Year : 2014 | Volume
: 6 | Issue : 4 | Page : 321--324
Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control
Sükrü Kumsar, Hasan Salih Saglam, Osman Köse, Salih Budak, Oztug Adsan
Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey
Objectives: The purpose of this study is to investigate the association of glycemic control prior to TUR-P and postoperative urethral stricture development.
Materials and Methods: Of the 168 patients with a diagnosis of urethral stricture, who underwent internal urethrotomy in our hospital were retrospectively analyzed for this study.
98 patients who underwent monopolar TUR-P in our hospital previously and were developed urethral stricture were divided into two groups as diabetic and nondiabetic. Based on their HbA1c concentrations, diabetics were allocated to two groups with good (HbA1c ≤ 6.5%) or poor (HbA1c > 6,5%) glycemic control. Time to internal urethrotomy and the other operative parameters were compared among groups.
Results: Time to internal urethrotomy after TUR-P was significantly shorter in diabetic patients with poor glycemic control than Group 1 and Group 2 (P = 0,02, P = 0,012) but no significant difference was found between Group 1 and Group 2 (P = 0,368). There was no significant difference in the mean diagnosed and resected prostate wight among groups There was no significant difference in the mean resection time and the mean time to urethral catheter removal among groups.
Conclusions: Especially in poor glycemic control patients, urethral stricture development was seen in the early period after TUR-P. For this reason, in the elective TUR-P scheduled poor glycemic controlled patients the operation should be done after glycemic control.
Sakarya EAH, Uroloji Klinigi, Sakarya
|How to cite this article:|
Kumsar S, Saglam HS, Köse O, Budak S, Adsan O. Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control.Urol Ann 2014;6:321-324
|How to cite this URL:|
Kumsar S, Saglam HS, Köse O, Budak S, Adsan O. Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control. Urol Ann [serial online] 2014 [cited 2020 May 28 ];6:321-324
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=4;spage=321;epage=324;aulast=Kumsar;type=0