Key points are not available for this paper at this time.
You have accessJournal of UrologyReconstruction: Urethral Reconstruction (Including Stricture) II (MP32)1 May 2024MP32-03 THE IMPACT OF SOCIAL DEPRIVATION ON ANTERIOR URETHRAL STRICTURE RECURRENCE AFTER URETHROPLASTY—A TRAUMA AND UROLOGIC RECONSTRUCTIVE NETWORK OF SURGEONS (TURNS) ANALYSIS Hiren V. Patel, Kevin D. Li, Samuel Hansen, Sean P. Elliott, Jeremy Myers, Joshua Broghammer, Alex J. Vanni, Andrew C. Peterson, Jill C. Buckley, Lee C. Zhao, Bradley A. Erickson, and Benjamin N. Breyer Hiren V. PatelHiren V. Patel , Kevin D. LiKevin D. Li , Samuel HansenSamuel Hansen , Sean P. ElliottSean P. Elliott , Jeremy MyersJeremy Myers , Joshua BroghammerJoshua Broghammer , Alex J. VanniAlex J. Vanni , Andrew C. PetersonAndrew C. Peterson , Jill C. BuckleyJill C. Buckley , Lee C. ZhaoLee C. Zhao , Bradley A. EricksonBradley A. Erickson , and Benjamin N. BreyerBenjamin N. Breyer View All Author Informationhttps://doi.org/10.1097/01.JU.0001008816.80828.35.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Several factors influence recurrence after urethral stricture repair. The impact of socioeconomic factors on stricture recurrence after urethroplasty is not well understood. This study aims to assess the impact social deprivation has on urethral stricture recurrence after urethroplasty. METHODS: A retrospective review of patients undergoing urethral reconstruction in the TURNS database was performed. Home zip code was used to calculate Social Deprivation Indices (SDI; 0-100), which quantifies level of disadvantage across several sociodemographic domains collected in the American Community Survey. Patients without zip code, functional or anatomic recurrence data were excluded from the analysis. Cox Proportional Hazards model was used to study the association between SDI and hazard of functional recurrence, adjusting for stricture characteristics. RESULTS: Median age was 46.0 years with a median follow up of 367 days for the 1,452 men included in the study. Patients in the 4th SDI quartile (worse social deprivation) were more likely to be active smokers with traumatic and infectious strictures compared to the 1st SDI quartile (Table 1). Patients in the 4th SDI quartile had a significantly higher risk of functional stricture recurrence over 5 years compared to the patients in the 1st SDI quartile (p=0.029; Figure 1). Rate of functional recurrence increased by 1.07 per 10-point increase in SDI (p=0.027). Patients with S1b urethral disease had 1.82 times the rate (95% CI 1.1-3.0; p=0.017) of functional recurrence than those with S1a urethral disease. The rate of functional recurrence in strictures from lichen sclerosis was 2.73 times as high as in strictures from external trauma (95% CI 1.02-7.3; p=0.045). CONCLUSIONS: Patient social deprivation identifies those at higher risk for functional recurrence after anterior urethral stricture repair, offering an opportunity for preoperative counseling and postoperative surveillance. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e514 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Hiren V. Patel More articles by this author Kevin D. Li More articles by this author Samuel Hansen More articles by this author Sean P. Elliott More articles by this author Jeremy Myers More articles by this author Joshua Broghammer More articles by this author Alex J. Vanni More articles by this author Andrew C. Peterson More articles by this author Jill C. Buckley More articles by this author Lee C. Zhao More articles by this author Bradley A. Erickson More articles by this author Benjamin N. Breyer More articles by this author Expand All Advertisement PDF downloadLoading ...
Patel et al. (Mon,) studied this question.