Abstract
PosterSessionB_12 - Assessing the Burden of Radiation Related Injury in the Tertiary Reconstructive Urologic Practice
Urology (Ridgewood, N.J.), Vol.206(Supplement), pp.55-56
12/2025
DOI: 10.1016/j.urology.2025.11.128
Abstract
Objective: To evaluate the burden and trends in reconstructive urologic procedures required for radiation (XRT) induced injury.
Methods: A prospectively maintained multi-institutional reconstruction database was reviewed from 2020-2025 for cases of 1) Urethroplasty, 2) Ureteral Reconstruction, 3) Bladder Neck Repair, 4) Urinary Diversion, 5) Incontinence, 6) Inflatable Penile Prosthesis and 7) Urinary Fistula Repair. The pathologic etiology was reviewed, and we then determined the XRT burden by case type, study surgeon, and year.
Results: Of the 3,391 reconstructive cases reviewed, 17% were caused by XRT. The procedures with the highest XRT etiology rates were bladder neck repair (32%), urinary diversion (32% and incontinence (31%) (Figure). The overall XRT burden remained stable during the study period, though XRT related urinary diversions increased most over the study period (37% to 60%; p=0.19) with significant surgeon variance (20% to 60% p=0.03).
Conclusion: Radiation injury is the etiology for nearly 20% of all reconstructive urologic cases in tertiary urologic reconstructive practices and this rate is predicted to increase as cancer survivorship rates increase. All reconstructive surgical outcomes are negatively affected by XRT exposure, yet no unified strategy to approaching XRT cases so to minimize complications currently exists.
Details
- Title: Subtitle
- PosterSessionB_12 - Assessing the Burden of Radiation Related Injury in the Tertiary Reconstructive Urologic Practice
- Creators
- Charles SchlaepferNejd AlsikafiJill BuckleySean ElliottJeremy MyersAlex VanniBradley Erickson
- Resource Type
- Abstract
- Publication Details
- Urology (Ridgewood, N.J.), Vol.206(Supplement), pp.55-56
- DOI
- 10.1016/j.urology.2025.11.128
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 12/2025
- Academic Unit
- Urology
- Record Identifier
- 9985091799802771
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