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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1266-1270 |
| Number of pages | 5 |
| Journal | Journal of Urology |
| Volume | 182 |
| Issue number | 4 SUPPL. |
| DOIs | |
| State | Published - Oct 1 2009 |
Fingerprint
Keywords
- penis
- recurrence
- urethra
- urethral stricture
ASJC Scopus subject areas
- Urology
Cite this
}
Stricture Recurrence After Urethroplasty : A Systematic Review. / Meeks, Joshua J.; Erickson, Bradley A.; Granieri, Michael A.; Gonzalez, Chris M.
In: Journal of Urology, Vol. 182, No. 4 SUPPL., 01.10.2009, p. 1266-1270.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Stricture Recurrence After Urethroplasty
T2 - A Systematic Review
AU - Meeks, Joshua J.
AU - Erickson, Bradley A.
AU - Granieri, Michael A.
AU - Gonzalez, Chris M.
PY - 2009/10/1
Y1 - 2009/10/1
N2 - 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.
AB - 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.
KW - penis
KW - recurrence
KW - urethra
KW - urethral stricture
UR - http://www.scopus.com/inward/record.url?scp=69749116484&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=69749116484&partnerID=8YFLogxK
U2 - 10.1016/j.juro.2009.06.027
DO - 10.1016/j.juro.2009.06.027
M3 - Review article
C2 - 19683309
AN - SCOPUS:69749116484
VL - 182
SP - 1266
EP - 1270
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 4 SUPPL.
ER -