McKibben Maxim J, Davenport Michael T, Mukherjee Partho, Shakir Nabeel A, West Mary L, Fuchs Joceline S, Ward Ellen E, Bergeson Rachel L, Scott Jeremy M, Morey Allen F
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Transl Androl Urol. 2020 Feb;9(1):16-22. doi: 10.21037/tau.2019.08.29.
We sought to compare outcomes between inpatient and outpatient buccal mucosal graft (BMG) urethroplasty among a large tertiary referral center series.
A retrospective review of consecutive patients who underwent BMG urethroplasty between 2007 and 2018 was performed, including only first stage and one stage graft procedures. Patients were divided into inpatient and outpatient groups. Demographic and outcome data were collected and analyzed, with success defined as no need for further endoscopic or open reoperative management.
Of 143 patients undergoing BMG urethroplasty during the study period, 87 cases (60.8%) were performed on an inpatient basis, and 56 (39.2%) on an outpatient basis. Patient characteristics such as age, BMI, prior endoscopic procedures and co-morbid factors were similar between inpatient and outpatient groups. Perioperative characteristics such as estimated blood loss were also similar between groups, but the inpatient cohort had a longer operative time (157.6 123.1 min, P<0.0001). Operative success was comparable in the two groups (74.7% inpatient 76.8% outpatient, P=0.7) as were rates of complications (29.9% inpatient 26.8% outpatient, P=0.07).
BMG urethroplasty can be safely performed in an ambulatory setting without increased complications or compromised outcomes.
我们试图比较在一家大型三级转诊中心系列中住院和门诊颊黏膜移植（BMG）尿道成形术的结果。
对2007年至2018年间连续接受BMG尿道成形术的患者进行回顾性研究，仅包括一期和单期移植手术。患者分为住院组和门诊组。收集并分析人口统计学和结果数据，成功定义为无需进一步的内镜或开放手术处理。
在研究期间接受BMG尿道成形术的143例患者中，87例（60.8%）为住院手术，56例（39.2%）为门诊手术。住院组和门诊组患者的年龄、体重指数、既往内镜手术史和合并症等特征相似。两组间围手术期特征如估计失血量也相似，但住院队列的手术时间更长（157.6 ± 123.1分钟，P<0.0001）。两组的手术成功率相当（住院组74.7% 对门诊组76.8%，P = 0.7），并发症发生率也相当（住院组29.9% 对门诊组26.8%，P = 0.07）。
BMG尿道成形术可在门诊环境中安全进行，且不会增加并发症或影响手术效果。
