Yıl 2018, Cilt 8, Sayı 4, Sayfalar 291 - 294 2018-12-31

Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi
Evaluation of urethral structure after hypospadias surgery with uroflowmetry

YUSUF ATAKAN BALTRAK [1]

5 38

Bu çalışmanın amacı hipospadiaslı olgularda eşlik edebilecek alt üriner sistem obstruksiyonunu üroflowmetri ile değerlendirmek ve bu durumun klinik önemini vurgulamaktır. Kliniğimizde Ocak 2012 - Ocak 2013 tarihleri arasında takip ve tedavisi yapılan hipospadiaslı olguların idrarını tutabilen yaş grubunda olan ve ailesinin işleme yazılı onam verdiği 63 hastaya, ameliyat öncesi poliklinik değerlendirmede ve ameliyat sonrası dönemde eşlik eden alt üriner sistem obstruksiyonu değerlendirmek için üroflowmetri ile idrar akış ölçümleri yapıldı.Tüm hastaların işeme akım eğrisi paternleri tek tek incelendi. Literatüre uygun olarak azami akış hızı, ortalama akış hızı, azami akışa ulaşma süresi, idrar akış süresi, idrar boşaltma süresi, işeme sonrası rezidü idrar miktarı ve işeme eğrisi özelliği ameliyat öncesi ve ameliyat sonrası yapılan üroflowmetri test sonuçları ile karşılaştırıldı.Üroflowmetrinin orta ve uzun vadede hipospadias cerrahisi açısından üretral stenozun ve eşlik eden alt üriner sistem obstruksiyonun erken tanınmasında önemli, ucuz, kolay uygulanabilen non invaziv bir test oldugu düşünülmektedir.

Aims:

Uroflowmetry is a simple, noninvasive, easy to use and objectively interpretable urodynamic study. Uretral stenosis is the most common late complication after hypospadias surgery. The aim of this study was to evaluate the possible postoperative meatal stenosis in patients who were operated for hypospadias in our clinic with uroflowmetry.

Material and Methods:

The patients with hypospadias operated in our clinic between January 2015 and January 2017 were determined as our study group.Uroflowmetry and urine flow measurements were performed at least two months after the operation. After uroflowmetry measurement, the residual urine volume was measured by ultrasound device in pediatric surgery clinic. The estimated bladder volumes were calculated according to the age of the patients.

Results:

The median age of the patients was 7.5 (3-14). In the postoperative period, 9 (19.5%) of the patients had complaints of narrow urination and urination as a clinical complaint. No statistically significant difference was found between the two groups in terms of uroflowmetry results, maximum flow rate, time to reach maximum flow rate, total urine flow time, mean flow rate and residual urine volume (p> 0.005).Sixteen patients (25.4%) in the postoperative group were smaller than <-2SD according to the Siroky nomogram and were in the obstruction group.

Conclusions:

Uroflowmetry is an easy-to-use noninvasive test used to assess early obstruction and to diagnose a urethral stricture following hypospadias surgery. When compared with the literature, the maximum flow rate in uroflowmetry measurements is less than 10 ml / s, the average flow rate is low, the voiding curve is the plateau curve and the five-percentile according to the nomograms and the voiding curve smaller than -2 SD results are evaluated in terms of urethral obstruction and urethral dilatation planning is important.

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Birincil Dil tr
Konular Sağlık Bilimleri ve Hizmetleri
Dergi Bölümü Orjinal Çalışma
Yazarlar

Orcid: 0000-0001-8457-5108
Yazar: YUSUF ATAKAN BALTRAK (Sorumlu Yazar)
Kurum: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, KOCAELİ DERİNCE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ
Ülke: Turkey


Bibtex @araştırma makalesi { gopctd408192, journal = {Journal of Contemporary Medicine}, issn = {}, eissn = {2146-6009}, address = {Selçuk Üniversitesi}, year = {2018}, volume = {8}, pages = {291 - 294}, doi = {10.16899/gopctd.408192}, title = {Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi}, key = {cite}, author = {BALTRAK, YUSUF ATAKAN} }
APA BALTRAK, Y . (2018). Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi. Journal of Contemporary Medicine, 8 (4), 291-294. DOI: 10.16899/gopctd.408192
MLA BALTRAK, Y . "Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi". Journal of Contemporary Medicine 8 (2018): 291-294 <http://dergipark.gov.tr/gopctd/issue/39480/408192>
Chicago BALTRAK, Y . "Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi". Journal of Contemporary Medicine 8 (2018): 291-294
RIS TY - JOUR T1 - Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi AU - YUSUF ATAKAN BALTRAK Y1 - 2018 PY - 2018 N1 - doi: 10.16899/gopctd.408192 DO - 10.16899/gopctd.408192 T2 - Journal of Contemporary Medicine JF - Journal JO - JOR SP - 291 EP - 294 VL - 8 IS - 4 SN - -2146-6009 M3 - doi: 10.16899/gopctd.408192 UR - http://dx.doi.org/10.16899/gopctd.408192 Y2 - 2018 ER -
EndNote %0 Journal of Contemporary Medicine Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi %A YUSUF ATAKAN BALTRAK %T Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi %D 2018 %J Journal of Contemporary Medicine %P -2146-6009 %V 8 %N 4 %R doi: 10.16899/gopctd.408192 %U 10.16899/gopctd.408192
ISNAD BALTRAK, YUSUF ATAKAN . "Hipospadias Cerrahisi Sonrası Üretral Darlığın Üroflowmetri İle Değerlendirilmesi". Journal of Contemporary Medicine 8 / 4 (Aralık 2019): 291-294. http://dx.doi.org/10.16899/gopctd.408192