Stricture Recurrence After Urethroplasty: A Systematic Review

Joshua J. Meeks, Bradley A. Erickson, Michael A. Granieri, Chris M. Gonzalez*

*Corresponding author for this work

Research output: Contribution to journalReview article

121 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)1266-1270
Number of pages5
JournalJournal of Urology
Volume182
Issue number4 SUPPL.
DOIs
StatePublished - Oct 1 2009

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Pathologic Constriction
Recurrence
Routine Diagnostic Tests
Urethral Diseases
Urethral Stricture
Dilatation

Keywords

  • penis
  • recurrence
  • urethra
  • urethral stricture

ASJC Scopus subject areas

  • Urology

Cite this

Meeks, J. J., Erickson, B. A., Granieri, M. A., & Gonzalez, C. M. (2009). Stricture Recurrence After Urethroplasty: A Systematic Review. Journal of Urology, 182(4 SUPPL.), 1266-1270. https://doi.org/10.1016/j.juro.2009.06.027
Meeks, Joshua J. ; Erickson, Bradley A. ; Granieri, Michael A. ; Gonzalez, Chris M. / Stricture Recurrence After Urethroplasty : A Systematic Review. In: Journal of Urology. 2009 ; Vol. 182, No. 4 SUPPL. pp. 1266-1270.
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Meeks, JJ, Erickson, BA, Granieri, MA & Gonzalez, CM 2009, 'Stricture Recurrence After Urethroplasty: A Systematic Review', Journal of Urology, vol. 182, no. 4 SUPPL., pp. 1266-1270. https://doi.org/10.1016/j.juro.2009.06.027

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 journalReview article

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T1 - Stricture Recurrence After Urethroplasty

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