Evaluation of the effect of urethroplasty for anterior urethral strictures by a validated disease-specific patient-reported outcome measure

Horiguchi, Akio; Shinchi, Masayuki; Ojima, Kenichiro; Masunaga, Ayako; Ito, Keiichi; Asano, Tomohiko; Takahashi, Eiji; Kimura, Fumihiro; Azuma, Ryuichi

doi:10.1007/s00345-018-2540-z

Cited by 13 publications

(16 citation statements)

References 18 publications

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“…In 2011, Jackson et al created and validated the USS-PROM, a questionnaire specifically made for patients after urethroplasty [125]. Later, numerous validated translations have been reported and implemented in routine clinical practice [125–132].…”

Section: Treatmentmentioning

confidence: 99%

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Verla

Oosterlinck

Spinoit

et al. 2019

BioMed Research International

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To date, urethral stricture disease in men, though relatively common, represents an often poorly managed condition. Therefore, this article is dedicated to encompassing the currently existing data upon anatomy, etiology, symptoms, diagnosis, and treatment of the disease, based on more than 40 years of experience at a tertiary referral center and a PubMed literature review enclosing publications until September 2018.

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Section: Treatmentmentioning

confidence: 99%

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Verla

Oosterlinck

Spinoit

et al. 2019

BioMed Research International

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“…We typically monitor the patients by assessing urinary flow rate, and a patient-reported outcome measure at every visit at 3, 6 and 12 months and thereafter annually, and by cystoscopy at 6 months. 70 If patients have symptoms of obstructive voiding or show a decreased urinary flow rate, urethrography along with cystoscope is carried out to assess recurrent stenosis. Although delayed urethroplasty carried out by an expert surgeon has a high success rate (nearly 90%) and low complication rate, 6,7,[71][72][73][74][75][76][77] recurrent stenosis can be encountered either shortly after removal of the urethral catheter (usually <48 h after surgery) or several months or years after surgery.…”

Section: Post-urethroplasty Management and Surgical Outcomementioning

confidence: 99%

“…The urinary flow rate is measured at the time of SPT removal and used as a baseline reference for further follow up. We typically monitor the patients by assessing urinary flow rate, and a patient‐reported outcome measure at every visit at 3, 6 and 12 months and thereafter annually, and by cystoscopy at 6 months . If patients have symptoms of obstructive voiding or show a decreased urinary flow rate, urethrography along with cystoscope is carried out to assess recurrent stenosis.…”

Section: Delayed Management For Pfuimentioning

confidence: 99%

Management of male pelvic fracture urethral injuries: Review and current topics

Horiguchi

2019

Int J of Urology

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Pelvic fractures from high‐energy blunt force trauma can cause injury to the posterior urethra, known as pelvic fracture urethral injury, which is most commonly associated with unstable pelvic fractures. Pelvic fracture urethral injury should be suspected if a patient with pelvic trauma has blood at the meatus and/or difficulty voiding, and retrograde urethrography should be carried out if the patient is stable. Once urethral injury is confirmed, urinary drainage should be established promptly by placement of a suprapubic tube or primary realignment of the urethra over a urethral catheter. Although pelvic fracture urethral injury is accompanied by subsequent urethral stenosis in a high rate and it has been believed that primary realignment can reduce the risk of developing urethra stenosis, it also has a risk of complicating stenosis and its clinical significance remains controversial. Once inflammation and fibrosis have stabilized (generally at least 3 months after the trauma), the optimal management for the resulting urethral stenosis is delayed urethroplasty. Delayed urethroplasty can be carried out via a perineal approach using four ancillary techniques in steps (bulbar urethral mobilization, corporal separation, inferior pubectomy and urethral rerouting). Although pelvic trauma can impair continence mechanisms, the continence after repair of pelvic fracture urethral injury is reportedly adequate. Because erectile dysfunction is frequently encountered after pelvic fracture urethral injury and most patients are young with a significant life expectancy, its appropriate management can greatly improve quality of life. In the present article, the key factors in the management of pelvic fracture urethral injury are reviewed and current topics are summarized.

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“…Patients completed the Japanese version of the USS-PROM, LUTS-specific QOL ("Overall, how much do your urinary symptoms interfere with your life? "; score of 0, not at all; 1, a little; 2, somewhat; 3, a lot), EQ-5D index and EQ-VAS questionnaires, 13 and the SHIM, at the initial presentation and every visit after urethroplasty. Patients with PFUI also completed the International Consultation on ICIQ-UISF, indicating the number of pads required per day.…”

Section: Postoperative Follow Upmentioning

confidence: 99%

Efficacy of re‐do urethroplasty for post‐traumatic urethral stricture: An analysis of the anatomical and functional outcomes

Tabei¹,

Horiguchi²,

Ojima³

et al. 2021

Int J of Urology

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Abbreviations & Acronyms BMI = body mass index BUN = bulbar urethral necrosis CI = confidence interval ED = erectile dysfunction EQ-5D = EuroQol-5D EQ-VAS = EuroQol-visual analog scale ICIQ-UISF = Incontinence Questionnaire-Urinary Incontinence Short Form IQR = interquartile range LUTS = lower urinary tract symptoms LUTS-QOL = lower urinary tract symptom-specific quality of life MD = difference in mean PFUI = pelvic fracture urethral injury PVR = post-void residual volume Qmax = maximum urinary flow rate SHIM = Sexual Health Inventory for Men USS-PROM = patientreported outcome measure for urethral stricture surgery

show abstract

Evaluation of the effect of urethroplasty for anterior urethral strictures by a validated disease-specific patient-reported outcome measure

Cited by 13 publications

References 18 publications

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Management of male pelvic fracture urethral injuries: Review and current topics

Efficacy of re‐do urethroplasty for post‐traumatic urethral stricture: An analysis of the anatomical and functional outcomes

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