Distal Üretrayı İçine Alan Sirküler Glans Penis Defektlerinde Purse-String Sütür Tekniğiyle Onarım: Gözlemsel Çalışma

Abstract

Objective: Circular necrotic wounds, including the urethral meatus and distal urethra, can be seen on the glans penis of patients in intensive care units (ICU) due to long-term application of urethral catheters. In this article, we aimed to explain the purse-string suture (PSS) technique that we use in such wounds in the urethral meatus. Material and Methods: Twelve male patients who were treated in Kütahya Health Science Univesity Evliya Çelebi Research and Training Hospital between January 2017 and January 2020 in the neurology and general ICU and who developed circular necrotic pres- sure wounds in the urethral meatus due to long-term use of urethral catheters were included in the study. Wounds were repaired with PSS technique in all patients. The data of the patients were collected retrospectively. Demographic data of the patients, urethral defect lengths, postoperative success rates, complications and managing these complications were evaluated. Results: The mean age of the 12 patients included in the study was 67.5±16.76 years. The mean length of the urethral defect formed in the patients during the operation was calculated as 2.25 (interquartile range 0.7) cm. The number of patients who came and were reached for regular control was 8 (66.7%). Two (16.7%) patients died due to their main diseases. Wound infection developed in 2 (16.6%) patients and urethra-cutaneous fistula developed in 1 (8.3%) of the patients, and these 3 (25%) patients were treated by re-operation. Conclusion: PSS is an easy-to-use technique with good cosmetic and functional results in the closure of circular defects of the distal urethra.