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2018, Number 4

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Cir Cir 2018; 86 (4)

Urethral plasticity and quality of life associated with the surgical technique in Unidad Médica de Alta Especialidad Mérida

Surur-Zaibaka E, Bolado-García PB, Gamboa-López GJ, Gómez-Ávalos T, Mena-Ramírez LF
Full text How to cite this article

Language: Spanish
References: 9
Page: 313-320
PDF size: 399.09 Kb.


Key words:

Urethral plasty, Quality of life, International Prostate Symptom Score, Euroqol 5-D, Relapse.

ABSTRACT

Objective: To determine the quality of life associated with the surgical technique in postoperative patients with urethral plasty. Methods: 29 patients operated between January-2011 and December-2015 were studied. The questionnaires Euroqol 5-D and International Prostate Symptom Score were applied to measure quality of life and detect relapses, respectively. Descriptive statistics was performed, cumulative incidence, relative risk and attributable fraction were calculated. Results: the incidence of relapse detected by the International Prostate Symptom Score was 69% (p = 0.011); the relative risk was 2.19 (95% confidence interval: 2.092-2.288). The fraction attributable to the exposure was 54%. The quality of life was associated with the length of the lesion (p = 0.046), low urinary symptoms (p = 0.004) and the individual perception of the state of health (p = 0.003). The location of the lesion was associated with relapse (p = 0.008). Quality of life was not associated with type of plasty (p › 0.05). Conclusions: The incidence of postoperative recurrence is high. The quality of life is independent of the surgical technique, but it is associated with the length of the lesion and urinary symptoms.


REFERENCES

  1. Jordan G, Chapple C, Heyns C. An international consultation on urethral strictures. Marrakech, Morocco; 2012. Disponible en: www.siu-urology. org

  2. Alwaal A, Blaschko SD, McAninch JW, Breyer BN. Epidemiology of urethral strictures. Transl Androl Urol. 2014;3:209-13.

  3. Moreno Altamirano L. Epidemiología clínica. 3.ª ed. Ciudad de México: McGraw-Hill; 2013. 329 p.

  4. Erickson BA, Ghareeb GM. Definition of successful treatment and optimal follow-up after urethral reconstruction for urethral stricture disease. Urol Clin North Am. 2017;44:1-9.

  5. Bertrand LA, Voelzke BB, Elliott SP, Myers JB, Breyer BN, Vanni AJ, et al. Measuring and predicting patient dissatisfaction after anterior urethroplasty using patient reported outcomes measures. J Urol. 2016;196:453-61.

  6. Liu JS, Dong C, González CM. Risk factors and timing of early stricture recurrence after urethroplasty. Urology. 2016;95:202-7.

  7. Tam CA, Elliott SP, Voelzke BB, Myers JB, Vanni AJ, Breyer BN, et al. The International Prostate Symptom Score (IPSS) is an inadequate tool to screen for urethral stricture recurrence after anterior urethroplasty. Urology. 2016;95:197-201.

  8. Dolan P. Modeling valuations for EuroQol health states. Med Care. 1997;35:1095-108.

  9. Jackson MJ, Chaudhury I, Mangera A, Brett A, Watkin N, Chapple CR, et al. A prospective patient-centred evaluation of urethroplasty for anterior urethral stricture using a validated patient-reported outcome measure. Eur Urol. 2013;64:777-82.




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Cir Cir. 2018;86