Outcomes for Management of Lichen Sclerosus Urethral Strictures by 3 Different Techniques

Urology
Chintan K PatelAlex J Vanni

Abstract

To evaluate the intermediate-term outcomes from a large, single institution series of patients with lichen sclerosus (LS) who underwent surgical management of their urethral strictures. We retrospectively reviewed 79 patients who underwent surgical management of their LS urethral strictures from 2003 to 2014, comparing outcomes of patients undergoing a single-stage buccal mucosa graft (BMG) urethroplasty, 2-stage BMG urethroplasty, or perineal urethrostomy (PU). Demographic and surgical outcomes data were collected for all patients. Of the 79 patients, the mean follow-up was 32.4 months, mean age was 50.1 years, and the mean body mass index was 35.7, with morbid obesity (body mass index > 35) in 48% of the cohort. The mean stricture length was 9.6 cm (1.5-21 cm), with 62% of patients having a bulbopendulous stricture. Of the 37 patients who were planned for a 2-stage BMG urethroplasty, 9 (24%) patients had stricture recurrence or recurrent LS in the first-stage BMG. Single-stage BMG urethroplasty was performed in 20 patients with a mean stricture length of 9.47 cm (4-21 cm) and a success rate of 75%. Fourteen patients from the cohort received a PU as the primary treatment, with a success rate of 93%. Management of LS strictures...Continue Reading

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Citations

Apr 24, 2016·Urology·Kenneth W Angermeier
Feb 17, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Omar FahmyGeorgios Gakis
Feb 27, 2018·Current Urology Reports·Alison C Levy, Alex J Vanni
Feb 10, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Hussein Abdelhameed AldaqadossiSamir Azazy
Dec 7, 2019·World Journal of Urology·Amanda S J Chung, Oscar A Suarez
Jun 11, 2020·F1000Research·Rachel KwokSuks Minhas
Oct 20, 2018·World Journal of Urology·Maxim J McKibbenAllen F Morey
May 21, 2021·Research and Reports in Urology·J Patrick Mershon, Nima Baradaran

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