Outpatient anterior urethroplasty: Outcome analysis and patient selection criteria

Jack B. Lewis, Kelly A. Wolgast, John A. Ward, Allen F. Morey

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Purpose: We compared the outcomes of anterior urethroplasty for stricture disease performed on an outpatient and an inpatient basis. Materials and Methods: We reviewed the records of 78, 1-stage anterior urethroplasties performed via excision with primary anastomosis, buccal mucosal graft or penile fasciocutaneous skin flap techniques from September 1997 to December 2000 by a single surgeon (A. F. M.). All patients had more than 1 year of followup (range 1 to 4.5). Of the graft procedures only those in the bulbar urethra were included in analysis. Outpatient procedures were defined as those in which the patient was discharged home within 24 hours. Clinical outcome was considered a failure when instrumentation was required postoperatively. Results: Of the 78 anterior urethral repairs 54 (69%) were performed on an outpatient basis, including 50 (93%) in which the outcome was successful compared with 88% (21) of the 24 inpatient procedures. Excision with primary anastomosis had the highest outpatient rate (28 of 31 patients or 90%), followed by penile skin flaps (16 of 25 or 64%) and buccal mucosal grafts (10 of 22 or 45%). Patient characteristics were significantly associated with outpatient procedures, including younger mean age (36 versus 46 years), shorter mean stricture length (3.1 versus 6.6 cm.) and shorter mean operative time (3.2 versus 4.66 hours) (p <0.05). Conclusions: Anterior urethral reconstruction can often be completed safely and effectively on an outpatient basis.

Original languageEnglish (US)
Pages (from-to)1024-1026
Number of pages3
JournalJournal of Urology
Volume168
Issue number3
StatePublished - Sep 2002

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Patient Selection
Outpatients
Cheek
Transplants
Inpatients
Pathologic Constriction
Skin
Urethra
Operative Time

Keywords

  • Ambulatory surgical procedures
  • Patient selection
  • Urethra
  • Urethral stricture

ASJC Scopus subject areas

  • Urology

Cite this

Outpatient anterior urethroplasty : Outcome analysis and patient selection criteria. / Lewis, Jack B.; Wolgast, Kelly A.; Ward, John A.; Morey, Allen F.

In: Journal of Urology, Vol. 168, No. 3, 09.2002, p. 1024-1026.

Research output: Contribution to journalArticle

Lewis, JB, Wolgast, KA, Ward, JA & Morey, AF 2002, 'Outpatient anterior urethroplasty: Outcome analysis and patient selection criteria', Journal of Urology, vol. 168, no. 3, pp. 1024-1026.
Lewis, Jack B. ; Wolgast, Kelly A. ; Ward, John A. ; Morey, Allen F. / Outpatient anterior urethroplasty : Outcome analysis and patient selection criteria. In: Journal of Urology. 2002 ; Vol. 168, No. 3. pp. 1024-1026.
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