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08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Stricture recurrence after urethroplasty: a systematic review.
Joshua J Meeks1, Bradley A Erickson, Michael A Granieri
1Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois 60611, USA.
The Journal of Urology
|August 18, 2009
Summary
Defining urethral stricture recurrence after urethroplasty varies significantly. A systematic review found inconsistent diagnostic methods and definitions, highlighting the need for standardized protocols to compare treatment outcomes effectively.
Area of Science:
- Urology
- Surgical Outcomes Research
Background:
- Urethroplasty is the gold standard for urethral stricture disease management.
- Long-term success rates are generally acceptable.
- However, inconsistent evaluation of stricture recurrence hinders outcome comparison.
Purpose of the Study:
- To systematically review and determine how stricture recurrence is defined and evaluated in contemporary urethroplasty literature.
- To identify variability in diagnostic methods and outcome definitions.
Main Methods:
- Systematic review of 86 urethroplasty articles published between 2000 and 2008.
- Analysis focused on diagnostic tests and definitions used to assess stricture recurrence.
Main Results:
- The overall recurrence rate was 15.6%, stable during the study period.
- A mean of 3 diagnostic tests were used to determine recurrence.
- Uroflowmetry (56%) and retrograde urethrography (51%) were most common.
- Recurrence was often defined by need for further surgery (75%) or dilation (52%).
Conclusions:
- Methods for determining stricture recurrence after urethroplasty are highly variable.
- Standardized surveillance protocols are needed for effective comparison of urethroplasty outcomes across institutions.
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