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Clinical significance of cystoscopic urethral stricture recurrence after anterior urethroplasty: A multi-institution analysis from Trauma and Urologic Reconstructive Network of Surgeons (TURNS)

World Journal of Urology Nov 28, 2019

Baradaran N, Fergus KB, Moses RA, et al. - Cases with cystoscopy data following anterior urethroplasty in a multi-institutional database were retrospectively investigated in order to evaluate the functional Queryoutcome of individuals with cystoscopic recurrence of stricture posturethroplasty and to assess the role of cystoscopy as a primary screening tool to prognosticate future failure. From a total of 2,630 men, 1,054 were involved and were classified as normal (n = 740), large-caliber recurrence (n = 178), and small-caliber recurrence (n = 136) on the basis of the first cystoscopic assessment done at median 111 days postoperatively. Following primary urethroplasty, many individuals with cystoscopic recurrence did not require intervention. Irrespective of good negative predictive value, cystoscopy alone could be a poor screening test for stricture recurrence determined by individual symptoms and the necessity for secondary interventions.
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