Akyuz Mehmet, Sertkaya Zulfu, Koca Orhan, Caliskan Selahattin, Kutluhan Musab Ali, Karaman Muhammet Ihsan
Department of Urology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Int Braz J Urol. 2016 Mar-Apr;42(2):339-45. doi: 10.1590/S1677-5538.IBJU.2014.0672.
To evaluate national practice patterns in the treatment of male anterior urethral strictures among Turkish urologists.
A survey form including 12 questions prepared to determine active Turkish urologists' approach to diagnosis and treatment of the adult urethral stricture (US) were filled out. Based on the survey results, the institutions which 218 urologists work and their years of expertise, methods they used for diagnosis and treatment, whether or not they perform open urethroplasty and timing of open urethroplasty were investigated.
Optic internal urethrotomy and dilatation are the most commonly used minimal invasive procedures in treatment of US with the ratios of 93.5% and 63.3% respectively. On the other hand it was seen that urethroplasty was a less commonly used procedure, compared to minimal invasive techniques, with the ratio of 36.7%. Survey results showed us that the number of US cases observed and open urethroplasty procedures performed increases with increasing years of professional experience.
As a method demanding special surgical experience and known as a time-consuming and challenging procedure, open urethroplasty will be able to take a greater part in current urological practice with the help of theoretical education and practical courses given by specific centers and experienced authors.
评估土耳其泌尿外科医生治疗男性前尿道狭窄的全国实践模式。
填写一份包含12个问题的调查问卷,以确定活跃的土耳其泌尿外科医生对成人尿道狭窄(US)的诊断和治疗方法。根据调查结果,对218名泌尿外科医生所在的机构、他们的专业年限、用于诊断和治疗的方法、是否进行开放性尿道成形术以及开放性尿道成形术的时机进行了调查。
在治疗US时,光学尿道内切开术和扩张术是最常用的微创方法,其比例分别为93.5%和63.3%。另一方面,与微创技术相比,尿道成形术的使用频率较低,比例为36.7%。调查结果表明,随着专业经验年限的增加,观察到的US病例数量和进行的开放性尿道成形术数量也会增加。
作为一种需要特殊手术经验且被认为耗时且具有挑战性的手术方法,开放性尿道成形术将能够在特定中心和经验丰富的作者提供的理论教育和实践课程的帮助下,在当前泌尿外科实践中发挥更大的作用。