Measuring and Predicting Patient Dissatisfaction after Anterior Urethroplasty Using Patient Reported Outcomes Measures

The Journal of Urology
Laura A BertrandTrauma and Urologic Reconstruction Network of Surgeons

Abstract

Subjective measures of success after urethroplasty have become increasingly valuable in postoperative monitoring. We examined patient reported satisfaction following anterior urethroplasty using objective measures as a proxy for success. Men 18 years old or older with urethral strictures undergoing urethroplasty were prospectively enrolled in a longitudinal, multi-institutional urethroplasty outcomes database. Preoperative and postoperative assessment included questionnaires to assess lower urinary tract symptoms, pain, satisfaction and sexual health. Analyses controlling for stricture recurrence (defined as the inability to traverse the reconstructed urethra with a flexible cystoscope) were performed to determine independent predictors of dissatisfaction. At a mean followup of 14 months we found a high 89.4% rate of overall postoperative satisfaction in 433 patients and a high 82.8% rate in those who would have chosen the operation again. Men with cystoscopic recurrence were more likely to report dissatisfaction (OR 4.96, 95% CI 2.07-11.90) and men reporting dissatisfaction had significantly worse uroflowmetry measures (each p <0.02). When controlling for recurrence, multivariate analysis revealed that urethra and bladder pain...Continue Reading

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Citations

Jul 19, 2017·Current Urology Reports·Amanda S J Chung, Kurt A McCammon
May 19, 2018·Current Urology Reports·Nima BaradaranBenjamin N Breyer
Nov 21, 2017·The Journal of Urology·Jill C Buckley
May 28, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Cooper R BensonSteven B Brandes
Mar 13, 2021·World Journal of Urology·Malte W VetterleinUNKNOWN Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists
Mar 16, 2021·Neurourology and Urodynamics·Giulia I LaneUNKNOWN SUFU Research Network
May 21, 2021·Research and Reports in Urology·J Patrick Mershon, Nima Baradaran
Oct 5, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Koetsu HamamotoRyuichi Azuma

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