Surgical and patient-reported outcomes of urethroplasty for bulbar stricture due to a straddle injury View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-09-26

AUTHORS

Akio Horiguchi, Masayuki Shinchi, Kenichiro Ojima, Yuichi Arai, Mina Hatanaka, Keiichi Ito, Tomohiko Asano, Eiji Takahashi, Fumihiro Kimura, Ryuichi Azuma

ABSTRACT

PurposeTo report our experience with urethroplasty for bulbar stricture due to a straddle injury based on surgical and patient-reported outcomes.MethodsPatients who underwent urethroplasty for bulbar stricture due to a straddle injury between 2010 and 2018 were retrospectively analyzed (N = 132). Successful urethroplasty was defined as the absence of the need for additional treatment. The patients completed the validated Urethral Stricture Surgery Patient-reported Outcome Measure and Sexual Health Inventory for Men (SHIM) questionnaires before (baseline) and 1 year after urethroplasty.ResultsThe median (interquartile range) age was 50 (36–62) years; urethral stricture length estimated from urethrograms, 8.6 (5.1–12.5) mm; and postoperative follow-up, 41 (22–56) months. Urethroplasty was performed through excision with primary anastomosis in 95.5% (n = 126) and onlay augmentation with a buccal mucosa graft in 4.5% (n = 6). Urethroplasty was successful in 98.5% (n = 130). The 2 failures due to periurethral abscess were successfully salvaged with another urethroplasty. Eighty-four patients (63.6%) completed the questionnaires at 1 year postoperatively. The mean lower urinary tract (LUT)-specific quality of life, SHIM, and EuroQol-visual analog scale scores all improved significantly from 2.6, 8.5, and 57.5 at baseline to 0.3, 11.6, and 84.6 postoperatively (p < 0.0001, p = 0.004, p < 0.0001, respectively). All patients were either “satisfied” (19/84, 22.6%) or “very satisfied” (65/84, 77.3%). Lower postoperative LUT symptom score was an independent predictor of a “very satisfied” patient (odds ratio 0.81, 95% confidence interval 0.67–0.98, p = 0.002).ConclusionsUrethroplasty for bulbar stricture due to a straddle injury has a high success rate and is beneficial for both subjective and objective symptoms. More... »

PAGES

1805-1811

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-019-02971-9

DOI

http://dx.doi.org/10.1007/s00345-019-02971-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1121298082

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31559477


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