학술논문

Defining Success after Anterior Urethroplasty: An Argument for a Universal Definition and Surveillance Protocol
Document Type
article
Source
Investigative Urology. 208(1)
Subject
Biomedical and Clinical Sciences
Dentistry
Clinical Research
Constriction
Pathologic
Humans
Male
Retrospective Studies
Treatment Outcome
Urethra
Urethral Stricture
Urologic Surgical Procedures
Male
urethral stricture
follow-up studies
recurrence
retreatment
Clinical Sciences
Urology & Nephrology
Clinical sciences
Language
Abstract
PurposeA successful urethroplasty has been defined in different ways across studies. This variety in the literature makes it difficult to compare success rates and techniques across studies. We aim to evaluate the success of anterior urethroplasty based on different definitions of success in a single cohort.Materials and methodsData were collected from a multi-institutional, prospectively maintained database. We included men undergoing first-time, single-stage, anterior urethroplasty between 2006 and 2020. Exclusion criteria included lack of followup, hypospadias, extended meatotomy, perineal urethrostomy, posterior urethroplasty and staged repairs. We compared 5 different ways to define a "failed" urethroplasty: 1) stricture retreatment, 2) anatomical recurrence on cystoscopy, 3) peak flow rate