Clinical and Patient-Reported Outcomes of One-Sided Anterior Urethroplasty for Long-Segment or Panurethral Strictures.
Clinical and Patient-Reported Outcomes of One-Sided Anterior Urethroplasty for Long-Segment or Panurethral Strictures.
- 2018
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
CONCLUSIONS: Durable patency in most patients is demonstrated in this study. Patient-reported outcome measures indicate an improvement in urinary function and moderate effect on sexual function. Transient penile chordee was evident in 25% of patients. Copyright (c) 2017. Published by Elsevier Inc. METHODS: Patients from four institutions after single-stage repairs for long-segment urethral strictures (> 8 cm) from January 2002 to April 2016 were reviewed. Technique described by Kulkarni et al was used in all cases. Clinical outcomes included uroflowmetry (Qmax), post-void residuals (PVR). PROMs included IPSS survey, SHIM, Male Sexual Health Questionnaire (MSHQ-EjS) and Global Response Assessment questionnaire (GRA) to measure voiding, sexual, ejaculatory symptoms and overall improvement respectively. OBJECTIVES: To evaluate clinical and patient-reported urinary and sexual outcomes after a long-segment stricture repair using the one-sided urethral dissection, penile invagination and dorsal BMG onlay technique described by Kulkarni. RESULTS: Seventy-three patients with a minimum of 12-months follow-up were included. The mean age and stricture length were 56(21-80) years and 13.6(8-21) cm respectively. At a mean follow-up of 44(12-162) months, 9/73(12%) strictures recurred. The mean baseline IPSS score of 23(7-24) decreased to 10(1-17) on follow-up (p <0.001). 8/42 patients (21.4%) reported an increase and 6/42 patients (14.3%) decrease in SHIM following urethroplasty. Ejaculatory function on MSHQ-EjS improved after urethroplasty from 8 pre-operatively to 11 post-operatively (p<0.004). All patients reported improvement after urethroplasty on GRA questionnaire. Post-void dribbling and chordee occurred in 45% and 25% of patients respectively.
English
0090-4295
*Patient Reported Outcome Measures
*Urethra/su [Surgery]
*Urethral Stricture/su [Surgery]
Adult
Aged
Aged, 80 and over
Humans
Male
Middle Aged
Mouth Mucosa/tr [Transplantation]
Retrospective Studies
Sexual Behavior/ph [Physiology]
Treatment Outcome
Urethral Stricture/pa [Pathology]
Urination
Urologic Surgical Procedures, Male/mt [Methods]
Young Adult
MedStar Washington Hospital Center
Urology
Journal Article
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
CONCLUSIONS: Durable patency in most patients is demonstrated in this study. Patient-reported outcome measures indicate an improvement in urinary function and moderate effect on sexual function. Transient penile chordee was evident in 25% of patients. Copyright (c) 2017. Published by Elsevier Inc. METHODS: Patients from four institutions after single-stage repairs for long-segment urethral strictures (> 8 cm) from January 2002 to April 2016 were reviewed. Technique described by Kulkarni et al was used in all cases. Clinical outcomes included uroflowmetry (Qmax), post-void residuals (PVR). PROMs included IPSS survey, SHIM, Male Sexual Health Questionnaire (MSHQ-EjS) and Global Response Assessment questionnaire (GRA) to measure voiding, sexual, ejaculatory symptoms and overall improvement respectively. OBJECTIVES: To evaluate clinical and patient-reported urinary and sexual outcomes after a long-segment stricture repair using the one-sided urethral dissection, penile invagination and dorsal BMG onlay technique described by Kulkarni. RESULTS: Seventy-three patients with a minimum of 12-months follow-up were included. The mean age and stricture length were 56(21-80) years and 13.6(8-21) cm respectively. At a mean follow-up of 44(12-162) months, 9/73(12%) strictures recurred. The mean baseline IPSS score of 23(7-24) decreased to 10(1-17) on follow-up (p <0.001). 8/42 patients (21.4%) reported an increase and 6/42 patients (14.3%) decrease in SHIM following urethroplasty. Ejaculatory function on MSHQ-EjS improved after urethroplasty from 8 pre-operatively to 11 post-operatively (p<0.004). All patients reported improvement after urethroplasty on GRA questionnaire. Post-void dribbling and chordee occurred in 45% and 25% of patients respectively.
English
0090-4295
*Patient Reported Outcome Measures
*Urethra/su [Surgery]
*Urethral Stricture/su [Surgery]
Adult
Aged
Aged, 80 and over
Humans
Male
Middle Aged
Mouth Mucosa/tr [Transplantation]
Retrospective Studies
Sexual Behavior/ph [Physiology]
Treatment Outcome
Urethral Stricture/pa [Pathology]
Urination
Urologic Surgical Procedures, Male/mt [Methods]
Young Adult
MedStar Washington Hospital Center
Urology
Journal Article