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Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique

Standard

Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique. / Pfalzgraf, Daniel; Kluth, Luis; Reiss, Philip; Fisch, Margit; Dahlem, Roland.

In: CAN J UROL, Vol. 22, No. 2, 04.2015, p. 7720-6.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Pfalzgraf, D, Kluth, L, Reiss, P, Fisch, M & Dahlem, R 2015, 'Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique', CAN J UROL, vol. 22, no. 2, pp. 7720-6.

APA

Pfalzgraf, D., Kluth, L., Reiss, P., Fisch, M., & Dahlem, R. (2015). Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique. CAN J UROL, 22(2), 7720-6.

Vancouver

Pfalzgraf D, Kluth L, Reiss P, Fisch M, Dahlem R. Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique. CAN J UROL. 2015 Apr;22(2):7720-6.

Bibtex

@article{43a2efe68a7f40e8835144625b965c6a,
title = "Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique",
abstract = "INTRODUCTION: To assess bothersome results of surgery and changes in quality of life (QoL) in patients with two-staged urethral reconstruction. In patients requiring two-staged urethroplasty a functional corpus spongiosum is usually absent, and complications such as urinary dribbling, ejaculation problems and penile deviation can be expected. Data on these complications, patient satisfaction and QoL is limited.MATERIALS AND METHODS: Retrospective analysis by chart review and a standardized questionnaire of 19 consecutive patients with urethral strictures treated by two-staged urethroplasty with buccal-mucosa-graft or mesh-graft.RESULTS: Overall success rate was 84%. Mean follow up 11.2 months, mean length of graft 10 cm (3 cm-18 cm). Urinary stress incontinence occurred in 3 patients (16%). No penile shortening occurred in 9 (47%), no deviation in 11 (58%). Two patients (11%) reported a disturbing alteration in glans sensitivity. Regarding bother by both surgeries and the interval in between, 21% judged the first surgery as hardly or not bothersome. The time in between surgeries was hardly or not bothersome in 52% and the second surgery not or hardly bothersome in 26%. Overall satisfaction with surgery was high (79%) and an improvement in QoL was reported by 63%. Differences between the two groups did not reach statistical significance.CONCLUSION: Two-staged urethroplasty is a viable therapeutic option in patients with severe spongiofibrosis. However, specific counseling for possible complications is of utmost importance.",
keywords = "Adolescent, Adult, Erectile Dysfunction, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Mouth Mucosa, Patient Satisfaction, Premature Ejaculation, Quality of Life, Reconstructive Surgical Procedures, Retrospective Studies, Surgical Mesh, Surveys and Questionnaires, Tissue Transplantation, Treatment Outcome, Urethra, Urethral Stricture, Urinary Incontinence, Stress, Urologic Surgical Procedures, Male, Young Adult",
author = "Daniel Pfalzgraf and Luis Kluth and Philip Reiss and Margit Fisch and Roland Dahlem",
year = "2015",
month = apr,
language = "English",
volume = "22",
pages = "7720--6",
journal = "CAN J UROL",
issn = "1195-9479",
publisher = "Canadian Journal of Urology",
number = "2",

}

RIS

TY - JOUR

T1 - Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique

AU - Pfalzgraf, Daniel

AU - Kluth, Luis

AU - Reiss, Philip

AU - Fisch, Margit

AU - Dahlem, Roland

PY - 2015/4

Y1 - 2015/4

N2 - INTRODUCTION: To assess bothersome results of surgery and changes in quality of life (QoL) in patients with two-staged urethral reconstruction. In patients requiring two-staged urethroplasty a functional corpus spongiosum is usually absent, and complications such as urinary dribbling, ejaculation problems and penile deviation can be expected. Data on these complications, patient satisfaction and QoL is limited.MATERIALS AND METHODS: Retrospective analysis by chart review and a standardized questionnaire of 19 consecutive patients with urethral strictures treated by two-staged urethroplasty with buccal-mucosa-graft or mesh-graft.RESULTS: Overall success rate was 84%. Mean follow up 11.2 months, mean length of graft 10 cm (3 cm-18 cm). Urinary stress incontinence occurred in 3 patients (16%). No penile shortening occurred in 9 (47%), no deviation in 11 (58%). Two patients (11%) reported a disturbing alteration in glans sensitivity. Regarding bother by both surgeries and the interval in between, 21% judged the first surgery as hardly or not bothersome. The time in between surgeries was hardly or not bothersome in 52% and the second surgery not or hardly bothersome in 26%. Overall satisfaction with surgery was high (79%) and an improvement in QoL was reported by 63%. Differences between the two groups did not reach statistical significance.CONCLUSION: Two-staged urethroplasty is a viable therapeutic option in patients with severe spongiofibrosis. However, specific counseling for possible complications is of utmost importance.

AB - INTRODUCTION: To assess bothersome results of surgery and changes in quality of life (QoL) in patients with two-staged urethral reconstruction. In patients requiring two-staged urethroplasty a functional corpus spongiosum is usually absent, and complications such as urinary dribbling, ejaculation problems and penile deviation can be expected. Data on these complications, patient satisfaction and QoL is limited.MATERIALS AND METHODS: Retrospective analysis by chart review and a standardized questionnaire of 19 consecutive patients with urethral strictures treated by two-staged urethroplasty with buccal-mucosa-graft or mesh-graft.RESULTS: Overall success rate was 84%. Mean follow up 11.2 months, mean length of graft 10 cm (3 cm-18 cm). Urinary stress incontinence occurred in 3 patients (16%). No penile shortening occurred in 9 (47%), no deviation in 11 (58%). Two patients (11%) reported a disturbing alteration in glans sensitivity. Regarding bother by both surgeries and the interval in between, 21% judged the first surgery as hardly or not bothersome. The time in between surgeries was hardly or not bothersome in 52% and the second surgery not or hardly bothersome in 26%. Overall satisfaction with surgery was high (79%) and an improvement in QoL was reported by 63%. Differences between the two groups did not reach statistical significance.CONCLUSION: Two-staged urethroplasty is a viable therapeutic option in patients with severe spongiofibrosis. However, specific counseling for possible complications is of utmost importance.

KW - Adolescent

KW - Adult

KW - Erectile Dysfunction

KW - Follow-Up Studies

KW - Humans

KW - Incidence

KW - Male

KW - Middle Aged

KW - Mouth Mucosa

KW - Patient Satisfaction

KW - Premature Ejaculation

KW - Quality of Life

KW - Reconstructive Surgical Procedures

KW - Retrospective Studies

KW - Surgical Mesh

KW - Surveys and Questionnaires

KW - Tissue Transplantation

KW - Treatment Outcome

KW - Urethra

KW - Urethral Stricture

KW - Urinary Incontinence, Stress

KW - Urologic Surgical Procedures, Male

KW - Young Adult

M3 - SCORING: Journal article

C2 - 25891336

VL - 22

SP - 7720

EP - 7726

JO - CAN J UROL

JF - CAN J UROL

SN - 1195-9479

IS - 2

ER -