Mp32-14 Prospective Comparative Study of Patient Reported Outcome of Direct Visual Internal Urethrotomy Versus Non Transecting Urethroplasty Techniques in Non Traumatic Short Segment Bulbar Urethral Stricture

You have accessJournal of UrologyReconstruction: Urethral Reconstruction (Including Stricture) II (MP32)1 May 2024MP32-14 PROSPECTIVE COMPARATIVE STUDY OF PATIENT REPORTED OUTCOME OF DIRECT VISUAL INTERNAL URETHROTOMY VERSUS NON TRANSECTING URETHROPLASTY TECHNIQUES IN NON TRAUMATIC SHORT SEGMENT BULBAR URETHRAL STRICTURE Arun Chawla, Pillai Sunil, and Manjunath Irrapawali Arun ChawlaArun Chawla , Pillai SunilPillai Sunil , and Manjunath IrrapawaliManjunath Irrapawali View All Author Informationhttps://doi.org/10.1097/01.JU.0001008816.80828.35.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Bulbar urethra is the commonest location for urethral strictures, with DVIU being the most commonly performed treatment, with high recurrence rates. Non-transecting urethroplasty is reported with 80-90% success rates over 5 years. Our study compared DVIU, Heinke Mikulicz (HM) Urethroplasty, and Augmented Urethroplasty (AU) outcomes for non traumatic short segment bulbar strictures in a three-arm trial for success rates and functional outcomes with validated questionnaires. METHODS: A prospective comparative study on primary short segment bulbar stricture patients (≤2cm) divided into three groups: DVIU (Group 1), HM urethroplasty (Group 2), and AU (Group 3). Assessments included Uroflowmetry, RGU/MCU, Modified USS PROM, PREM forms (pre-procedure, 1st, 3rd, and 6th month follow-up), and validated questionnaires (IPSS, LUTS Score, CLSS Score, MSHQ, and SHIM) for subjective outcome measures. RESULTS: Out of 86 patients, 7 were excluded for >2cm intra-op stricture length, leaving 79 (n=79). DVIU group had shorter mean stricture length (1.53cm±0.4) than HM (1.64±0.22) and AU (1.9±0.06) (p<0.001). Inter-group comparison showed improved Mean Qmax/LUTS/IPSS/CLSS scores in HM and AU groups vs. DVIU group. MSHQ (Erectile) and SHIM (Ejaculatory) scores improved in DVIU at 3rd month but not in HM and AU groups. One HM patient had Clavein Dindo grade 1 surgical site infection. Post void dribbling was seen in 22.22% (AU), 14.2% (HM), and 12.9% (DVIU) at 1 month. Recurrence rates were higher in DVIU (25.8%) vs. HM (4.76%) and AU (7.4%). CONCLUSIONS: There is significantly improved patient satisfaction noted with HM technique and AU as compared to DVIU along with reduced recurrence rates. Download PPTDownload PPT Source of Funding: Nil © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e520 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Arun Chawla More articles by this author Pillai Sunil More articles by this author Manjunath Irrapawali More articles by this author Expand All Advertisement PDF downloadLoading ...