Mp32-12 Post-Operative Retrograde Urethrogram Does Not Predict Surgical Reintervention for Anterior Urethroplasty

You have accessJournal of UrologyReconstruction: Urethral Reconstruction (Including Stricture) II (MP32)1 May 2024MP32-12 POST-OPERATIVE RETROGRADE URETHROGRAM DOES NOT PREDICT SURGICAL REINTERVENTION FOR ANTERIOR URETHROPLASTY Bryson P. Cook, Gina Tundo, and David Abramowitz Bryson P. CookBryson P. Cook , Gina TundoGina Tundo , and David AbramowitzDavid Abramowitz View All Author Informationhttps://doi.org/10.1097/01.JU.0001008816.80828.35.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Open surgical urethroplasty is considered the gold standard for management of urethral strictures. In this study, we review our post operative retrograde urethrograms (RUG's) to evaluate if there is correlation between contrast extravasation and surgical reintervention. METHODS: This is a retrospective review of open anterior urethroplasties on cis-male patients completed by two fellowship trained surgeons at one institution two years out of fellowship between September 2021 and July 2023. We excluded patients with history of congenital hypospadias. RUG's were routinely completed at 3-4 weeks after surgery to evaluate for contrast extravasation at the repair site. A Chi-Squared test of independence was performed to evaluate for an association between surgical reintervention and RUG extravasation. RESULTS: 60 anterior urethroplasties were completed in the study period with a mean follow-up of 10 months (range 2-23 months). Post operative RUG was completed on 53 patients with extravasation of contrast noted on 7 studies. Four patients with mild extravasation underwent catheter removal. Three patients with extravasation were managed with prolonged catheterization. One patient with RUG extravasation had a symptomatic recurrence of their stricture at 3 months postoperatively. Five patients (8%) required reintervention with mean time to reintervention of 4 months. One underwent repeat augmented urethroplasty and the rest with dilation. A positive correlation was identified between RUG extravasation and stricture length. No correlation was identified between surgical reintervention and RUG extravasation. Multiple prior endoscopic treatments, lichen sclerosis, and stricture length were risk factors for surgical reintervention. CONCLUSIONS: RUG extravasation was not correlated with surgical reintervention. Patients with mild extravasation at time of RUG do well clinically with catheter removal. We continue to perform post operative RUGs as degree of extravasation guides catheter duration. Download PPTDownload PPT Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e519 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Bryson P. Cook More articles by this author Gina Tundo More articles by this author David Abramowitz More articles by this author Expand All Advertisement PDF downloadLoading ...