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Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study
INTRODUCTION: Fossa navicular strictures can be a challenging problem for reconstructive urologists in which there is a need to achieve good cosmetic results along with a consistent stream. Our aim was to retrospectively evaluate the outcome of Jordan meatoplasty in the management of fossa navicular...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Polish Urological Association
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407332/ https://www.ncbi.nlm.nih.gov/pubmed/28461997 http://dx.doi.org/10.5173/ceju.2017.916 |
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author | Babu, Prakash Nayak, Arvind Javali, Tarun Dilip Joshi, Prarthan Nagaraj, Horahally Krishnareddy Aggarwal, Kuldeep |
author_facet | Babu, Prakash Nayak, Arvind Javali, Tarun Dilip Joshi, Prarthan Nagaraj, Horahally Krishnareddy Aggarwal, Kuldeep |
author_sort | Babu, Prakash |
collection | PubMed |
description | INTRODUCTION: Fossa navicular strictures can be a challenging problem for reconstructive urologists in which there is a need to achieve good cosmetic results along with a consistent stream. Our aim was to retrospectively evaluate the outcome of Jordan meatoplasty in the management of fossa navicularis strictures. MATERIAL AND METHODS: A total of 25 patients who underwent Jordan meatoplasty for the management of fossa navicularis strictures between 2011 and 2016 were retrospectively reviewed. All patients were evaluated with uroflometry. Preoperative retrograde urethrogram was performed in all patients to exclude proximal urethral strictures. The operative details including operative time were analyzed. All patients were evaluated for urinary pattern changes, irritative voiding symptoms and with uroflometry at the end of three months. Hypospadias objective score evaluation (HOSE) was applied at the end of three months for the evaluation of cosmetic outcome. RESULTS: The mean age of patients was 64 years and the mean operative time was 42 minutes. The mean follow up period was 30 months. The mean post-operative peak urine flow rate at three months after removal of the catheter was 18 ml per second. The meatus was slit shaped in 84%. Only 12% of patients complained of splay of urine at the end of three months. 96% of patients were stricture free, with one patient developing a recurrence at 12 months of follow up which was managed by urethral dilatation. CONCLUSIONS: Jordan meatoplasty is a feasible and easily reproducible technique for the management of distal penile strictures. |
format | Online Article Text |
id | pubmed-5407332 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Polish Urological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-54073322017-05-01 Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study Babu, Prakash Nayak, Arvind Javali, Tarun Dilip Joshi, Prarthan Nagaraj, Horahally Krishnareddy Aggarwal, Kuldeep Cent European J Urol Original Paper INTRODUCTION: Fossa navicular strictures can be a challenging problem for reconstructive urologists in which there is a need to achieve good cosmetic results along with a consistent stream. Our aim was to retrospectively evaluate the outcome of Jordan meatoplasty in the management of fossa navicularis strictures. MATERIAL AND METHODS: A total of 25 patients who underwent Jordan meatoplasty for the management of fossa navicularis strictures between 2011 and 2016 were retrospectively reviewed. All patients were evaluated with uroflometry. Preoperative retrograde urethrogram was performed in all patients to exclude proximal urethral strictures. The operative details including operative time were analyzed. All patients were evaluated for urinary pattern changes, irritative voiding symptoms and with uroflometry at the end of three months. Hypospadias objective score evaluation (HOSE) was applied at the end of three months for the evaluation of cosmetic outcome. RESULTS: The mean age of patients was 64 years and the mean operative time was 42 minutes. The mean follow up period was 30 months. The mean post-operative peak urine flow rate at three months after removal of the catheter was 18 ml per second. The meatus was slit shaped in 84%. Only 12% of patients complained of splay of urine at the end of three months. 96% of patients were stricture free, with one patient developing a recurrence at 12 months of follow up which was managed by urethral dilatation. CONCLUSIONS: Jordan meatoplasty is a feasible and easily reproducible technique for the management of distal penile strictures. Polish Urological Association 2017-01-18 2017 /pmc/articles/PMC5407332/ /pubmed/28461997 http://dx.doi.org/10.5173/ceju.2017.916 Text en Copyright by Polish Urological Association http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Babu, Prakash Nayak, Arvind Javali, Tarun Dilip Joshi, Prarthan Nagaraj, Horahally Krishnareddy Aggarwal, Kuldeep Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study |
title | Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study |
title_full | Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study |
title_fullStr | Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study |
title_full_unstemmed | Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study |
title_short | Evaluation of Jordan’s meatoplasty for the treatment of fossa navicularis strictures. A retrospective study |
title_sort | evaluation of jordan’s meatoplasty for the treatment of fossa navicularis strictures. a retrospective study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407332/ https://www.ncbi.nlm.nih.gov/pubmed/28461997 http://dx.doi.org/10.5173/ceju.2017.916 |
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