Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members
Assessment of anterior urethral stricture (US) management of European urology experts is relevant to evaluate the quality of care given to the patients and plan future educational interventions. We assessed the practice patterns of the management of adult male anterior US among reconstructive urolog...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/9/2353 |
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| author | Felix Campos-Juanatey Enrique Fes-Ascanio Jan Adamowicz Fabio Castiglione Andrea Cocci Guglielmo Mantica Clemens Rosenbaum Wesley Verla Malte W. Vetterlein Marjan Waterloos Luis A. Kluth on behalf of the Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists (EAU YAU) |
| author_facet | Felix Campos-Juanatey Enrique Fes-Ascanio Jan Adamowicz Fabio Castiglione Andrea Cocci Guglielmo Mantica Clemens Rosenbaum Wesley Verla Malte W. Vetterlein Marjan Waterloos Luis A. Kluth on behalf of the Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists (EAU YAU) |
| author_sort | Felix Campos-Juanatey |
| collection | DOAJ |
| description | Assessment of anterior urethral stricture (US) management of European urology experts is relevant to evaluate the quality of care given to the patients and plan future educational interventions. We assessed the practice patterns of the management of adult male anterior US among reconstructive urology experts from European countries. A 23-question online survey was conducted among European Association of Urology Section of Genito-Urinary Reconstructive Surgeons (ESGURS) members. A total of 88 invitations were sent by email at two different times (May and October 2019). Data were prospectively collected from May 2019 to December 2019. The response rate was 55.6%. Most of the responders were between 50 and 59 y.o. and mainly from University Public Teaching/Academic Hospitals. A total of 73.5% treated ≥20 patients/year with US. Retrograde urethrogram (RUG) was the commonest diagnostic tool, followed by uroflowmetry (UF) +/− post-void residual (PVR). Urethroplasty using grafts was the most frequent treatment (91.8%). Of responders, 55.3% performed >20 urethroplasties/year. Anastomotic urethroplasties were performed by 83.7%, skin flap repairs by 61.2%, perineal urethrostomy by 77.6% and non-transecting techniques by 63.3%. UF was the most common follow-up tool. Most of the responders considered urethroplasty as the primary option when indicated. Male anterior US among ESGURS members are treated mainly using urethroplasty graft procedures. RUG is preferred for diagnosis, and UF for follow-up. |
| first_indexed | 2024-03-10T04:02:34Z |
| format | Article |
| id | doaj.art-968cc02a93ed48df97d8cc2ebb411e75 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T04:02:34Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-968cc02a93ed48df97d8cc2ebb411e752023-11-23T08:31:07ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01119235310.3390/jcm11092353Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS MembersFelix Campos-Juanatey0Enrique Fes-Ascanio1Jan Adamowicz2Fabio Castiglione3Andrea Cocci4Guglielmo Mantica5Clemens Rosenbaum6Wesley Verla7Malte W. Vetterlein8Marjan Waterloos9Luis A. Kluth10on behalf of the Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists (EAU YAU)Andrology and Reconstructive Urology Unit, Marques de Valdecilla University Hospital, Institute of Research Valdecilla (IDIVAL), 39011 Santander, SpainUrology Unit, Can Misses Hospital, 07800 Ibiza, SpainDepartment of Regenerative Medicine, Collegium Medicum, Nicolaus Copernicus University, 85-067 Bydgoszcz, PolandDepartment of Urology, University College London Hospital, London W1G 8PH, UKDepartment of Urology and Andrology, University of Florence, 50100 Florence, ItalyDepartment of Urology, Policlinico San Martino Hospital, University of Genova, 16132 Genova, ItalyDepartment of Urology, Asklepios Klinik Barmbek, 22308 Hamburg, GermanyDepartment of Urology, Ghent University Hospital, 9000 Ghent, BelgiumDepartment of Urology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Urology, AZ Maria Middelares Ghent, Division of Reconstructive Urology, Ghent University Hospital, 9000 Ghent, BelgiumDepartment of Urology, University Hospital Frankfurt, Goethe University Frankfurt am Main, 60590 Frankfurt am Main, GermanyAssessment of anterior urethral stricture (US) management of European urology experts is relevant to evaluate the quality of care given to the patients and plan future educational interventions. We assessed the practice patterns of the management of adult male anterior US among reconstructive urology experts from European countries. A 23-question online survey was conducted among European Association of Urology Section of Genito-Urinary Reconstructive Surgeons (ESGURS) members. A total of 88 invitations were sent by email at two different times (May and October 2019). Data were prospectively collected from May 2019 to December 2019. The response rate was 55.6%. Most of the responders were between 50 and 59 y.o. and mainly from University Public Teaching/Academic Hospitals. A total of 73.5% treated ≥20 patients/year with US. Retrograde urethrogram (RUG) was the commonest diagnostic tool, followed by uroflowmetry (UF) +/− post-void residual (PVR). Urethroplasty using grafts was the most frequent treatment (91.8%). Of responders, 55.3% performed >20 urethroplasties/year. Anastomotic urethroplasties were performed by 83.7%, skin flap repairs by 61.2%, perineal urethrostomy by 77.6% and non-transecting techniques by 63.3%. UF was the most common follow-up tool. Most of the responders considered urethroplasty as the primary option when indicated. Male anterior US among ESGURS members are treated mainly using urethroplasty graft procedures. RUG is preferred for diagnosis, and UF for follow-up.https://www.mdpi.com/2077-0383/11/9/2353anterior urethral stricturesendoscopic surgical procedureshealth care surveysreconstructive surgical proceduressurgical flapstissue grafts |
| spellingShingle | Felix Campos-Juanatey Enrique Fes-Ascanio Jan Adamowicz Fabio Castiglione Andrea Cocci Guglielmo Mantica Clemens Rosenbaum Wesley Verla Malte W. Vetterlein Marjan Waterloos Luis A. Kluth on behalf of the Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists (EAU YAU) Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members Journal of Clinical Medicine anterior urethral strictures endoscopic surgical procedures health care surveys reconstructive surgical procedures surgical flaps tissue grafts |
| title | Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members |
| title_full | Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members |
| title_fullStr | Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members |
| title_full_unstemmed | Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members |
| title_short | Contemporary Management of Male Anterior Urethral Strictures by Reconstructive Urology Experts—Results from an International Survey among ESGURS Members |
| title_sort | contemporary management of male anterior urethral strictures by reconstructive urology experts results from an international survey among esgurs members |
| topic | anterior urethral strictures endoscopic surgical procedures health care surveys reconstructive surgical procedures surgical flaps tissue grafts |
| url | https://www.mdpi.com/2077-0383/11/9/2353 |
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