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Preto et al. Plast Aesthet Res. 2025;12:28 https://dx.doi.org/10.20517/2347-9264.2025.26 Page 7 of 17

Table 2. Patients’ characteristics
Variables Results
Patients, n 47
Age, (years), median (IQR) 31 (26-36)
BMI, median (IQR) 22 (21-24)
Smoke, n (%) 14 (30)
Comorbidities, n (%) 2 (4.2)
1 Coagulopathy (2.1)
1 Previous cerebral thrombosis (2.1)
Follow-up (months), 35 (18-62)
median (IQR)
IQR: Interquartile range; BMI: body mass index.

Table 3. Surgical characteristics and complications
Variables Results
Operative time, median (IQR) 315 (287-342)
Final length, cm (IQR) 14 (12-14)
Blood loss, mL (IQR) 500 (300-650)
Graft, n (%) 9 (19.1)
Hospital stay (days), median (IQR) 8 (7-9)
Intraoperative complication, n (%) 1 (2.1)
Bulbar urethra injury
Postoperative complication, n (%) 30 (63.8)
Clavien-Dindo I 8 (17)
- Anemization 5 (10.6)
- Wound dehiscence/infection 3 (6.4)
Clavien-Dindo II 12 (25.5)

- Blood transfusion 12 (25.5)

Clavien-Dindo III 9 (19.1)
(surgical revision rate)

- Meatal stenosis 7 (14.9)
- Neovaginal stenosis 1 (2.1)
- Rectovaginal fistula 1 (2.1)
Clavien-Dindo IV 1 (2.1)

- Hemorrhagic shock 1 (2.1)
IQR: Interquartile range.

This was successfully repaired intraoperatively, using a multilayered suture technique with absorbable
material to reconstruct the urethral mucosa and spongiosa. The patient experienced full recovery following
prolonged catheterization (2 weeks). In this unique case, a retrograde and voiding cystourethrography was
also performed to confirm complete healing.

Considering postoperative complications, minor complications (Clavien-Dindo I-II) were reported in 42.5%
of cases (22 patients). The majority of these complications were related to postoperative anemia, affecting 17
patients, 12 (25.5%) of whom required blood transfusion support. Additionally, 3 patients (6.4%)
experienced wound healing complications, necessitating advanced wound care management in an
outpatient setting.