Current Practice Patterns Among Members of the American Urological Association for Male Genitourinary Lichen Sclerosus

E Charles Osterberg; Thomas W Gaither; Mohannad A Awad; Amjad Alwaal; Bradley A Erickson; Jack W McAninch; Benjamin N Breyer

doi:10.1016/j.urology.2016.02.033

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Current Practice Patterns Among Members of the American Urological Association for Male Genitourinary Lichen Sclerosus

Journal article

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Current Practice Patterns Among Members of the American Urological Association for Male Genitourinary Lichen Sclerosus

E Charles Osterberg, Thomas W Gaither, Mohannad A Awad, Amjad Alwaal, Bradley A Erickson, Jack W McAninch and Benjamin N Breyer

Urology (Ridgewood, N.J.), Vol.92, pp.127-131

06/2016

DOI: 10.1016/j.urology.2016.02.033

PMCID: PMC4896157

PMID: 26948526

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Abstract

To determine the practice patterns of urologists who treat male genitourinary lichen sclerosus (MGU-LS) via a national web-based survey distributed to American Urological Association members. A 20-question survey was collected from a random sample of American Urological Association members. Respondents answered questions on their practice patterns for MGU-LS diagnosis, treatment of symptomatic urethral stricture disease, surveillance, and follow-up. In total, 309 urologists completed the survey. The majority of respondents reported practicing more than 20+ years (37.5%) within an academic (31.7%) or group practice (31.1%) setting. The majority of respondents saw 3-5 men with MGU-LS per year (32.7%). The most common locations of MGU-LS involvement included the glans penis (66.2%), foreskin (26.3%), and/or the urethra (5.8%). Respondent first-line treatment for urethral stricture disease was direct visual internal urethrotomy (26.6%) and second-line treatment was referral to subspecialist (38.4%). After controlling for the number of patients evaluated with MGU-LS per year, those with reconstructive training were more likely to perform a primary urethroplasty for men with symptomatic urethral stricture disease (adjusted odds ratio 13.1, 95% confidence interval 5.1-33.8, P < .001). They were also more likely to counsel men on the associated penile cancer risks (adjusted odds ratio 4.6, 95% confidence interval 1.7-12.5, P < .01). Reconstructive urologists evaluate the most number of patients with MGU-LS and are more likely to perform primary urethroplasty for urethral stricture disease. Men with MGU-LS should be referred to a reconstructive urologist to understand the full gamut of treatment options.

Lichen Sclerosus et Atrophicus - therapy

Urethral Stricture - therapy

Urethral Stricture - diagnosis

United States

Humans

Urethral Stricture - etiology

Lichen Sclerosus et Atrophicus - diagnosis

Male

Practice Patterns, Physicians

Male Urogenital Diseases - diagnosis

Urology

Lichen Sclerosus et Atrophicus - complications

Male Urogenital Diseases - etiology

Societies, Medical

Male Urogenital Diseases - therapy

Health Care Surveys

Details

Title: Subtitle: Current Practice Patterns Among Members of the American Urological Association for Male Genitourinary Lichen Sclerosus
Creators: E Charles Osterberg - Department of Urology, University of California-San Francisco, San Francisco, CA. Electronic address: charles.osterberg@ucsf.edu
Thomas W Gaither - Department of Urology, University of California-San Francisco, San Francisco, CA
Mohannad A Awad - Department of Urology, University of California-San Francisco, San Francisco, CA
Amjad Alwaal - Department of Urology, King Abdulaziz University, Jeddah, Saudi Arabia
Bradley A Erickson - Department of Urology, University of Iowa, Iowa, IA
Jack W McAninch - Department of Urology, University of California-San Francisco, San Francisco, CA
Benjamin N Breyer - Department of Urology, University of California-San Francisco, San Francisco, CA
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.92, pp.127-131
DOI: 10.1016/j.urology.2016.02.033
PMID: 26948526
PMCID: PMC4896157
NLM abbreviation: Urology
ISSN: 0090-4295
eISSN: 1527-9995
Publisher: United States
Grant note: K12 DK083021 / NIDDK NIH HHS
Language: English
Date published: 06/2016
Academic Unit: Urology
Record Identifier: 9984051728202771

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