Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery
Objective. To analyze the penile and urethral meatus biometry and its correlation with meatoplasty during endoscopic resections. We also propose a new classification for urethral meatus morphology. Materials and Methods. We prospectively studied 105 patients who underwent prostate and bladder transu...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2017/6321702 |
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| author | Rodrigo Ribeiro Vieiralves Paulo Henrique Pereira Conte Eduardo Medina Felici Nádia Cristina Pinheiro Rodrigues Tomás Accioly de souza Francisco J. B. Sampaio Luciano Alves Favorito |
| author_facet | Rodrigo Ribeiro Vieiralves Paulo Henrique Pereira Conte Eduardo Medina Felici Nádia Cristina Pinheiro Rodrigues Tomás Accioly de souza Francisco J. B. Sampaio Luciano Alves Favorito |
| author_sort | Rodrigo Ribeiro Vieiralves |
| collection | DOAJ |
| description | Objective. To analyze the penile and urethral meatus biometry and its correlation with meatoplasty during endoscopic resections. We also propose a new classification for urethral meatus morphology. Materials and Methods. We prospectively studied 105 patients who underwent prostate and bladder transurethral resections. We performed standardized measurement of penile and urethral meatus biometry followed by penile photo in the front position. The need to perform meatoplasty or dilatation during resectoscope introduction was registered. Data were analyzed comparing the correlation between two groups: without intervention (Group A) and with intervention (Group B). Results. We observed in Group A and Group B, respectively, the average length of urethral meatus of 1.07 cm versus 0.75 cm (p<0.001) and average width of urethral meatus of 0.59 cm versus 0.38 cm (p<0.001). Considering the morphology of the urethral meatus, we propose a new classification, in the following groups: (a) typical; (b) slit; (c) point-like; (d) horseshoe; and (e) megameatus. The point-like meatus was the one that most needed intervention, followed by the slit and the typical meatus (p<0.001). Conclusions. Point-like and slit-shaped urethral meatus, as well as reduced length and width of the urethral meatus, are the determining factors. |
| format | Article |
| id | doaj-art-f8d15fa050b64c5abb3a841f051c7f3d |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-f8d15fa050b64c5abb3a841f051c7f3d2025-02-03T01:03:34ZengWileyAdvances in Urology1687-63691687-63772017-01-01201710.1155/2017/63217026321702Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder SurgeryRodrigo Ribeiro Vieiralves0Paulo Henrique Pereira Conte1Eduardo Medina Felici2Nádia Cristina Pinheiro Rodrigues3Tomás Accioly de souza4Francisco J. B. Sampaio5Luciano Alves Favorito6Department of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, BrazilDepartment of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, BrazilDepartment of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, BrazilDepartment of Technology Information, Medical Sciences School, Rio de Janeiro State University, Rio de Janeiro, RJ, BrazilDepartment of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, BrazilUrogenital Research Unit, Rio de Janeiro State University, Av. 28 de Setembro, 77 Fundos Vila Izabel, 20250-050 Rio de Janeiro, RJ, BrazilDepartment of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, BrazilObjective. To analyze the penile and urethral meatus biometry and its correlation with meatoplasty during endoscopic resections. We also propose a new classification for urethral meatus morphology. Materials and Methods. We prospectively studied 105 patients who underwent prostate and bladder transurethral resections. We performed standardized measurement of penile and urethral meatus biometry followed by penile photo in the front position. The need to perform meatoplasty or dilatation during resectoscope introduction was registered. Data were analyzed comparing the correlation between two groups: without intervention (Group A) and with intervention (Group B). Results. We observed in Group A and Group B, respectively, the average length of urethral meatus of 1.07 cm versus 0.75 cm (p<0.001) and average width of urethral meatus of 0.59 cm versus 0.38 cm (p<0.001). Considering the morphology of the urethral meatus, we propose a new classification, in the following groups: (a) typical; (b) slit; (c) point-like; (d) horseshoe; and (e) megameatus. The point-like meatus was the one that most needed intervention, followed by the slit and the typical meatus (p<0.001). Conclusions. Point-like and slit-shaped urethral meatus, as well as reduced length and width of the urethral meatus, are the determining factors.http://dx.doi.org/10.1155/2017/6321702 |
| spellingShingle | Rodrigo Ribeiro Vieiralves Paulo Henrique Pereira Conte Eduardo Medina Felici Nádia Cristina Pinheiro Rodrigues Tomás Accioly de souza Francisco J. B. Sampaio Luciano Alves Favorito Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery Advances in Urology |
| title | Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery |
| title_full | Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery |
| title_fullStr | Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery |
| title_full_unstemmed | Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery |
| title_short | Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery |
| title_sort | impact assessment of urethral meatus morphology and penile biometry in transurethral prostate and bladder surgery |
| url | http://dx.doi.org/10.1155/2017/6321702 |
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