Single-surgeon experience of excision and primary anastomosis for bulbar urethral stricture: analysis of surgical and patient-reported outcomes
| Autor: | Koetsu Hamamoto, Yusuke Hirano, Tomohiko Asano, Kenichiro Ojima, Ryuichi Azuma, Akio Horiguchi, Masayuki Shinchi, Fumihiro Kimura, Eiji Takahashi, Keiichi Ito |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Visual Analog Scale Urethral stricture Urology Urethroplasty medicine.medical_treatment 030232 urology & nephrology 03 medical and health sciences 0302 clinical medicine Patient satisfaction Postoperative Complications Quality of life Erectile Dysfunction Lower Urinary Tract Symptoms Outcome Assessment Health Care medicine Humans Patient Reported Outcome Measures Urethral Stricture business.industry Dissection Anastomosis Surgical Shim (computing) Middle Aged Plastic Surgery Procedures medicine.disease Surgery Erectile dysfunction Patient Satisfaction 030220 oncology & carcinogenesis Quality of Life Urologic Surgical Procedures Patient-reported outcome Female business Bulbar urethral stricture |
| Zdroj: | World journal of urology. 39(8) |
| ISSN: | 1433-8726 |
| Popis: | To report our experience with excision and primary anastomosis (EPA) for bulbar urethral stricture. Patients who underwent EPA for bulbar stricture between 2012 and 2019 were retrospectively analyzed (n = 308). Successful urethroplasty was defined as the absence of the need for additional treatment. For follow-up, uroflowmetry was performed and the patients completed the validated Urethral Stricture Surgery Patient-reported Outcome Measure and Sexual Health Inventory for Men (SHIM) questionnaires before (baseline) and 6 months after EPA. Overall patient satisfaction after urethroplasty was also evaluated. Urethroplasty was successful in 97.1% of patients (n = 299) with a median follow-up of 37 months. A total of 215 patients (69.8%) completed the questionnaires at 6 months postoperatively. The mean maximum flow rate, lower urinary tract symptom (LUTS)-total score, Peeling’s picture score, LUTS-specific quality of life, and EuroQol-visual analog scale scores improved significantly from 7.7 ml/s, 11.6, 3.3, 2.4, and 58.0 at baseline to 24.1 ml/s, 2.7, 1.9, 0.4, and 82.1 postoperatively (p |
| Databáze: | OpenAIRE |
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