Patient Satisfaction With the Outcome of Surgery for Urethral Stricture

Kessler, Thomas M.; Fisch, Margit; Heitz, Matthias; Olianas, Roberto; Schreiter, F.

doi:10.1097/00005392-200206000-00036

Cited by 21 publications

(34 citation statements)

References 13 publications

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“…Possible explanations for postoperative postvoid dribbling are stricture recurrence, damage to the M.bulbospongiosum and/or sacculation of the graft. In the study of Kessler et al, postoperative postvoid dribbling was even present in 58.9% of the patients (9).…”

Section: Ici-q-sfmentioning

confidence: 89%

“…The only dissatisfied patient in this series was because of a postoperative fistula. It has been reported that postoperative complications might have an influence on the patient satisfaction (9). The other 20 patients were satisfied by the operation despite some functional disturbances (erectile dysfunction, urge-incontinence, post-void dribbling).…”

Section: Patient Satisfactionmentioning

confidence: 98%

“…All these possible alterations in urinary and sexual function might have an impact on the patient's satisfaction with the procedure. It has previously been reported that patient's satisfaction is not always the same as what the surgeon defines as success (9). This study mainly focusses on the impact of urethroplasty on the patient's short-term functional outcome and the satisfaction with the procedure.…”

Section: Introductionmentioning

confidence: 98%

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Assessment of the short-term functional outcome after urethroplasty: a prospective analysis

et al. 2011

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Objectives: To assess the short-term functional outcomes on urinary symptoms, erectile function, urinary continence and patient's satisfaction after urethroplasty. Materials and Methods: A prospective analysis was done in 21 patients who underwent urethroplasty. An assessment of the urinary flow, urinary symptoms (International Prostate Symptome Score ), erectile function (International Index of Erectile Function-5 ) and urinary continence (International Consultation Committee on Incontinence Questionaire male Short Form ) was done before urethroplasty and 6 weeks and 6 months after urethroplasty. Patients were also asked to score their satisfaction with the urethroplasty after 6 weeks and 6 months. Results: Mean patient's age was 48 years (range: 26-80 years). Mean stricture length was 4.2 cm (range: 1-12 cm). Three patients suffered a stricture recurrence. Mean maximum urinary flow increased from 5.83 mL/s to 24.92 mL/s (p < 0.001). Mean IPSS preoperative, 6 weeks and 6 months postoperative was respectively 15.86, 4.60 and 6.41(p < 0.001). The mean IIEF-5 score preoperative, 6 weeks and 6 months postoperative was respectively 15, 12.13 and 11.62 (not significant). The mean ICI-Q-SF score preoperative, 6 weeks and 6 months postoperative was respectively 10.47, 8.33 (p = 0.04) and 9.47 (p = 0.31). Patient's satisfaction 6 weeks and 6 months postoperative was respectively 17.14/20 and 17.12/20. Conclusions: Urethroplasty leads to a significant improvement in urinary flow and IPSS and urinary continence is tending to improve. Although not significant, erectile function was slightly diminished after urethroplasty. Functional outcome should be assessed when urethroplasty is performed.

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Section: Ici-q-sfmentioning

confidence: 89%

Section: Patient Satisfactionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

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Assessment of the short-term functional outcome after urethroplasty: a prospective analysis

et al. 2011

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“…Studies by Palminteri et al, 12 Shenfeld et al, 13 Kessler et al, 14 Anger et al 15 and Nelson et al 16 concluded that there …”

Section: Discussionmentioning

confidence: 99%

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

Mondal

Bandyopadhyay

Mandal

et al. 2016

Medical Journal Armed Forces India

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m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 2 ( 2 0 1 6 ) 3 4 4 -3 4and Pharmacological Colour Doppler Ultrasonography (PCDU) for a period of 6 months.Results: Preoperative prevalence of ED assessed by IIEF was found to be 82.8%. Postoperative incidence of ED was 28.5% and new onset ED is 50%. There was no significant change in IIEF values and values of peak systolic velocity and resistive index of cavernosal artery over time. Conclusion:There is significant prevalence of ED with urethral stricture. Despite significant postoperative incidence of ED after urethroplasty, the surgical procedure per se does not result in ED.#

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“…As for bulbar urethra stricture, removal of bulbar urethral stricture scar using narrow segment anastomosis has shown satisfactory results [10]. However, using the above treatments in penile urethra stricture may result in penile shortening, painful erection, etc., and thus, their clinical use is minimal [11]. Meanwhile, the traditional treatments such as urethral dilation and cold knife urethrotomy have higher recurrence rates which also results in limited clinical application.…”

Section: Discussionmentioning

confidence: 99%

Combined Dorsal Plus Ventral Double-Graft Urethroplasty in Anterior Urethral Reconstruction

Jiang

Zhu²,

Jiang³

et al. 2014

Indian J Surg

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This study aims to investigate the effect of combined dorsal plus ventral double-graft urethroplasty in anterior urethral reconstruction. Patients who underwent graft urethroplasty for anterior urethral strictures at West China Hospital from 2005 to 2010 were followed up with clinical evaluation. According to the site of graft fixed, patients were divided into single-onlay group (dorsal or ventral) and doubleonlay group (dorsal plus ventral). Success rate and complications were compared between the two groups and were analyzed using t test and chi-square. A total of 77 patients completed the follow-up, 51 in single-onlay group and 26 in double group. There was no statistical difference in terms of age, length, site, stricture reason, and the type of graft used between the two groups. The mean follow-up time was 15.6 months (range from 4 to 33 months) in double group and 39.5 months (range from 15 to 59 months) in single group. The total success rate was 72.5 % in single-onlay group and 88.5 % in doubleonlay group; no statistical difference existed (p >0.05). Subgroup analysis shows the success rate was higher for double-onlay urethroplasty for the stricture of penoscrotal junction (88.9 vs 60.9 %, p<0.05). The main postoperative complications including infection and urethrocutaneous fistula were not significant between the two groups (p> 0.05). Combined dorsal plus ventral double-graft urethroplasty showed a high success and low complication rate for anterior urethral strictures, especially for the penoscrotal junction.

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Patient Satisfaction With the Outcome of Surgery for Urethral Stricture

Cited by 21 publications

References 13 publications

Assessment of the short-term functional outcome after urethroplasty: a prospective analysis

Assessment of the short-term functional outcome after urethroplasty: a prospective analysis

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

Combined Dorsal Plus Ventral Double-Graft Urethroplasty in Anterior Urethral Reconstruction

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