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
View/ Open
Access
info:eu-repo/semantics/openAccessDate
2023Author
Sitaram, MummalaneniReddy, Suraj Jayadeva
Chawla, Arun
de la Rosette, Jean J. M. C. H.
del Pilar Laguna Pes, Maria
Bhaskara, Sunil Pillai
Reddy, Bathi Sourabh
Pandit, Shruti
Choudhary, Anupam
Metadata
Show full item recordCitation
Sitaram, 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_22Abstract
Purpose: 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.
xmlui.dri2xhtml.METS-1.0.item-scopusquality
Q3Source
Urological ScienceVolume
34Issue
3Collections
- Makale Koleksiyonu [3736]
- Makale Koleksiyonu [348]
- Scopus İndeksli Yayınlar Koleksiyonu [6494]
- WoS İndeksli Yayınlar Koleksiyonu [6562]