MP56-12 CYSTOSCOPIC FINDINGS FOLLOWING ANTERIOR URETHROPLASTY PREDICTS THE NEED FOR SECONDARY SURGICAL INTERVENTION: A MULTI-INSTITUTION ANALYSIS FROM TRAUMA AND UROLOGIC RECONSTRUCTIVE NETWORK OF SURGEONS

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Urethral Reconstruction (including Stricture, Diverticulum) III (MP56)1 Sep 2021MP56-12 CYSTOSCOPIC FINDINGS FOLLOWING ANTERIOR URETHROPLASTY PREDICTS THE NEED FOR SECONDARY SURGICAL INTERVENTION: A MULTI-INSTITUTION ANALYSIS FROM TRAUMA AND UROLOGIC RECONSTRUCTIVE NETWORK OF SURGEONS Gregory Amend, Behnam Nabavizadeh, Nizar Hakam, Sean Elliott, Alex Vanni, Jill Buckley, Bradley Erickson, Jeremy Myers, Lee Zhao, Bryan Voelzke, Thomas Smith, Andrew Peterson, Joshua Broghammer, Nejd Alsikafi, Keith Rourke, and Benjamin Breyer AmendGregory Amend More articles by this author , NabavizadehBehnam Nabavizadeh HakamNizar Hakam ElliottSean Elliott VanniAlex Vanni BuckleyJill Buckley EricksonBradley Erickson MyersJeremy Myers ZhaoLee Zhao VoelzkeBryan Voelzke SmithThomas Smith PetersonAndrew Peterson BroghammerJoshua Broghammer AlsikafiNejd Alsikafi RourkeKeith Rourke BreyerBenjamin View All Author Informationhttps://doi.org/10.1097/JU.0000000000002086.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: Prior work has established that post-operative urethroscopy may be an effective tool predict re-operation within 1 year following urethroplasty. Here, we examine early surveillance findings long-term outcomes among urethroplasty patients. METHODS: cohort 304 patients with > 4 years follow-up after anterior at 10 institutions underwent postoperative evaluations (average 112.5 days post-op, range 95.5-145 days) using a flexible 17 Fr cystoscope. Patients were categorized into groups based on exam findings: a. normal lumen; b. large-caliber stricture (≥ stricture) defined as the ability accommodate cystoscope; c. small-caliber (< cystoscope could not passed easily. We surgical failure recurrence requiring re-intervention. Kaplan-Meier survival curves fitted last or time variable, status event indicator. RESULTS: Overall, 72/304 (24%) had recurrence. who required reoperation distribution urethroscopy: 29/194 (15%) lumen, 11/60 (18%) stricture), 32/50 (64%) < lumen. urethral caliber ≥ was found rate different lumen completely free scar (p = 0.53). The Kaplan–Meier graph shows post-anterior cumulative probability intervention-free according cystoscopy group (Figure 1). CONCLUSIONS: Early cystoscopic visualization narrows is significant predictor for will eventually require repeat intervention. subset noticeable first avoided surgery follow-up. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e973-e973 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...