Babu Prakash, Nayak Arvind, Javali Tarun Dilip, Joshi Prarthan, Nagaraj Horahally Krishnareddy, Aggarwal Kuldeep
MS Ramaiah Medical College, Bangalore, India.
Cent European J Urol. 2017;70(1):103-106. doi: 10.5173/ceju.2017.916. Epub 2017 Jan 18.
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.
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.
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.
Jordan meatoplasty is a feasible and easily reproducible technique for the management of distal penile strictures.
舟状窝狭窄对于重建泌尿外科医生而言可能是个具有挑战性的问题，需要在保证排尿通畅的同时取得良好的外观效果。我们的目的是回顾性评估约旦尿道口成形术治疗舟状窝狭窄的疗效。
回顾性分析2011年至2016年间接受约旦尿道口成形术治疗舟状窝狭窄的25例患者。所有患者均行尿流率测定。所有患者术前均行逆行尿道造影以排除近端尿道狭窄。分析手术细节，包括手术时间。所有患者在术后三个月末评估排尿模式变化、刺激性排尿症状及尿流率。术后三个月末应用尿道下裂客观评分评估（HOSE）评估外观效果。
患者平均年龄64岁，平均手术时间42分钟。平均随访期30个月。拔除导尿管后三个月时术后平均最大尿流率为每秒18毫升。84%的患者尿道口呈裂隙状。仅12%的患者在术后三个月末主诉尿液散开。96%的患者无狭窄，1例患者在随访12个月时复发，经尿道扩张治疗。
约旦尿道口成形术是治疗阴茎远端狭窄的一种可行且易于重复的技术。
