Assessment of satisfaction and Quality of Life using self - reported questionnaires after urethroplasty: a prospective analysis

Abstract

Objectives To assess patient satisfaction and quality of life after urethroplasty using two different self-reported outcome measures and to compare it with objective clinical data.Materials and Methods We prospectively collected data from 35 consecutive patients who underwent urethroplasty from January 2013 to September 2014. Patient demographics, International Prostate Symptom Score (IPSS), quality of life score, urethral stricture surgery patient-reported outcome measure (USS-PROM), maximum flow rate (Qmax) and post-void residual urine were collected before, two and eight months after surgery. Failure occurred when any postoperative instrumentation was performed. General estimation equation was used to compare the results and linear regression analysis to correlate both questionnaires with objective data.Results Mean age was 61 years. Urethroplasties were equally divided between anastomotic and buccal mucosa grafts and 19 patients (59.3%) had a previous urethral procedure. Overall success rate was 87.5%. IPSS improved from a mean 19 at baseline to 5.32 at 8 months (p <0.001). The mean USS-PROM score also improved from 13.21 preoperatively to 3.36 after surgery (p <0.001) and 84.3% of patients were satisfied or very satisfied with surgical results. Mean Qmax increased from 4.64mL/s to 11mL/s (p <0.001). Strong negative correlation was found respectively between flow rate and USS-PROM (r=-0.531, p <0.001) and with IPSS (r=-0.512, p <0.001).Conclusions Significant improvements in urinary symptoms and in quality of life are expected after urethroplasty and they are correlated with objective measures.

Long-term follow-up of urethral reconstruction for blunt urethral injury at a young age: urinary and sexual quality of life outcomes

“…Herein, Jackson et al [24], in the original article using the USS-PROM in adults, reported a bother score of 4 after urethroplasty compared with a score of 12 before urethroplasty. Lucas et al [25] more recently reported improved USS-PROM score of 13.21 to 3.36 in 35 prospectively enrolled adults with 8-month follow-up in Brazil. Preoperative PROM data is unfortunately not available for comparison, and the long interval between survey response and the injury might affect the participants' scores.…”

Assessment of quality of life of spouses of young male catheterized patients

“…Lucas ET et al, have stated that significant improvements in urinary symptoms and in quality of life occur after urethroplasty and they are correlated with objective measures. 10 Nevertheless the quantification of QoL of spouses of those patients was not within the compass of their study.…”

The Comparable Results of Minimally Invasive Therapy versus Primary Anastomosis in the Management of Partial Posterior Urethral Stricture

“…Several factors take into account deciding the management of urethral strictures, such as its location, previous intervention, and the nature of the disease. In PFUI cases, EPA has shown a success rate of up to 90 [5]. However, this technique has a significant drawback, which is erectile dysfunction (ED).…”

“…However, this technique has a significant drawback, which is erectile dysfunction (ED). On the other hand, MIT came up with the success rate of around 50% [5]. Although there is no consensus regarding the acceptable length of urethral stricture to be treated with EPA technique, the surgeon's experience is also being one of the essential factors to consider in the success of management [3].…”