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Patient-Reported Outcome Measures in Urethral Reconstruction
Nima Baradaran1, Lindsay A Hampson1, Todd C Edwards2
1Department of Urology, University of California - San Francisco, San Francisco, CA, USA.
Urethroplasty offers higher success for anterior urethral stricture disease (USD). New patient-reported outcome measures (PROMs) are needed to accurately assess surgical success and patient satisfaction.
Area of Science:
- Urology
- Surgical Outcomes Assessment
- Patient-Reported Outcome Measures
Background:
- Anterior urethral stricture disease (USD) treatment has evolved towards urethroplasty, demonstrating superior success rates compared to endoscopic methods.
- The definition of surgical success is shifting from avoiding re-operations to prioritizing patient satisfaction and validated outcome assessments.
Purpose of the Study:
- To review current tools for assessing surgical success in anterior urethral stricture disease (USD) after urethroplasty.
- To highlight the limitations of non-validated and disease-non-specific patient-reported outcome measures (PROMs).
- To emphasize the critical need for developing comprehensive, USD-specific PROMs.
Main Methods:
- Literature review of studies evaluating surgical outcomes after urethroplasty for anterior USD.
- Analysis of patient-reported outcome measures (PROMs) utilized in the assessment of voiding symptoms and sexual function.
- Identification and discussion of existing and emerging USD-specific PROMs.
Main Results:
- Numerous non-validated and disease-non-specific PROMs have been employed in the literature.
- The Urethral Stricture Surgery PROM (USS PROM), developed in 2001, is the first validated, disease-specific PROM for anterior USD.
- The Urethral Stricture Symptoms and Impact Measure (USSIM) is a comprehensive PROM currently undergoing multi-institutional validation.
Conclusions:
- There is a significant need for validated, disease-specific patient-reported outcome measures (PROMs) for anterior urethral stricture disease (USD).
- Developing and implementing comprehensive USD-specific PROMs is crucial for accurately evaluating surgical success and patient satisfaction following urethroplasty.
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