descriptivo |
Resumen en inglés | Objectives To compare and assess various outcomes and success of buccal mucosal graft urethroplasty (BMGU) in patients with CKD versus patients having normal renal function. Material and Methods This was a retrospective, single centre study, during period 2013 to 2017. Patients were grouped into two groups. Group 1 had patients with estimated Glomerular Filtration Rate (eGFR)>60mL/min/1.73m2 while group 2 had patients with eGFR <60mL/min/1.73m2. eGFR was calculated according to the MDRD equation. The two groups were compared with regard to various outcomes like length, location of stricture, technique of graft placement, intra-operative blood loss (haemoglobin drop), duration of hospital stay, post-operative complications and recurrence. Results A total of 223 patients were included in study with group 1 had 130 patients and group 2 had 93 patients. Mean age of patients with CKD were higher (47.49 years versus 29.13 years). The mean follow-up period was comparable between both groups (23.29 months and 22.54 months respectively). Patients with CKD had more post-operative Clavien Grade 2 or higher complications (p=0.01) and a greater recurrence rates (p<0.001) than in non-CKD patients. On multivariate analysis, age and CKD status was significant predictor of urethroplasty success (p=0.004) (OR= 14.98 (1.952-114.94, 95% CI). Conclusions CKD patients are more prone to post-operative complications in terms of wound infection, graft uptake and graft failure and higher recurrence rates following BMGU |
Disciplinas: | Medicina |
Palabras clave: | Cirugía, Urología, Uretroplastia, Injertos, Mucosa oral, Insuficiencia renal crónica (IRC), Glomérulos |
Keyword: | Surgery, Urology, Urethroplasty, Grafts, Oral mucosa, Chronic renal failure (CRF), Glomerulus |
Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |