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Patient-Reported Outcome Measures in Urethral Reconstruction

  • Surgery (J Simhan, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

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.

Summary

This article reviews the tools used to assess success after urethroplasty and elaborates the need to develop a comprehensive USD-specific PROM.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Urology, University of California - San Francisco, San Francisco, CA, USA

    Nima Baradaran, Lindsay A. Hampson & Benjamin N. Breyer

  2. Department of Health Services, Seattle Quality of Life Group, University of Washington, Seattle, WA, USA

    Todd C. Edwards

  3. Department of Urology, University of Washington - Harborview Medical Center, Seattle, WA, USA

    Bryan B. Voelzke

  4. Zuckerberg San Francisco General Hospital and Trauma Center, University of California – San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA

    Benjamin N. Breyer

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  1. Nima Baradaran
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Correspondence to Benjamin N. Breyer.

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

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Baradaran, N., Hampson, L.A., Edwards, T.C. et al. Patient-Reported Outcome Measures in Urethral Reconstruction. Curr Urol Rep 19, 48 (2018). https://doi.org/10.1007/s11934-018-0797-9

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