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• W2090248209 abstract "You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery I1 Apr 20122 RISK FACTORS FOR URETHRAL STRICTURE AND BLADDER NECK CONTRACTURE FOLLOWING TRANSURETHRAL PROSTATECTOMY FOR BPH/LUTS Julia Fiuk, Geoffrey R. Nuss, and Christopher M. Gonzalez Julia FiukJulia Fiuk Chicago, IL More articles by this author , Geoffrey R. NussGeoffrey R. Nuss Arlington, TX More articles by this author , and Christopher M. GonzalezChristopher M. Gonzalez Chicago, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.044AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Complications of transurethral prostatectomy (TURP) include urethral stricture and bladder neck contracture. Numerous factors have been hypothesized as the cause of this complication; however the specific etiology remains unknown. We sought to identify risk factors that predispose men to urethral stricture or bladder neck contracture following TURP. METHODS A retrospective case control study was conducted at a single institution from 1999 to 2011 of 607 men undergoing TURP. Thirty-five patients diagnosed with post-TURP stricture were compared to an age matched control group of 105 patients who underwent TURP without developing subsequent stricture. Variables investigated included age, race, BMI, prostate size, preoperative PSA, resection time, TURP modality, resectoscope size, postoperative Foley size, time to postoperative catheter removal, and specific perioperative complications including urinary retention and symptomatic culture confirmed bacterial urinary tract infection. Logistic regression, general linear modeling and Chi squared analysis were conducted via SYSTAT. RESULTS A total of 35 out of 607 consecutive patients (5.8%) developed stricture following TURP over a period of 12 years. Strictures were located at the bulbar urethra (n= 16), bladder neck (n= 6), penile urethra (n=4), multiple segments (n = 5), urethral meatus (n=1), or unspecified locations (n =3). Monopolar TURP, symptomatic postoperative urinary tract infection, and immediate postoperative urinary retention were found to predict development of post TURP stricture (Table 1). Race, BMI, prostate size, bipolar TURP, laser prostatectomy, resectoscope size, postoperative Foley size and resection time were not statistically significant predictive variables. Table 1. Factors predisposing to development of post-TURP stricture Factor Odds Ratio 95 Confidence Interval P-value Monopolar TURP 6.54 2.93–14.56 <0.0001 Postoperative Urinary Retention 4.75 1.56–14.44 0.006 Symptomatic Urinary Tract Infection 8.74 2.24–34.13 0.001 CONCLUSIONS The use of monopolar TURP, postoperative UTI and urinary retention following TURP may predispose to stricture formation. The bulbar urethra appears to be the most common locations for post TURP stricture formation. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e1 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Julia Fiuk Chicago, IL More articles by this author Geoffrey R. Nuss Arlington, TX More articles by this author Christopher M. Gonzalez Chicago, IL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2090248209 title "2 RISK FACTORS FOR URETHRAL STRICTURE AND BLADDER NECK CONTRACTURE FOLLOWING TRANSURETHRAL PROSTATECTOMY FOR BPH/LUTS" @default.
• W2090248209 doi "https://doi.org/10.1016/j.juro.2012.02.044" @default.
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