MP03-16 LONG-TERM FOLLOW-UP SUGGESTS HIGH SATISFACTION RATES FOR BULBOMEMBRANOUS RADIATION INDUCED URETHRAL STRICTURES TREATED WITH ANASTOMOTIC URETHROPLASTY

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Urethral Reconstruction (including Stricture, Diverticulum) I (MP03)1 Sep 2021MP03-16 LONG-TERM FOLLOW-UP SUGGESTS HIGH SATISFACTION RATES FOR BULBOMEMBRANOUS RADIATION INDUCED URETHRAL STRICTURES TREATED WITH ANASTOMOTIC URETHROPLASTY John Barnard, Aron Liaw, and Joel Gelman BarnardJohn Barnard More articles by this author , LiawAron Liaw GelmanJoel View All Author Informationhttps://doi.org/10.1097/JU.0000000000001964.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radiation-induced bulbomembranous urethral stricture/stenosis (RIS) is definitively treated anastomotic urethroplasty in select patients. Prior studies characterized short intermediate term success rates ED UI. Long-term follow-up (>4-5 years) with the inclusion specific patient reported outcome (PROM) assessment lacking available research. We hypothesized that longer more late recurrences, reflected declining PROMs, may be captured given time-dependent nature radiation damage. The objective was analyze patients who underwent for RIS due prostate cancer treatment up 19 years follow-up. METHODS: Patients were identified from 2002 2020. Inclusion criteria included completion 4-month post-operative cystoscopy a survey including IPSS, SHIM, MSHQ-EF, 6Q-LUTS, global satisfaction queries at 4 months. PROMs assessed annually, performed adverse change or worsening uroflow/PVR. excluded if they had prostatectomy non-prostatic malignancy. compared both initial visit long-term follow up. RESULTS: 23 met criteria. Mean time RT obstructive symptoms 75.9 Short-term anatomic 95.7%. At mean 73.1 months (9.1-228.9), one recurrence occurred an overall 91.3%. Significant sustained improvement voiding scores, quality life, (Table 1). Satisfaction 91.3% despite sexual side effects, 95.7% stated would surgery again knowing their over 6 years' CONCLUSIONS: are challenging problems, but durable symptomatic relief achievable well-selected should appropriately counseled regarding risk urinary incontinence effects after urethroplasty. They reassured high, QoL will subjective most cases. Source Funding: NA © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e27-e27 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...