Journal article
Stricture Recurrence After Urethroplasty: A Systematic Review
The Journal of urology, Vol.182(4), pp.1266-1270
2009
DOI: 10.1016/j.juro.2009.06.027
PMID: 19683309
Abstract
Purpose:
Urethroplasty remains the gold standard for the management of urethral stricture disease with acceptable long-term success. However, the standard by which stricture recurrence is defined and evaluated after urethral reconstruction remains widely variable. We conducted a systematic review of the urological literature to determine how stricture recurrence is defined and evaluated.
Materials and Methods:
A systematic review was conducted on all contemporary urethroplasty articles published between 2000 and 2008. Using the term “urethroplasty” 302 articles were identified and evaluated. A total of 86 articles were included in the analysis.
Results:
The overall recurrence rate for all reconstructive procedures was 15.6%, which remained stable between 2000 and 2008. Stricture recurrence was determined by a mean of 3 (range 1 to 8) different diagnostic tests. The most common primary diagnostic tests for recurrence were uroflowmetry (56% of articles) and retrograde urethrography (51%). Cystourethroscopy was used as a primary screen to identify stricture recurrence in 25% of articles, and as a secondary procedure in another 21%. Recurrence was defined as the need for an additional surgical procedure or dilation in 75% and 52% of articles, respectively.
Conclusions:
The methods used to determine stricture recurrence after urethroplasty remain widely variable. The use of a standardized surveillance protocol to define stricture recurrence after urethral reconstruction may allow more effective comparison of urethroplasty outcomes across institutions.
Details
- Title: Subtitle
- Stricture Recurrence After Urethroplasty: A Systematic Review
- Creators
- Joshua J MEEKS - Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United StatesBradley A ERICKSON - Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United StatesMichael A GRANIERIT - Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United StatesChris M GONZALEZ - Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United States
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.182(4), pp.1266-1270
- Publisher
- Elsevier; New York, NY
- DOI
- 10.1016/j.juro.2009.06.027
- PMID
- 19683309
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 2009
- Academic Unit
- Urology
- Record Identifier
- 9984051714602771
Metrics
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