Urethrogram: Does Postoperative Contrast Extravasation Portend Stricture Recurrence?
| Autor: | Jeremy B. Myers, Anthony Enriquez, Lee C. Zhao, Benjamin N. Breyer, Andrew J. Cohen, Jill C. Buckley, Bradley A. Erickson, Sean P. Elliott, German Patino, Alex J. Vanni, Nedj F. Alsikafi, Thomas G. Smith, Bryan B. Voelzke |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Urology Urethroplasty medicine.medical_treatment 030232 urology & nephrology Cystoscopy Predictive value Extravasation Urinary extravasation 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Contrast extravasation Radiology business |
| Zdroj: | Urology. 145:262-268 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2020.05.109 |
| Popis: | OBJECTIVE To demonstrate our hypothesis that the presence of extravasation on postoperative urethrogram is inconsequential for disease recurrence in urethroplasty postoperative follow-up. MATERIALS AND METHODS We utilized the Trauma and Urologic Reconstructive Network of Surgeons database to assess 1691 patients who underwent urethroplasty and post-operative urethrogram. Anatomic and functional recurrence were defined as RESULTS Among 1101 patients with cystoscopy follow-up, 54 (4.9%) had extravasation on initial postoperative urethrogram. Among those 54, 74.1% developed an anatomic recurrence vs 13% without extravasation (P CONCLUSION Postoperative urethrogram has a high specificity but low sensitivity for anatomic and functional recurrence during short term follow-up. The positive predictive value of urinary extravasation is high: patients with extravasation incur a high risk of anatomic recurrence within 1 year and such patients may warrant increased monitoring. |
| Databáze: | OpenAIRE |
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