Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 May 17;19(7):48.
doi: 10.1007/s11934-018-0797-9.

Patient-Reported Outcome Measures in Urethral Reconstruction

Nima Baradaran  1 , Lindsay A Hampson  1 , Todd C Edwards  2 , Bryan B Voelzke  3 , Benjamin N Breyer  4   5
Affiliations
Review

Patient-Reported Outcome Measures in Urethral Reconstruction

Nima Baradaran et al. Curr Urol Rep. .

Abstract

Purpose of review: Treatment of anterior urethral stricture disease (USD) has shifted from endoscopic approaches to urethroplasty with significantly higher success rates among reconstructive urologists. This academic stance has led to a critical evaluation of "success" and developing disease-specific instruments to assess surgical outcomes focusing on patients' satisfaction rather than the historical goal of avoiding secondary procedures.

Recent findings: Many disease non-specific and/or non-validated patient-reported outcome measures (PROMs) have been utilized to evaluate the voiding symptoms and sexual of function of patients after urethroplasty in the literature. Urethral Stricture Surgery PROM (USS PROM) is the first validated, disease-specific PROM for anterior USD which has been designed in 2001. Urethral Stricture Symptoms and Impact Measure (USSIM) is a comprehensive PROM and is currently being validated at multiple institutions. This article reviews the tools used to assess success after urethroplasty and elaborates the need to develop a comprehensive USD-specific PROM.

Keywords: Patient-reported outcome measures; Sexual dysfunction; Treatment outcome; Urethral stricture; Urination disorders.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Nima Baradaran, Lindsay A. Hampson, Todd C. Edwards, Bryan B. Voelzke, and Benjamin N. Breyer each declare no potential conflicts of interest.

References

    1. Alwaal A, Blaschko SD, McAninch JW, Breyer BN. Epidemiology of urethral strictures. Transl Androl Urol 2014;3(2):209–13. 10.3978/j.issn.2223-4683.2014.04.07. - DOI - PMC - PubMed
    1. Santucci RA, Joyce GF, Wise M. Male urethral stricture disease. J Urol 2007;177(5):1667–74. 10.1016/j.juro.2007.01.041. - DOI - PubMed
    1. Meeks JJ, Erickson BA, Granieri MA, Gonzalez CM. Stricture recurrence after urethroplasty: a systematic review. J Urol 2009;182(4 SUPPL): 1266–70. 10.1016/j.juro.2009.06.027. - DOI - PubMed
    1. Heyns CF, Steenkamp JW, De Kock MLS, Whitaker P. Treatment of male urethral strictures: is repeated dilation or internal urethrotomy useful? J Urol 1998;160(2):356–8. 10.1016/S0022-5347(01)62894-5. - DOI - PubMed
    1. Alwaal A, Sanford TH, Harris CR, Osterberg EC, McAninch JW, Breyer BN. Urethral stricture score is associated with anterior urethroplasty complexity and outcome. J Urol 2016;195(6): 1817–21. 10.1016/j.juro.2015.12.100. - DOI - PubMed