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Repeat Urethroplasty After Failed Urethral Reconstruction: Outcome Analysis of 130 Patients
- Source :
- The Journal of urology, vol 188, iss 6, Blaschko, SD; McAninch, JW; Myers, JB; Schlomer, BJ; & Breyer, BN. (2012). Repeat urethroplasty after failed urethral reconstruction: Outcome analysis of 130 patients. Journal of Urology, 188(6), 2260-2264. doi: 10.1016/j.juro.2012.07.101. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/6b05t9b8
- Publication Year :
- 2012
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2012.
-
Abstract
- Purpose: Male urethral stricture disease accounts for a significant number of hospital admissions and health care expenditures. Although much research has been completed on treatment for urethral strictures, fewer studies have addressed the treatment of strictures in men with recurrent stricture disease after failed prior urethroplasty. We examined outcome results for repeat urethroplasty. Materials and Methods: A prospectively collected, single surgeon urethroplasty database was queried from 1977 to 2011 for patients treated with repeat urethroplasty after failed prior urethral reconstruction. Stricture length and location, and repeat urethroplasty intervention and failure were evaluated with descriptive statistics, and univariate and multivariate logistic regression. Results: Of 1,156 cases 168 patients underwent repeat urethroplasty after at least 1 failed prior urethroplasty. Of these patients 130 had a followup of 6 months or more and were included in analysis. Median patient age was 44 years (range 11 to 75). Median followup was 55 months (range 6 months to 20.75 years). Overall, 102 of 130 patients (78%) were successfully treated. For patients with failure median time to failure was 17 months (range 7 months to 16.8 years). Two or more failed prior urethroplasties and comorbidities associated with urethral stricture disease were associated with an increased risk of repeat urethroplasty failure. Conclusions: Repeat urethroplasty is a successful treatment option. Patients in whom treatment failed had longer strictures and more complex repairs. © 2012 American Urological Association Education and Research, Inc.
- Subjects :
- Adult
Male
Reoperation
medicine.medical_specialty
Urologic Surgical Procedures, Male
Adolescent
Urethral stricture
Urology
Urethroplasty
medicine.medical_treatment
Clinical Sciences
Outcome analysis
Article
Young Adult
Urethra
Patient age
medicine
Humans
Prospective Studies
Treatment Failure
Young adult
Child
Prospective cohort study
Aged
Urethral Stricture
business.industry
Urology & Nephrology
Middle Aged
medicine.disease
Single surgeon
Surgery
Treatment Outcome
medicine.anatomical_structure
Urologic Surgical Procedures
business
Subjects
Details
- ISSN :
- 15273792 and 00225347
- Volume :
- 188
- Database :
- OpenAIRE
- Journal :
- Journal of Urology
- Accession number :
- edsair.doi.dedup.....f2cf2aa78e7d2cfe8295aa2585a1820e