Verla, et al. (2525 Verla W, Waterloos M, Spinoit AF, et al. Independent risk factors for failure after anterior urethroplasty: a multivariate analysis on prospective data. World J Urol 2020;38:3251-9.) |
2020
|
Belgium
|
Anterior urethral stricture |
PCS
|
Anastomotic urethroplasty/ Buccal mucosa graft/ Fasciocutaneous flap/combined technique |
62
|
474
|
81
|
NR
|
symptoms or an
obstructive voiding curve on urofowmetry (<15 mL/s)
|
7
|
Kinnaird, et al. (2727 Kinnaird AS, Levine MA, Ambati D, Zorn JD, Rourke KF. Stricture length and etiology as preoperative independent predictors of recurrence after urethroplasty: A multivariate analysis of 604 urethroplasties. Can Urol Assoc J. 2014; 8: E296-300.) |
2014 |
Canada |
Anterior/posterior urethral stricture |
RCS |
NR |
52 |
604 |
56 |
44.5 |
Cystoscopic evaluation |
5 |
Breyer, et al. (1212 Breyer BN, McAninch JW, Whitson JM, Eisenberg ML, Master VA, Voelzke BB, et al. Effect of obesity on urethroplasty outcome. Urology. 2009; 73:1352-5.) |
2009 |
USA |
Anterior/posterior urethral stricture/combined stricture |
RCS |
Anastomotic urethroplasty/ Buccal mucosa graft/ Fasciocutaneous flap/combined techniques |
70 |
381 |
60 |
41.5 |
peak urinary flow less than 15 cc per second and/or the radiographic evidence of stricture and further need for urethral instrumentation |
8 |
Viers, et al. (1313 Viers BR, Pagliara TJ, Rew CA, Folgosa-Cooley L, Shiang CY, Scott JM, et al. Urethral Reconstruction in Aging Male Patients. Urology. 2018; 113: 209-14.) |
2017 |
USA |
bulbar urethral stricture |
RCS |
Excision + primary anastomosis/Substitution |
64 |
514 |
74 |
49 |
the need for recurrent urethral interventions such as endoscopic treatment, subsequent catheterization or repeat urethroplasty |
5 |
Christopher G. Keith (1616 Keith CG, Davenport MT, Kavoussi M, Yi YA, Bergeson RL, Morey AF. Long-term outcomes of anastomotic urethroplasty for radiation-induced strictures. World J Urol. 2020; 38:3055-60.) |
2019 |
USA |
bulbomembranous urethra |
RCS |
Primary anastomosis |
30.7 |
116 |
22 |
72.3 |
Recurrence was defined by recurrent stricture ≤ 16F in caliber on cystoscopy, stricture on VCUG, and/or operative intervention for urethral stricture disease |
7 |
Chapman, et al. (1717 Chapman D, Kinnaird A, Rourke K. Independent Predictors of Stricture Recurrence Following Urethroplasty for Isolated Bulbar Urethral Strictures. J Urol. 2017; 198:1107-12.) |
2017 |
Canada |
bulbar stricture |
RCS |
BMG Onlay/ Flap Onlay/ Augmented Anastomosis/ Anastomotic/ Combined Tissue plasty |
65.4 |
596 |
40 |
44.3 |
cystoscopic evaluation (inability to easily pass a 16Fr cystoscope) |
7 |
Whitson, et al. (1818 Whitson JM, McAninch JW, Elliott SP, Alsikafi NF. Long-term efficacy of distal penile circular fasciocutaneous flaps for single stage reconstruction of complex anterior urethral stricture disease. J Urol. 2008; 179:2259-64.) |
2007 |
USA |
Anterior Urethral Stricture |
RCS |
fasciocutaneous flap urethroplasty |
87.6 |
124 |
26 |
48 |
Subjective and objective improvement in urinary flow, absence of radiographic evidence of stricture, and no further need for urethral instrumentation. |
5 |
Liu, et al. (3030 Santucci RA, Joyce GF, Wise M. Male urethral stricture disease. J Urol. 2007; 177:1667-74.) |
2015 |
USA |
Fossa navicularis/ Penile/ Bulbomembranous/ Panurethral strictures |
RCS |
Dorsal onlay/ Ventral onlay/ Staged urethroplasty |
59.3 |
239 |
66 |
42.9 |
A stricture <16F in caliber was visually present in the reconstructed segment of urethra on cystoscopy |
8 |
Han, et al. (1919 Han JS, Liu J, Hofer MD, Fuchs A, Chi A, Stein D, et al. Risk of urethral stricture recurrence increases over time after urethroplasty. Int J Urol. 2015; 22:695-9.) |
2015 |
USA |
Posterior urethral stricture |
RCS |
Excision/primary anastomosis/ Dorsal onlay (including augmented anastomotic)/ Ventral onlay/ Staged/ Combined/flap/miscellaneous |
62 |
237 |
60 |
42.9 |
patient-reported recurrent urinary symptoms and urethral caliber less than 18-Fr on cystoscopy, and/or need for any subsequent intervention (including dilation, endoscopic urethrotomy or repeat urethroplasty) |
5 |
Kahokehr, et al. (1111 Kahokehr AA, Granieri MA, Webster GD, Peterson AC. A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management. J Urol. 2018; 200:1302-7.) |
2018 |
USA |
bulbar urethral stricture |
RCS |
Excision + primary anastomosis/ Augmented anastomotic repair/ Onlay |
28 |
395 |
23 |
43.41 |
Stricture recurrence was defined as the need for further intervention in the postoperative period as diagnosed with cystoscopy and/or RUG |
5 |
Levy, et al. (2929 Liu JS, Han J, Said M, Hofer MD, Fuchs A, Ballek N, et al. Long-term outcomes of urethroplasty with abdominal wall skin grafts. Urology. 2015; 85:258-62.) |
2017 |
USA |
Bulbar/ Meatus/Fossa/ Membranous/ Penile stricture |
RCS |
Excision + primary anastomosis/BMG dorsal onlay |
21.6 |
322 |
22 |
44.2 |
the freedom from additional procedures after urethroplasty |
5 |
Mathur, et al. (2424 Mathur RK, Nagar M, Mathur R, Khan F, Deshmukh C, Guru N. Single-stage preputial skin flap urethroplasty for long-segment urethral strictures: evaluation and determinants of success. BJU Int. 2014; 113:120-6.) |
2014 |
India |
Anterior (penile+ bulbar)/ Posterior (membranous/bulbomembranous)/ Panurethra strictures |
RCS + prospective data |
single-stage penile preputial flap urethroplasty |
42 |
58 |
11 |
42.2 |
Patient reported symptoms and retrograde urethrography |
5 |
Sinha, et al. (2323 Sinha RJ, Singh V, Sankhwar SN. Does tobacco consumption influence outcome of oral mucosa graft urethroplasty? Urol J. 2010; 7:45-50.) |
2010 |
India |
Penile/Bulbar/ Bulbopenile/ Pananterior stricture |
NRPCS |
Oral mucosa graft Urethroplasty |
18.2 |
42 |
11 |
40.2 |
failure was defined as the need to carry out any intervention or invasive procedure in the urethra following the complaint of decreased urinary flow by the patient |
5 |
Manjunath, et al. (1010 Manjunath A, Chen L, Welty LJ, Wong VJ, Amarasekera C, Gonzalez CM, et al. Antibiotic prophylaxis after urethroplasty may offer no benefit. World J Urol. 2020; 38:1295-301.) |
2019 |
USA |
Fossa navicularis/ Penile urethra/ Bulbar urethra/ Membranous urethra stricture |
RCS |
Excision and primary Anastomosis, substitution urethroplasty performed utilizing buccal mucosa, tunica vaginalis, or abdominal wall skin grafts |
52.5 |
398 |
78 |
42.8 |
patient-reported recurrent urinary symptoms and urethral caliber less than 16-Fr on cystoscopy, and/or need for any subsequent intervention (including dilation, endoscopic urethrotomy, or repeat urethroplasty) |
7 |
Figler, et al. (1414 Figler BD, Malaeb BS, Dy GW, Voelzke BB, Wessells H. Impact of graft position on failure of single-stage bulbar urethroplasties with buccal mucosa graft. Urology. 2013; 82:1166-70.) |
2013 |
USA |
Bulbar urethra stricture |
RCS |
Urethroplasties With Buccal Mucosa Graft |
35.7 |
103 |
19 |
40.8 |
the need for endoscopic or open revision of the reconstruction or the placement of a suprapubic catheter for urinary retention |
5 |
Meyer, et al. (1515 Meyer CP, Lamp J, Vetterlein MW, Soave A, Engel O, Dahlem R, et al. Impact of Cardiovascular and Metabolic Risk Factors on Stricture Recurrence After Anterior One-stage Buccal Mucosal Graft Urethroplasty. Urology. 2020; 146: 253-9.) |
2020 |
Germany |
Anterior urethra stricture |
RCS |
One-stage Buccal Mucosal Graft Urethroplasty |
32 |
517 |
76 |
53.7 |
need for any intervention |
5 |
Redmond, et al. (33 Redmond EJ, Hoare DT, Rourke KF. Augmented Anastomotic Urethroplasty is Independently Associated with Failure after Reconstruction for Long Bulbar Urethral Strictures. J Urol. 2020; 204:989-95.) |
2020 |
Canada |
Bulbar Urethral Strictures |
RCS |
Dorsal onlay repair, anastomotic urethroplasty with dorsal BMG |
78.9 |
507 |
31 |
45.4 |
Inability to easily pass a 16Fr flexible cystoscope. |
7 |
Karapanos, et al. (2020 Karapanos L, Akbarov I, Zugor V, Kokx R, Hagemeier A, Heidenreich A. Safety and mid-term surgical results of anterior urethroplasty with the tissue-engineered oral mucosa graft MukoCell®: A single-center experience. Int J Urol. 2021; 28:936-42.) |
2021 |
Germany |
Anterior urethra stricture |
RCS |
tissue-engineered oral mucosa graft urethroplasty |
7 |
77 |
24 |
60 |
the need for any further treatment for recurrent stricture or a Qmax <15 mL/s |
5 |
Davenport, et al. (2121 Davenport MT, Wooliscroft JT, McKibben MJ, Shakir N, Fuchs JS, Yi YA, et al. Age ≤40 is an independent predictor of anastomotic urethroplasty and successful repair of bulbar urethral strictures. Transl Androl Urol. 2020; 9:10-5.) |
2019 |
USA |
Bulbar urethral strictures |
RCS |
Excision and primary anastomosis |
52.4 |
853 |
85 |
53.1 |
Functional emptying and lack of need for further endoscopic or open re-operative management |
5 |
Shalkamy, et al. (2222 Shalkamy O, Abdelazim H, Elshazly A, Soliman A, Agha M, Tagreda I, et al. Factors Predicting Urethral Stricture Recurrence after Dorsal Onlay Augmented, Buccal Mucosal Graft Urethroplasty. Urol Int. 2021; 105:269-77.) |
2020 |
Egypt |
Anterior urethral stricture |
RCS |
BMG urethroplasty |
49.77 |
266 |
34 |
37.71 |
The need for further intervention, including urethral dilation, was considered stricture recurrence. |
5 |
Ma, et al. (2929 Liu JS, Han J, Said M, Hofer MD, Fuchs A, Ballek N, et al. Long-term outcomes of urethroplasty with abdominal wall skin grafts. Urology. 2015; 85:258-62.) |
2021 |
China |
Posterior urethra stricture |
RCS |
Excision and primary anastomosis |
49 |
153 |
31 |
45 |
Patients received further surgical intervention or instrumentation, such as urethra dilation, urethrotomy, or any endoscopic management, patients who had any medical record about postoperative endoscopy confirmed urethral stricture, patients reported failure. |
5 |