MP78-08 OUTCOMES OF URETHROPLASTY FOR SYNCHRONOUS ANTERIOR URETHRAL STRICTURE

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP78-08 OUTCOMES OF URETHROPLASTY FOR SYNCHRONOUS ANTERIOR URETHRAL STRICTURE Marcus Jamil, Alexandra Hansma, Nejd Alsikafi, Benjamin Breyer, Joshua Broghammer, Jill Buckley, Sean Elliott, Bradley Erickson, Jeremy Meyers, Andrew Peterson, Keith Rourke, Thomas Smith, Bryan Voelzke, Lee Zhao, and Alex Vanni Marcus JamilMarcus Jamil More articles by this author , Alexandra HansmaAlexandra Hansma More articles by this author , Nejd AlsikafiNejd Alsikafi More articles by this author , Benjamin BreyerBenjamin Breyer More articles by this author , Joshua BroghammerJoshua Broghammer More articles by this author , Jill BuckleyJill Buckley More articles by this author , Sean ElliottSean Elliott More articles by this author , Bradley EricksonBradley Erickson More articles by this author , Jeremy MeyersJeremy Meyers More articles by this author , Andrew PetersonAndrew Peterson More articles by this author , Keith RourkeKeith Rourke More articles by this author , Thomas SmithThomas Smith More articles by this author , Bryan VoelzkeBryan Voelzke More articles by this author , Lee ZhaoLee Zhao More articles by this author , and Alex VanniAlex Vanni More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003355.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The incidence of male anterior urethral stricture disease (USD) has been well described. Less is known regarding the management strategies and outcomes in patients with synchronous USD (SUSD). SUSD is the presence of two distinct urethral strictures separated by a healthy intervening urethral segment. This study sought to assess the functional outcomes following repair of SUSD. METHODS: Patients with documented SUSD within a multi-institutional database were retrospectively assessed and compared to patients with solitary USD. Patients who underwent single-stage or staged anterior urethroplasty, including meatoplasty and perineal urethrostomy were included. Patients with a posterior urethral stricture or bladder neck involvement were excluded. Stricture classification according to the LSE (Length, Urethral Segment, Etiology) was performed. Stricture recurrence between cohorts was assessed, defined as undergoing repeat treatment. Logistic regression was performed to assess predictors of failure. RESULTS: 168 of the 2,299 patients had SUSD (7.3%). Patients with SUSD had a significantly shorter mean primary stricture length than those with solitary USD, 3.6 cm vs. 4.7 cm, p<0.001. Mean stricture length for the secondary stricture was 2.6 cm. Patients with SUSD had a larger proportion of strictures classified as S2b, S2c and S2d than in those with solitary USD (p<0.001). Patients with SUSD were more likely to be due to Lichen Sclerosus (LS) or hypospadias (Table 1). On univariate analysis, SUSD had a higher stricture retreatment rate, 8.0% vs. 13.1%, p=0.02. On multivariable analysis, SUSD was not associated with higher retreatment rates, OR 1.37 (0.79–2.28), p=0.2. Patients with SUSD and stage S1a, S1b, S2c, S2d and S3 stricture location demonstrated higher rates of stricture recurrence than controls (Table 2). CONCLUSIONS: Patients with SUSD have higher rates of stricture recurrence following urethroplasty compared to patients with solitary USD on univariate analysis. Patients with LS and hypospadias are more likely to have SUSD. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1134 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marcus Jamil More articles by this author Alexandra Hansma More articles by this author Nejd Alsikafi More articles by this author Benjamin Breyer More articles by this author Joshua Broghammer More articles by this author Jill Buckley More articles by this author Sean Elliott More articles by this author Bradley Erickson More articles by this author Jeremy Meyers More articles by this author Andrew Peterson More articles by this author Keith Rourke More articles by this author Thomas Smith More articles by this author Bryan Voelzke More articles by this author Lee Zhao More articles by this author Alex Vanni More articles by this author Expand All Advertisement PDF downloadLoading ...