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World Journal of Urology

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01-10-2014 | Original Article

Redo-urethroplasty: comparison of early functional results and quality of life in penile and bulbar strictures

Authors: Daniel Pfalzgraf, Luis Kluth, Philip Reiss, Margit Fisch, Roland Dahlem

Published in: World Journal of Urology | Issue 5/2014

Abstract

Purpose

To assess bothersome results of surgery and changes in quality of life (QoL) in patients with redo-urethroplasty, comparing the functional results of penile and bulbar cases. As after previous urethroplasty scar tissue formation is likely to occur, less favorable functional results than at primary repair could be expected. Yet data on these items for techniques currently used are limited.

Methods

Retrospective analysis with standardized questionnaire including 33 consecutive patients treated with redo-urethroplasty for bulbar or penile strictures. Previous surgeries, recurrence rate, complications, incontinence, erectile function, satisfaction with the surgery and QoL were assessed.

Results

Overall success rate was 78.8 %, number of previous open urethroplasty once in 24 patients (72.7 %), and more than once in 9 (27.3 %). Urinary stress incontinence Grade I occurred in 5 patients (15.2 %) and Grade II in 2 patients (6.1 %). In 24 patients (72.7 %), no penile shortening occurred and in 28 (84.8 %), no deviation was observed. Eight patients (24.2 %) reported their glans sensitivity to be altered, in 3 (9.1 %) a disturbing alteration occurred. Overall satisfaction with the surgery was high (70 %), and an improvement in QoL was seen in 72.7 % (24 patients).

Conclusions

Urethroplasty after failed open repair gives good functional results and shows a high patient satisfaction rate. However, results are not quite as good as for primary repair, emphasizing the importance of a successful primary repair.

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Title: Redo-urethroplasty: comparison of early functional results and quality of life in penile and bulbar strictures
Authors: Daniel Pfalzgraf
Luis Kluth
Philip Reiss
Margit Fisch
Roland Dahlem
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 5/2014
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-013-1182-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Redo-urethroplasty: comparison of early functional results and quality of life in penile and bulbar strictures

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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