KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ HẸP NIỆU ĐẠO SAU DO VỠ XƯƠNG CHẬU TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2023 - 2025

Abstract

Objective: To evaluate the treatment outcomes of posterior urethral stricture due to pelvic fracture at Viet Duc University Hospital. Methods: A descriptive study was conducted on 60 patients with posterior urethral stricture who underwent surgical treatment at Viet Duc University Hospital from January 2025 to June 2025. Results: All 60 patients with posterior urethral stricture secondary to pelvic fracture were treated with either perineal end-to-end urethral anastomosis or the Solovov technique. The majority of patients (85%) were of working age (18–60 years), with a mean age of 42.18 years. The most common cause was traffic accidents (48.33%, 29/60), followed by occupational injuries (33.33%) and domestic accidents (18.33%). Initial management included suprapubic cystostomy in 76.67% of cases, urethral catheterization in 11.67%, and a combination of both in 11.66%. The mean stricture length, based on retrograde and voiding urethrography, was 1.8 ± 0.6 cm in the end-to-end group and 3.4 ± 0.4 cm in the Solovov group (P=0.0002 < 0.05). The average operative time was 99.58 minutes, with the end-to-end technique averaging 95.15 minutes and the Solovov technique 135.33 minutes. Postoperative urinary function at catheter removal, 3–6 months, and after 6 months was rated as "Good" in 75.86%, 60%, and 58.33% of patients, respectively; "Fair" in 20.69%, 18.33%, and 21.67%; and "Poor" in 3.45%, 21.67%, and 26.67%. Sexual function at 6 months postoperatively tended to worsen compared to preoperative status. Conclusion: Urethroplasty using end-to-end anastomosis and the Solovov approach yielded effective outcomes in the studied patient population.