Browsing by Author "Rafailovic, Dragutin (56016907300)"

Purpose: To report our ongoing experience with dorsal buccal mucosa graft (BMG) urethroplasty for the primary repair of anterior urethral strictures in patients with lichen sclerosus (LS). Patients and methods: A total of 32 men with LS underwent BMG urethroplasty from January 2010 to September 2012. In 27 patients, stricture was limited to the penile urethra, while in five patients, both bulbar and penile urethra were involved. In these five patients, the entire anterior urethra was replaced with BMG. In nine (28.1 %) younger patients (mean age 38.2 years, range 33–45), with adverse local conditions and significant scarring, two-stage repair was done. The paired t test was performed on preoperative and postoperative Qmax as well as on preoperative and postoperative post-void residual urine volume, and the Fisher exact test was used to assess success between treatment groups. The chi-squared test was used to compare categorical data. Results: The overall success rate was 90.6 %. Complications occurred in 9.4 % of the patients (3 of 32) including hematoma in two patients and fistula in one patient. In this cohort of patients, mean preoperative Qmax was 6.2 ml per second (range 2.6–10.2) versus 18.2 (range 15.8–21.2) postoperatively (at 9 months), which was statistically significant (p < 0.002). Also, mean preoperative post-void residual urine volume was 110 ml (range 75–180) versus 19 ml (range 10–40) postoperatively at 9 months, which was statistically significant (p < 0.004). Conclusion: Buccal mucosa is the most reliable graft for repairing anterior urethral strictures in patients with LS. Minimal complications are observed, even in cases of long stenosis completely afflicting anterior urethra. © 2016, Springer Science+Business Media Dordrecht.

Purpose: To assess the knowledge and attitudes of men in Serbia about prostate cancer (PCA) and possibilities for its early detection and treatment in 2011. Methods: This cross-sectional study included 407 men of various ages and education levels selected randomly and divided in 2 groups according to age (up to 40 and over 40 years). The assessment of knowledge and attitudes was based on a survey made up of 12 multiple choice questions conducted with direct contact with respondents from October 15th to December 15th 2011 with their voluntary consent. The results were evaluated in the total sample and between the groups. Results: Patient groups significantly differed according to knowledge about PCA treatment success (p<0.001) and stage in which PCA is most frequently detected (p<0.001) as well as according to attitudes about community-based interventions for increasing the awareness of PCA (p<0.001). Sixty-one percent of respondents over 50 years hadn't done preventive prostate examination despite recommendations. Ninety percent of all respondents believed the community-based intervention should have been implemented in Serbia to increase the men's awareness of PCA. Conclusion: The study reported lack of men's knowledge about PCA in Serbia in 2011, while there was a common agreement among men on the necessity of spreading more information about this disease. © 2019 Zerbinis Publications. All Rights Reserved.

Purpose: To assess the knowledge and attitudes of men in Serbia about prostate cancer (PCA) and possibilities for its early detection and treatment in 2011. Methods: This cross-sectional study included 407 men of various ages and education levels selected randomly and divided in 2 groups according to age (up to 40 and over 40 years). The assessment of knowledge and attitudes was based on a survey made up of 12 multiple choice questions conducted with direct contact with respondents from October 15th to December 15th 2011 with their voluntary consent. The results were evaluated in the total sample and between the groups. Results: Patient groups significantly differed according to knowledge about PCA treatment success (p<0.001) and stage in which PCA is most frequently detected (p<0.001) as well as according to attitudes about community-based interventions for increasing the awareness of PCA (p<0.001). Sixty-one percent of respondents over 50 years hadn't done preventive prostate examination despite recommendations. Ninety percent of all respondents believed the community-based intervention should have been implemented in Serbia to increase the men's awareness of PCA. Conclusion: The study reported lack of men's knowledge about PCA in Serbia in 2011, while there was a common agreement among men on the necessity of spreading more information about this disease. © 2019 Zerbinis Publications. All Rights Reserved.