Patient-reported outcome measures using modified urethral stricture surgery: Patient-reported outcome measure for direct visual internal urethrotomy and nontransecting urethroplasty for short nontraumatic bulbar urethral stricture - A prospective comparative observational study from a university teaching hospital

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dc.authorid0000-0002-6308-1763
dc.authorid0000-0003-0906-4417
dc.contributor.authorSitaram, Mummalaneni
dc.contributor.authorReddy, Suraj Jayadeva
dc.contributor.authorChawla, Arun
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authordel Pilar Laguna Pes, Maria
dc.contributor.authorBhaskara, Sunil Pillai
dc.contributor.authorReddy, Bathi Sourabh
dc.contributor.authorPandit, Shruti
dc.contributor.authorChoudhary, Anupam
dc.date.accessioned2023-11-15T08:33:11Z
dc.date.available2023-11-15T08:33:11Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: To evaluate the patient-reported outcomes of primary direct visual internal urethrotomy (DVIU) and nontransecting bulbar urethroplasty techniques (NTBU) for the short segment (<2 cm) nontraumatic bulbar urethral stricture using the modified urethral stricture surgery patient-reported outcome measures (USS PROMs). Materials and Methods: The USS PROM questionnaire used to evaluate lower urinary tract symptom (LUTS) was modified by adding a six-item International Index of Erectile Function and a four-item version of MSHQ-EjD to evaluate erectile and ejaculatory domains. All cases of short nontraumatic bulbar urethral stricture who underwent primary DVIU and NTBU who consented were asked to fill the modified PROM at initial evaluation, at 6 months, and at 1 year. Results: The LUTS score for NTBU at 12 months is significantly better (1.93 +/- 2.13 vs. 8.76 +/- 5.92, P = 0.000). The Peeling score of the NTBU is significantly better at 12 months (1.41 +/- 0.68 vs. 2.67 +/- 0.73, P = 0.000). The erectile function score at 12 months for NTBU is better than DVIU (24.37 +/- 3.2 vs. 21.143 +/- 2.86, P = 0.001). The Ejaculatory function score at 6 months and 12 months is significantly better for the NTBU. Receiver operating characteristic (ROC) AND Odd's Ratio analysis for analyzing patient satisfaction showed erectile function (area under ROC [AUROC] - 0.889, P < 0.001), ejaculatory function (AUROC - 0.957, P < 0.001) at 1 year and maximum flow rate of urine on uroflometry (Qmax) (AUROC - 0.928, P < 0.001) at 6 months and (AUROC - 1.000, P < 0.001) at 1 year. The overall satisfaction rates in patients undergoing NTBU is 96.5%. Conclusion: NTBU shows superior outcomes in almost all domains of USS-PROM with better overall satisfaction rates. Improvement of sexual function domain, followed by the LUTS domain was the best predictor of overall patient satisfaction and improvement in the quality of life at 1 year.
dc.identifier.citationSitaram, M., Reddy, S. J., Chawla, A., de la Rosette, J. J. M. C. H., del Pilar Laguna Pes, M., Bhaskara, S. P. ... Choudhary, A. (2023). Patient-reported outcome measures using modified urethral stricture surgery: Patient-reported outcome measure for direct visual internal urethrotomy and nontransecting urethroplasty for short nontraumatic bulbar urethral stricture - A prospective comparative observational study from a university teaching hospital. Urological Science, 34(3), 124-+. https://dx.doi.org/10.4103/UROS.UROS_86_22
dc.identifier.doi10.4103/UROS.UROS_86_22
dc.identifier.endpage+
dc.identifier.issn1879-5226
dc.identifier.issn1879-5234
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85176422552
dc.identifier.scopusqualityQ3
dc.identifier.startpage124
dc.identifier.urihttps://dx.doi.org/10.4103/UROS.UROS_86_22
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11780
dc.identifier.volume34
dc.identifier.wos001083996200004en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorde la Rosette, Jean J. M. C. H.
dc.institutionauthordel Pilar Laguna Pes, Maria
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofUrological Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDirect Visual Internal Urethrotomy
dc.subjectSexual Function
dc.subjectStricture Urethra
dc.subjectUrethral Stricture Surgery Patient-Reported Outcome Measure
dc.subjectUrethroplasty
dc.titlePatient-reported outcome measures using modified urethral stricture surgery: Patient-reported outcome measure for direct visual internal urethrotomy and nontransecting urethroplasty for short nontraumatic bulbar urethral stricture - A prospective comparative observational study from a university teaching hospital
dc.typeArticle

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