Pd15-08 the Improvement in Bulbar Urethral Strictures and Pelvic Fracture Urethral Injuries (Pfui) Urethroplasty Outcomes in Thailand After International Partnership

You have accessJournal of UrologyGlobal Health/Humanitarian (PD15)1 May 2024PD15-08 THE IMPROVEMENT IN BULBAR URETHRAL STRICTURES AND PELVIC FRACTURE URETHRAL INJURIES (PFUI) URETHROPLASTY OUTCOMES IN THAILAND AFTER INTERNATIONAL PARTNERSHIP Valeerat Swatesutipun, Teerayut Tangpaitoon, Hung Do Lenh, and Joel Gelman Valeerat SwatesutipunValeerat Swatesutipun , Teerayut TangpaitoonTeerayut Tangpaitoon , Hung Do LenhHung Do Lenh , and Joel GelmanJoel Gelman View All Author Informationhttps://doi.org/10.1097/01.JU.0001008648.33830.32.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: WHO ranks Thailand as having the 9th highest rate of traffic accidents leading to a high incidence of bulbar urethral straddle and pelvic fracture urethral injuries (PFUI). Most urethral stricture patients were historically managed with multiple attempts of urethral dilatation, internal urethrotomy, and urethroplasty, all associated with a high failure rate. The USA, Vietnam, and Thailand outreach relationships was established to improve the treatment success and decrease the societal burden of urethral stricture disease. We aim to report the impact of this partnership. METHODS: The Faculty Urologists from a Thailand teaching hospital (Thammasat University Hospital (TUH) in Pathum Thani) with an interest in developing expertise in urethroplasty travelled to a Vietnamese teaching hospital (Binh Dan Hospital, HCMC) to participate in a hands-on 2-week urethroplasty workshop for 2 periods, in August 2022 and April 2023. This workshop was a collaboration between the University of California, Irvine Medical Center (USA), and Binh Dan Hospital (Vietnam). The initial focus included the precise technique of urethral imaging (retrograde urethrogram and voiding cystourethrogram), treatment decision-making, and the building of appropriate infrastructure. Moreover, the faculty staff of Binh Dahn Hospital provided a 2-day trip for a hands-on workshop at the TUH in November 2022. The subsequent mentor-mentee focus was on operative techniques (anastomotic urethroplasty and buccal mucosal graft). Cystoscopy with a 16-Fr flexible cystoscope at 4 months was used to assess the outcomes. A database was created to prospectively evaluate the success rate at 6 months after completing the last workshop. RESULTS: The outcomes of urethroplasty prior to the workshop and after attending the workshop along with the provision of the necessary infrastructure from the TUH were analyzed (Table). The success rate defined as no additional recurrences (obstructive symptoms or need for intervention) were identified. CONCLUSIONS: The ongoing development of our international collaboration and the establishment of an appropriate infrastructure at our hospital is associated with an improvement in the success rate of the bulbar and posterior urethroplasty in Thailand. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e361 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Valeerat Swatesutipun More articles by this author Teerayut Tangpaitoon More articles by this author Hung Do Lenh More articles by this author Joel Gelman More articles by this author Expand All Advertisement PDF downloadLoading ...