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Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty

Standard

Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty. / Rosenbaum, Clemens M; Schmid, Marianne; Ludwig, Tim A; Kluth, Luis A; Reiß, Christoph-Philip; Dahlem, Roland; Engel, Oliver; Chun, Felix K-H; Riechardt, Silke; Fisch, Margit; Ahyai, Sascha A.

in: WORLD J UROL, Jahrgang 33, Nr. 9, 09.2015, S. 1337-1344.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Rosenbaum, CM, Schmid, M, Ludwig, TA, Kluth, LA, Reiß, C-P, Dahlem, R, Engel, O, Chun, FK-H, Riechardt, S, Fisch, M & Ahyai, SA 2015, 'Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty', WORLD J UROL, Jg. 33, Nr. 9, S. 1337-1344. https://doi.org/10.1007/s00345-014-1450-y

APA

Rosenbaum, C. M., Schmid, M., Ludwig, T. A., Kluth, L. A., Reiß, C-P., Dahlem, R., Engel, O., Chun, F. K-H., Riechardt, S., Fisch, M., & Ahyai, S. A. (2015). Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty. WORLD J UROL, 33(9), 1337-1344. https://doi.org/10.1007/s00345-014-1450-y

Vancouver

Rosenbaum CM, Schmid M, Ludwig TA, Kluth LA, Reiß C-P, Dahlem R et al. Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty. WORLD J UROL. 2015 Sep;33(9):1337-1344. https://doi.org/10.1007/s00345-014-1450-y

Bibtex

@article{21f569b822d74e2cb4eaf6bcabd5a4e5,
title = "Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty",
abstract = "PURPOSE: To determine the success rate of direct vision internal urethrotomy (DVIU) in the treatment of short stricture recurrence after buccal mucosa graft urethroplasty (BMGU).METHODS: Patients who underwent DVIU for the treatment of short, {"}veil-like{"} recurrent urethral strictures (<1 cm) after BMGU between October 2009 and 2013 were retrospectively identified within our urethroplasty database. Stricture recurrence was defined as maximum flow rate (Q max) <15 ml/s and a consecutively verified stricture in a combined retro- and antegrade voiding cystography or cystoscopy at a follow-up visit. The success rate of DVIU was assessed by Kaplan-Meier analysis. Univariable Cox regression analyses evaluated risk factors for stricture recurrence following DVIU.RESULTS: Forty-three patients underwent DVIU for short stricture recurrence after BMGU for bulbar (81.3 %), penile (14.0 %) and membranous (4.7 %) strictures. Relapse had occurred proximally to the buccal mucosa graft in 28 (65.1 %) and distally in 12 (27.9 %) patients, respectively. At a mean follow-up of 11.7 (±9.7) months, stricture recurrence was observed in 48.8 % of our patients. Stricture recurrence was significantly associated with weak urinary stream (9.3 ml/s vs. no recurrence 19.5 ml/s) and patient dissatisfaction (66.7 % vs. no recurrence 18.1 %; both p < 0.001). The overall success rate was 60.5 % 15 months after DVIU. The main limitations of this study are its retrospective design, the small sample size and the short follow-up.CONCLUSIONS: DVIU after BMGU showed a moderate success rate and therefore might be a viable treatment option in selected patients with very short strictures after BMGU. However, longer follow-up is warranted to prove long-term effectiveness.",
author = "Rosenbaum, {Clemens M} and Marianne Schmid and Ludwig, {Tim A} and Kluth, {Luis A} and Christoph-Philip Rei{\ss} and Roland Dahlem and Oliver Engel and Chun, {Felix K-H} and Silke Riechardt and Margit Fisch and Ahyai, {Sascha A}",
year = "2015",
month = sep,
doi = "10.1007/s00345-014-1450-y",
language = "English",
volume = "33",
pages = "1337--1344",
journal = "WORLD J UROL",
issn = "0724-4983",
publisher = "Springer",
number = "9",

}

RIS

TY - JOUR

T1 - Internal urethrotomy in patients with recurrent urethral stricture after buccal mucosa graft urethroplasty

AU - Rosenbaum, Clemens M

AU - Schmid, Marianne

AU - Ludwig, Tim A

AU - Kluth, Luis A

AU - Reiß, Christoph-Philip

AU - Dahlem, Roland

AU - Engel, Oliver

AU - Chun, Felix K-H

AU - Riechardt, Silke

AU - Fisch, Margit

AU - Ahyai, Sascha A

PY - 2015/9

Y1 - 2015/9

N2 - PURPOSE: To determine the success rate of direct vision internal urethrotomy (DVIU) in the treatment of short stricture recurrence after buccal mucosa graft urethroplasty (BMGU).METHODS: Patients who underwent DVIU for the treatment of short, "veil-like" recurrent urethral strictures (<1 cm) after BMGU between October 2009 and 2013 were retrospectively identified within our urethroplasty database. Stricture recurrence was defined as maximum flow rate (Q max) <15 ml/s and a consecutively verified stricture in a combined retro- and antegrade voiding cystography or cystoscopy at a follow-up visit. The success rate of DVIU was assessed by Kaplan-Meier analysis. Univariable Cox regression analyses evaluated risk factors for stricture recurrence following DVIU.RESULTS: Forty-three patients underwent DVIU for short stricture recurrence after BMGU for bulbar (81.3 %), penile (14.0 %) and membranous (4.7 %) strictures. Relapse had occurred proximally to the buccal mucosa graft in 28 (65.1 %) and distally in 12 (27.9 %) patients, respectively. At a mean follow-up of 11.7 (±9.7) months, stricture recurrence was observed in 48.8 % of our patients. Stricture recurrence was significantly associated with weak urinary stream (9.3 ml/s vs. no recurrence 19.5 ml/s) and patient dissatisfaction (66.7 % vs. no recurrence 18.1 %; both p < 0.001). The overall success rate was 60.5 % 15 months after DVIU. The main limitations of this study are its retrospective design, the small sample size and the short follow-up.CONCLUSIONS: DVIU after BMGU showed a moderate success rate and therefore might be a viable treatment option in selected patients with very short strictures after BMGU. However, longer follow-up is warranted to prove long-term effectiveness.

AB - PURPOSE: To determine the success rate of direct vision internal urethrotomy (DVIU) in the treatment of short stricture recurrence after buccal mucosa graft urethroplasty (BMGU).METHODS: Patients who underwent DVIU for the treatment of short, "veil-like" recurrent urethral strictures (<1 cm) after BMGU between October 2009 and 2013 were retrospectively identified within our urethroplasty database. Stricture recurrence was defined as maximum flow rate (Q max) <15 ml/s and a consecutively verified stricture in a combined retro- and antegrade voiding cystography or cystoscopy at a follow-up visit. The success rate of DVIU was assessed by Kaplan-Meier analysis. Univariable Cox regression analyses evaluated risk factors for stricture recurrence following DVIU.RESULTS: Forty-three patients underwent DVIU for short stricture recurrence after BMGU for bulbar (81.3 %), penile (14.0 %) and membranous (4.7 %) strictures. Relapse had occurred proximally to the buccal mucosa graft in 28 (65.1 %) and distally in 12 (27.9 %) patients, respectively. At a mean follow-up of 11.7 (±9.7) months, stricture recurrence was observed in 48.8 % of our patients. Stricture recurrence was significantly associated with weak urinary stream (9.3 ml/s vs. no recurrence 19.5 ml/s) and patient dissatisfaction (66.7 % vs. no recurrence 18.1 %; both p < 0.001). The overall success rate was 60.5 % 15 months after DVIU. The main limitations of this study are its retrospective design, the small sample size and the short follow-up.CONCLUSIONS: DVIU after BMGU showed a moderate success rate and therefore might be a viable treatment option in selected patients with very short strictures after BMGU. However, longer follow-up is warranted to prove long-term effectiveness.

U2 - 10.1007/s00345-014-1450-y

DO - 10.1007/s00345-014-1450-y

M3 - SCORING: Journal article

C2 - 25428791

VL - 33

SP - 1337

EP - 1344

JO - WORLD J UROL

JF - WORLD J UROL

SN - 0724-4983

IS - 9

ER -