Andrich et al. 2003 (22. Chapple C, Andrich D, Atala A, Barbagli G, Cavalcanti A, Kulkarni S, et al. SIU/ICUD Consultation on Urethral Strictures: The management of anterior urethral stricture disease using substitution urethroplasty. Urology. 2014;83(3 Suppl):S31-47.) |
Substitution Urethroplasty with penile/ preputial/scrotal onlay flap |
47.2 years |
Presence of stricture identified by symptoms and subsequent investigation |
84 |
Not reported |
Year (Rate) |
|
|
|
Congenital/ hypospadias |
7 |
|
|
(10-15+ years) |
1 (12%) |
|
|
|
Infectious |
-- |
|
|
|
5 (21%) |
|
|
|
Traumatic |
-- |
|
|
|
10 (31%) |
-- |
-- |
-- |
Lichen Sclerosus |
4 |
|
|
|
15 (58%) |
|
|
|
Idiopathic |
16 |
|
|
|
|
|
|
|
Iatrogenic |
57 |
|
|
|
|
|
|
|
Radiation |
-- |
Barbagli et al. 2008 (1212. Barbagli G, Morgia G, Lazzeri M. Dorsal onlay skin graft bulbar urethroplasty: long-term follow-up. Eur Urol. 2008;53:628-33.) |
Bulbar Urethroplasty dorsal penile skin graft |
43 years |
Need for any intervention |
38 |
111 months (80-149months) |
(34.40%) |
-- |
60.50% |
0% |
Congenital/ hypospadias |
-- |
|
|
|
|
|
|
|
|
Infectious |
2 |
|
|
|
|
|
|
|
|
Traumatic |
7 |
|
|
|
|
|
|
|
|
Lichen Sclerosus |
-- |
|
|
|
|
|
|
|
|
Idiopathic |
18 |
|
|
|
|
|
|
|
|
Iatrogenic |
6 |
|
|
|
|
|
|
|
|
Catheter |
5 |
Barbagli et al. 2009 (1515. Khan R, Kelly L, Palmer M. Substitution bulbar urethroplasty using buccal mucosal graft in dorsal onlay fashion (barbagli technique): Results for patients treated over a 10-year period in a scottish regional referral centre. Urology. 2014;84(4):S85.) |
Penile Urethroplasty with orandi flap or Asopa inlay penile skin/OMG |
51 years |
Need for intervention |
62 |
50 months (12-132 months) |
24% |
|
17.70% |
4.80% |
Congenital/ hypospadias |
-- |
|
|
|
|
|
--- |
|
|
Infectious |
1 |
|
|
|
|
|
|
|
|
Traumatic |
4 |
|
|
|
|
|
--- |
|
|
Lichen Sclerosus |
-- |
|
|
|
|
|
|
|
|
Idiopathic |
19 |
|
|
|
|
|
|
|
|
Iatrogenic |
17 |
|
|
|
|
|
|
|
|
Radiation |
1 |
|
|
|
|
|
|
|
|
Catheter |
20 |
Breyer et al. 2010 (1010. Breyer BN, McAninch JW, Whitson JM, Eisenberg ML, Mehdizadeh JF, Myers JB, et al. Multivariate analysis of risk factors for long-term urethroplasty outcome. J Urol. 2010;183:613-7.) |
Anterior Urethroplasty OMG (88 patients) Fasciocutaneous Flap (70 patients) |
41 years* |
Need for intervention |
158 |
*69.6 months (1 month-120 months) |
Year (Flap) ((Graft)) |
|
|
|
Congenital/ hypospadias |
|
|
|
|
1 (17%) ((12%)) |
|
|
|
Infectious |
-- |
|
|
|
3 (32%) ((19%)) |
|
|
|
Traumatic |
|
|
|
|
5 (35%) ((24%)) |
0.25cm-24cm |
-- |
|
Lichen Sclerosus |
-- |
|
|
|
10 (37%) ((25%)) |
|
|
|
Idiopathic |
-- |
|
|
|
|
|
|
|
Iatrogenic |
-- |
|
|
|
|
|
|
|
Radiation |
-- |
Ahyai et al. 2011, (Unpublished updated data presented 2014) (99. Ahyai, SA et al. Extended long-term results of surgery for urethral strictures. J Urol. 2011;185: e42.) |
Anterior urethroplasty OMG (22 patients) Flap (79 patients) |
56 years |
Presence of stricture on urethrogram, Uroflow < 15 cc/s |
101 |
140 months (60-204 months) |
|
|
|
|
Congenital/hypospadias |
-- |
|
|
|
|
|
|
Infectious |
-- |
|
|
|
|
|
|
Traumatic |
-- |
|
|
24.1% (OMG) |
--- |
--- |
--- |
Lichen Sclerosus |
-- |
|
|
28.3% (Flap) |
|
|
|
Idiopathic |
-- |
|
|
|
|
|
|
Iatrogenic |
-- |
|
|
|
|
|
|
Radiation |
-- |
Mellon and Bihrle 2014 (1313. Barbagli G.,Romano G.,De Angelis M.,Lazzeri M. 146 Comparative retrospective outcome analysis of 62 patients who underwent one-stage repair of penile urethral strictures in a single referral center experience. Eur Urol Suppl 2009; 8: 157.) |
Ventral Buccal Graft Urethroplasty |
42.4 years |
Need for intervention |
107 |
39.3 months (6.6-127.3 months) |
28.90% |
|
89% |
11% |
Congenital/hypospadias |
-- |
|
|
|
|
|
|
|
Infectious |
5 |
|
|
|
|
|
|
|
Traumatic |
22 |
|
|
|
|
1cm-8cm |
|
|
Lichen Sclerosus |
3 |
|
|
|
|
|
|
|
Idiopathic |
51 |
|
|
|
|
|
|
|
Iatrogenic |
26 |
|
|
|
|
|
|
|
Radiation |
-- |
Khan et al. 2014 (1515. Khan R, Kelly L, Palmer M. Substitution bulbar urethroplasty using buccal mucosal graft in dorsal onlay fashion (barbagli technique): Results for patients treated over a 10-year period in a scottish regional referral centre. Urology. 2014;84(4):S85.) |
Dorsal OMG Bulbar Urethroplasty |
43.9 years |
Stricture on Urethrogram |
61 |
40.7 months (0113 months) |
23% |
|
|
0% |
Congenital/hypospadias |
-- |
|
|
|
|
|
Infectious |
-- |
|
|
|
|
|
Traumatic |
-- |
|
|
|
--- |
|
Lichen Sclerosus |
-- |
|
|
|
|
|
Idiopathic |
-- |
|
|
|
|
|
Iatrogenic |
-- |
|
|
|
|
|
Radiation |
-- |
Palminteri et al. 2015 (66. Palminteri E, Lumen N, Berdondini E, Di Pierro GB, Cucchiarale G, Tenti G, et al. Two-sided dorsal plus ventral oral graft bulbar urethroplasty: long-term results and predictive factors. Urology. 2015;85:942-7.) |
Bulbar Urethroplasty Overlappying Dorsal plus ventral OMG |
40 years |
Need for intervention |
166 |
*59.3 months (IQR 33-95.5 months) |
10.20% |
|
75% |
1.20% |
Congenital/hypospadias |
-- |
|
|
|
|
|
|
Infectious |
-- |
|
|
|
|
|
|
Traumatic |
7 |
|
|
|
1.9cm-3cm |
|
|
Lichen Sclerosus |
-- |
|
|
|
|
|
|
Idiopathic |
117 |
|
|
|
|
|
|
Iatrogenic |
8 |
|
|
|
|
|
|
Catheter |
34 |
Spencer et al. 2018 (1111. Spencer J, Blakely S, Daugherty M, Angulo JC, Martins F, Venkatesan K, et al. Clinical and Patient-reported Outcomes of 1-sided Anterior Urethroplasty for Long-segment or Panurethral Strictures. Urology. 2018;111:208-13.) |
Anterior Urethroplasty dorsal onlay OMG, (Kulkarni) for long segment strictures |
56 years |
Need for intervention |
73 |
44 months (12-162 months) |
12.30% |
|
92% |
14% |
Congenital/hypospadias |
-- |
|
|
|
|
|
|
Infectious |
-- |
|
|
|
|
|
|
Traumatic |
8 |
|
|
|
8cm-21cm |
|
|
Lichen Sclerosus |
28 |
|
|
|
|
|
|
Idiopathic |
18 |
|
|
|
|
|
|
Iatrogenic |
16 |
|
|
|
|
|
|
Radiation |
3 |
Pandey et al. 2017 (1616. Pandey A, Borisenkov M, Barta-Kelemen A, Keller H. Redo urethroplasty after unsuccessful urethral reconstruction with buccal mucosa graft. Eur Urol Suppl. 2017; 16: e485.) |
Ventral Onlay OMG Urethroplasty |
51 years* |
Presence of Stricture on Cysto/ Urethrogram |
104 |
*54 months (1-205 months) |
9.60% |
1cm-23cm |
|
100% |
Congenital/ hypospadias |
-- |
|
|
|
|
|
|
Infectious |
-- |
|
|
|
|
|
|
Traumatic |
-- |
|
|
|
|
________ |
|
Lichen Sclerosus |
-- |
|
|
|
|
|
|
Idiopathic |
-- |
|
|
|
|
|
|
Iatrogenic |
-- |
|
|
|
|
|
|
Radiation |
-- |