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

129 Scopus citations

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

Keywords

  • penis
  • recurrence
  • urethra
  • urethral stricture

ASJC Scopus subject areas

  • Urology

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    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