Journal article
Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty
The Journal of urology, Vol.200(4), pp.843-847
10/2018
DOI: 10.1016/j.juro.2018.03.134
PMID: 29654804
Abstract
In this study we aimed to define the prevalence of preoperative and postoperative post-micturition incontinence or post-void dribbling after anterior urethroplasty for urethral stricture disease. We also sought to determine risk factors for its presence.
We retrospectively reviewed a prospectively maintained, multi-institutional urethral stricture database to evaluate post-micturition incontinence using a single question from a validated questionnaire, “How often have you had a slight wetting of your pants a few minutes after you had finished urinating and had dressed yourself?” Possible answers were never—0 to all the time—3. The presence of post-micturition incontinence was defined as any answer greater than 0. Comparisons were made to stricture type and location, repair type and patient medical comorbidities.
Preoperative and postoperative post-micturition incontinence questionnaires were completed by 614 and 331 patients, respectively. Patients without complete data available were excluded from study. Preoperative post-micturition incontinence was present in 73% of patients, of whom 44% stated that this symptom was present most of the time. Overall postoperative post-micturition incontinence was present in 40% of patients and again it was not predicted by stricture location or urethroplasty type. Of the 331 patients with followup questionnaires 60% reported improvement, 32% reported no change and 8% reported worsening symptoms. The overall rate of de novo post-micturition incontinence was low at 6.3%.
The prevalence of preoperative post-micturition incontinence is high and likely under reported. In most patients post-micturition incontinence improves after urethroplasty and the prevalence of de novo post-micturition incontinence is low. The presence of post-micturition incontinence was not predicted by stricture length or location, or urethroplasty repair type.
Details
- Title: Subtitle
- Prevalence of Post-Micturition Incontinence before and after Anterior Urethroplasty
- Creators
- Katherine J Cotter - Department of Urology, University of Iowa, Iowa City, IowaKevin J Flynn - Department of Urology, University of Iowa, Iowa City, IowaAmy E Hahn - Department of Urology, University of Iowa, Iowa City, IowaBryan B Voelzke - University of Washington, Seattle, WashingtonJeremy B Myers - University of Utah, Salt Lake City, UtahThomas G Smith - Baylor College of Medicine, Houston, TexasSean P Elliott - University of Minnesota, Minneapolis, MinnesotaNejd F Alsikafi - Uropartners, Gurnee, IllinoisBenjamin N Breyer - University of California-San Francisco, San FranciscoAlex J Vanni - Lahey Hospital and Medical Center, Burlington, MassachusettsJill C Buckley - University of California-San Diego, San Diego, CaliforniaLee C Zhao - New York University, New York, New YorkBradley A Erickson - Department of Urology, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.200(4), pp.843-847
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.juro.2018.03.134
- PMID
- 29654804
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 10/2018
- Academic Unit
- Urology
- Record Identifier
- 9984051561802771
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