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- W1896363003 abstract "No AccessUrology PracticePatient Care1 Nov 2015Lichen Sclerosus Comorbidities and Complications from a National Sample of Patients Treated with Urethroplasty Sarah D. Blaschko, Thomas W. Gaither, Amjad Alwaal, Catherine R. Harris, Charles E. McCulloch, Jack W. McAninch, and Benjamin N. Breyer Sarah D. BlaschkoSarah D. Blaschko Department of Urology, University of California, San Francisco, San Francisco, California Equal study contribution. More articles by this author , Thomas W. GaitherThomas W. Gaither Department of Urology, University of California, San Francisco, San Francisco, California Equal study contribution. More articles by this author , Amjad AlwaalAmjad Alwaal Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author , Catherine R. HarrisCatherine R. Harris Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author , Charles E. McCullochCharles E. McCulloch Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California More articles by this author , Jack W. McAninchJack W. McAninch Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author , and Benjamin N. BreyerBenjamin N. Breyer Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author View All Author Informationhttps://doi.org/10.1016/j.urpr.2015.02.006AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Introduction: We characterize comorbidities and inpatient complications of patients with lichen sclerosus who underwent urethroplasty from a large national patient data source. Methods: We queried the Nationwide Inpatient Sample for patients who underwent urethroplasty between 2000 and 2010. We compared demographics, comorbidities, complications, length of hospital stay and hospital charges for patients with and without the diagnosis of lichen sclerosus. Results: An estimated 13,700 urethroplasties were performed in the United States during the study period. Patients with lichen sclerosus comprised an estimated 3.8% of the urethroplasty population. The majority of patients with urethral stricture with lichen sclerosus were Caucasian (84%) and older, with 63% age 45 or older. Chronic hypertension, diabetes mellitus, rheumatoid arthritis/collagen vascular disease and obesity were associated with increased odds of having a lichen sclerosus diagnosis. The central East Coast (7.2%) and the Pacific Northwest (6.3%) had the highest percentage of patients treated with urethroplasty with lichen sclerosus. Patients with lichen sclerosus had longer hospital stays than those without lichen sclerosus (3.5 vs 2.6 days, p <0.0001). Patients with lichen sclerosus had more complications and hospital charges than those without lichen sclerosus but these differences did not reach statistical significance. Conclusions: A higher percentage of patients with lichen sclerosus had comorbidities, increased complications and longer hospital stays compared to patients treated with urethroplasty without lichen sclerosus. Our findings demonstrate the increased complexity that providers face when treating men with lichen sclerosus related urethral stricture disease. References 1 : Primary urethral re-construction: the cost minimized approach to the bulbous urethral stricture. J Urol2005; 173: 1206. Link, Google Scholar 2 : Repeat urethroplasty after failed urethral reconstruction: outcome analysis of 130 patients. J Urol2012; 188: 2260. Link, Google Scholar 3 : Multivariate analysis of risk factors for long-term urethroplasty outcome. J Urol2010; 183: 613. 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Link, Google Scholar © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byLevy A, Browne B, Fredrick A, Stensland K, Bennett J, Sullivan T, Rieger-Christ K and Vanni A (2019) Insights into the Pathophysiology of Urethral Stricture Disease due to Lichen Sclerosus: Comparison of Pathological Markers in Lichen Sclerosus Induced Strictures vs Nonlichen Sclerosus Induced StricturesJournal of Urology, VOL. 201, NO. 6, (1158-1163), Online publication date: 1-Jun-2019.Erickson B, Elliott S, Myers J, Voelzke B, Smith T, McClung C, Alsikafi N, Vanni A, Brant W, Broghammer J, Tam C, Zhao L, Buckley J and Breyer B (2015) Understanding the Relationship between Chronic Systemic Disease and Lichen Sclerosus Urethral StricturesJournal of Urology, VOL. 195, NO. 2, (363-368), Online publication date: 1-Feb-2016. Volume 2Issue 6November 2015Page: 329-334 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.Keywordscomorbiditylichen sclerosus et atrophicusurethral stricturepostoperative complicationsMetricsAuthor Information Sarah D. Blaschko Department of Urology, University of California, San Francisco, San Francisco, California Equal study contribution. More articles by this author Thomas W. Gaither Department of Urology, University of California, San Francisco, San Francisco, California Equal study contribution. More articles by this author Amjad Alwaal Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author Catherine R. Harris Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author Charles E. McCulloch Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California More articles by this author Jack W. McAninch Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author Benjamin N. Breyer Department of Urology, University of California, San Francisco, San Francisco, California More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W1896363003 title "Lichen Sclerosus Comorbidities and Complications from a National Sample of Patients Treated with Urethroplasty" @default.
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