PROSPECTIVE STUDY OF QUALITY-OF-LIFE ASSESSMENT IN PATIENTS THAT UNDERGO URETHRAL RECONSTRUCTION FOR URETHRAL STRICTURES – A PROSPECTIVE, SINGLE CENTRE, SINGLE SURGEON EXPERIENCE

  • Gabriel Predoiu “Prof. Dr. Theodor Burghele” Clinical Hospital, Urology Clinic, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy Department of Urology, Bucharest, Romania
  • Valentin Voinescu “Prof. Dr. Theodor Burghele” Clinical Hospital, Urology Clinic, Bucharest, Romania
  • Alexandru Obadă “Prof. Dr. Theodor Burghele” Clinical Hospital, Urology Clinic, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Department of Urology, Bucharest, Romania
  • Cristian Toma “Prof. Dr. Theodor Burghele” Clinical Hospital, Urology Clinic, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Department of Urology, Bucharest, Romania
  • Viorel Jinga “Prof. Dr. Theodor Burghele” Clinical Hospital, Urology Clinic, Bucharest, Romania & “Carol Davila” University of Medicine and Pharmacy, Department of Urology, Bucharest, Romania
Keywords: urethral strictures, urethral reconstruction, quality of life

Abstract

The pathological narrowing of the urethra, known as stricture disease is an abnormal process with a substantial impact on patients’ lives, having an increasing incidence in the elderly population. The gold standard in the handling of this pathology is urethral reconstructive surgery, revealing remarkable results after the evaluation of the patient’s satisfaction and quality of life with the help of two objective tools the IPSS-International Prostate Score Symptoms and the IIEF 5- international index of erectile function before surgery and at every follow up that was preoperatively planned. The results we have reached by enrolling 20 patients that underwent urethroplasty for urethral stricture and subsequent follow up, by a single surgical team, showed that urethroplasty is a very effective tool.

References

[1] A. R. Mundy and D. E. Andrich, “Urethral strictures.,” BJU Int., vol. 107, no. 1, pp. 6–26, Jan. 2011
[2] G. Barbagli et al., “Long-term followup and deterioration rate of anterior substitution urethroplasty.,” J. Urol., vol. 192, no. 3, pp. 808–813, Sep. 2014
[3] L. L. Yeung and S. B. Brandes, “Urethroplasty practice and surveillance patterns: a survey of reconstructive urologists.,” Urology, vol. 82, no. 2, pp. 471–475, Aug. 2013
[4] B. A. Erickson, B. N. Breyer, and J. W. McAninch, “The use of uroflowmetry to diagnose recurrent stricture after urethral reconstructive surgery.,” J. Urol., vol. 184, no. 4, pp. 1386–1390, Oct. 2010
[5] L. R. Wiegand and S. B. Brandes Dr., “The UREThRAL stricture score: A novel method for describing anterior urethral strictures,” J. Can. Urol. Assoc., vol. 6, no. 4, pp. 260–264, Aug. 2012
[6] R. C. Rosen, A. Riley, G. Wagner, I. H. Osterloh, J. Kirkpatrick, and A. Mishra, “The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction,” Urology, vol. 49, no. 6, pp. 822–830, Jun. 1997
[7] T. M. Kessler, M. Fisch, M. Heitz, R. Olianas, and F. Schreiter, “Patient satisfaction with the outcome of surgery for urethral stricture.,” J. Urol., vol. 167, no. 6, pp. 2507–2511, Jun. 2002.
[8] B. A. Erickson, B. N. Breyer, and J. W. McAninch, “Changes in uroflowmetry maximum flow rates after urethral reconstructive surgery as a means to predict for stricture recurrence.,” J. Urol., vol. 186, no. 5, pp. 1934–1937, Nov. 2011
[9] C. F. Heyns and D. C. Marais, “Prospective evaluation of the American Urological Association symptom index and peak urinary flow rate for the followup of men with known urethral stricture disease.,” J. Urol., vol. 168, no. 5, pp. 2051–2054, Nov. 2002
[10]D. Míka, J. Krhut, K. Ryšánková, R. Sýkora, L. Luňáček, and P. Zvara, “One-year follow-up after urethroplasty, with the focus on both lower urinary tract and erectile function,” Scand. J. Urol., vol. 54, no. 2, pp. 150–154, Mar. 2020
[11]N. Lumen, S. Spiers, S. De Backer, R. Pieters, and W. Oosterlinck, “Assessment of the short-term functional outcome after urethroplasty: A prospective analysis,” Int. Braz J Urol, vol. 37, no. 6, pp. 712–718, Nov. 2011
[12]J. Delong and J. Buckley, “Patient-reported outcomes combined with objective data to evaluate outcomes after urethral reconstruction,” Urology, vol. 81, no. 2, pp. 432–436, Feb. 2013
[13]C. A. Tam et al., “The International Prostate Symptom Score (IPSS) Is an Inadequate Tool to Screen for Urethral Stricture Recurrence After Anterior Urethroplasty.,” Urology, vol. 95, pp. 197–201, Sep. 2016
Published
2021-05-04
How to Cite
[1]
G. Predoiu, V. Voinescu, A. Obadă, C. Toma, and V. Jinga, “PROSPECTIVE STUDY OF QUALITY-OF-LIFE ASSESSMENT IN PATIENTS THAT UNDERGO URETHRAL RECONSTRUCTION FOR URETHRAL STRICTURES – A PROSPECTIVE, SINGLE CENTRE, SINGLE SURGEON EXPERIENCE”, JSS, vol. 8, no. 1, pp. 1-8, May 2021.