학술논문

Urethroscopic Findings following Urethroplasty Predict the Need for Secondary Intervention in the Long Term: A Multi-Institutional Study from Trauma and Urologic Reconstructive Network of Surgeons
Document Type
article
Source
Investigative Urology. 207(4)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Clinical Research
Clinical Trials and Supportive Activities
Aged
Aged
80 and over
Endoscopy
Follow-Up Studies
Humans
Middle Aged
Postoperative Complications
Plastic Surgery Procedures
Recurrence
Reoperation
Urethra
Urethral Stricture
Urologic Surgical Procedures
Male
urethral stricture
urethra
recurrence
cystoscopy
reconstructive surgical procedures
Urology & Nephrology
Clinical sciences
Language
Abstract
PurposePostoperative surveillance urethroscopy has been shown to be an effective tool to predict reoperation within 1 year after urethroplasty. We aimed to evaluate early surveillance urethroscopy findings and long-term outcomes among urethroplasty patients in order to define the value of surveillance urethroscopy to predict failure.Materials and methodsWe evaluated 304 patients with at least 4 years of followup after urethroplasty performed at 10 institutions across the United States and Canada. All patients were surveilled using a flexible 17Fr cystoscope and were categorized into 3 groups: 1) normal lumen, 2) large-caliber stricture (≥17Fr) defined as the ability of the cystoscope to easily pass the narrowing and 3) small-caliber stricture (