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• W2000718040 abstract "You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery III1 Apr 2014MP9-06 LOWER URINARY TRACT SYMPTOMS ASSOCIATED WITH RECURRENCE AFTER URETHROPLASTY FOR ANTERIOR URETHRAL STRICTURE DISEASE Michael Granieri, George Webster, Aaron Lentz, Matthew Fraser, and Andrew Peterson Michael GranieriMichael Granieri More articles by this author , George WebsterGeorge Webster More articles by this author , Aaron LentzAaron Lentz More articles by this author , Matthew FraserMatthew Fraser More articles by this author , and Andrew PetersonAndrew Peterson More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.494AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The spectrum of lower urinary tract symptoms (LUTS) at initial presentation for urethral stricture disease (USD) is well described. However, there is little data addressing these symptoms in patients after urethroplasty. This study examines the spectrum of LUTS after urethroplasty for anterior USD and the relationship of these symptoms to USD recurrence. METHODS We performed an IRB approved retrospective review of our urethroplasty database to collect demographic, stricture related, and post-operative information with emphasis on patient reported LUTS. Irritative symptoms (IS) were defined as frequency, urgency, nocturia. Obstructive symptoms (OS) were defined as weak stream, straining, intermittency, and incomplete emptying. Fisher’s exact test was used to compare LUTS with respect to recurrence and USD location. RESULTS We identified 549 men who underwent anterior urethroplasty by two surgeons (GDW, ACP) from January 1996 to September 2011. 475 (87%) men had follow up data available to determine recurrence. Of these 475 men, 433 (91%) had a successful outcome from urethroplasty with no recurrence with a median follow up time of 10.4 months. Of the 433 men, only 41 (9.5%) reported LUTS, most commonly urinary dribbling (21, 4.9%) and spraying of urinary stream (9, 2.1%). The majority of patients without recurrence were asymptomatic versus those with recurrence (95 vs 2.4%, p<0.001). 42 men (8.8%) developed recurrence at a median time of 19 months (range 1-141 months). The most frequent LUTS complaint included weak stream (37, 88.1%) and dribbling (2, 4.8%). The symptom most significantly associated with recurrence was weak stream (p<0.001), however, two symptoms not included in the AUA-SI, hematuria and dysuria, were also significantly associated with recurrence. There were no major differences among failures when stratified by USD location (Table 1). CONCLUSIONS Our findings indicate that men with a successful outcome after urethroplasty tend to remain asymptomatic whereas those who recur have LUTS. The most frequent is weak stream, but two symptoms not included in the AUA-SI, dysuria and hematuria, are significantly associated with recurrence. This supports the need for a USD specific validated questionnaire to be used for follow up after urethroplasty. Table 1. Patient Reported LUTS by Recurrence and Stricture Location Weak Stream Dribbling Spraying Straining IS OS Dysuria Hematuria Overall Failure (n=42) 88.1% 4.8% 0% 2.4% 2.4% 88.1% 7.3% 4.8% Overall Success (n=433) 1.2% 4.9% 2.1% 0% 0.9% 1.2% 0.2% 0.5% P Value <0.001∗ 1.0 1.0 0.08 0.37 <0.001∗ 0.02∗ 0.04∗ Penile Failure (n=9) 77.8% 0% 0% 0% 0% 77.8% 0 11.1% Bulbar Failure (n=26) 92.3% 7.7% 0% 3.9% 3.9% 92.3% 12.0% 3.9% Anterior Failure (n=7) 85.7% 4.8% 0% 0% 0% 85.7% 0% 0% P Value 0.4 1.0 1.0 1.0 1.0 0.4 0.74 0.62 ∗ denotes statistical significance (p<0.05) © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e123 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Michael Granieri More articles by this author George Webster More articles by this author Aaron Lentz More articles by this author Matthew Fraser More articles by this author Andrew Peterson More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2000718040 title "MP9-06 LOWER URINARY TRACT SYMPTOMS ASSOCIATED WITH RECURRENCE AFTER URETHROPLASTY FOR ANTERIOR URETHRAL STRICTURE DISEASE" @default.
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