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Management of Urinary Symptoms after Urethroplasty

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Abstract

Purpose of review

The most definitive treatment for urethral stricture disease is urethroplasty, a procedure that has demonstrated great efficacy and durability in creating a patent urethral lumen. Criteria for success after urethroplasty have evolved over time, now with growing recognition of the importance of the patient experience.

Recent Findings

Despite good surgical outcomes, patient reported metrics demonstrate that some patients have persistent urinary symptoms that impact satisfaction rates. Achieving success in patient reported outcomes after urethroplasty may require repeat intervention or addressing alternative etiologies including benign prostatic hypertrophy, overactive bladder, and underactive bladder.

Summary

For patients who do not achieve symptom resolution after urethroplasty, evaluation should include addressing common complications, evaluating for recurrence, and consideration and treatment of additional causes of urinary bother.
Title
Management of Urinary Symptoms after Urethroplasty
Authors
Kate Dwyer
Niels Vass Johnsen
Publication date
28-10-2024
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 4/2024
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-024-00766-2
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