title: Dorsal versus ventral anterior urethral spatulation in posterior urethroplasty.
abstract: OBJECTIVE
  To compare dorsal versus ventral anterior urethral spatulation in posterior urethroplasty.
  
  
  METHODS
  In a retrospective study, we evaluated the records of 320 posterior urethroplasties which have been done in our center over a 7-year period from January 2000 to December 2006. The results of dorsal and ventral anterior urethral spatulations were compared.
  
  
  RESULTS
  The studied subjects consisted of 264 men and 54 prepubescent boys (≤ 15 years) with the mean age of 23 years (range, 5 to 84 years). The mean follow-up was 52 months (range, 27 to 107 months). Six o'clock (group A) and 12 o'clock (group B) anterior urethral spatulations were performed in 101 (32%) and 219 (68%) of the patients, respectively. The success rates were 96% and 87.6% in groups A and B, respectively (P = .025). There were no urethro-rectal fistula and perineal wound infection during the follow-up period.
  
  
  CONCLUSIONS
  Our data suggest that the dorsal anterior urethral spatulation in urethroplasty is more efficient than ventral anterior urethral spatulation in terms of treatment success outcome.
authors.affiliation: Department of Reconstructive Urology, Shahid Beheshti University, MC, Tehran, Iran. jhosseinee@gmail.com
authors.forename: Jalil
authors.initials: J
authors.lastname: Hosseini
authors.forename: Mohammad
authors.initials: M
authors.lastname: Jabbari
authors.forename: Ali
authors.initials: A
authors.lastname: Kaviani
authors.forename: Mohammad Mohsen
authors.initials: MM
authors.lastname: Mazloomfard
authors.forename: Hooman
authors.initials: H
authors.lastname: Mokhtarpour
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D002675:Child, Preschool; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries; D012189:Retrospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D055815:Young Adult