ArticleWorld journal of urology2021
Assessing in-hospital morbidity after urethroplasty using the European Association of Urology Quality Criteria for standardized reporting.
Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Long-term outcomes of the excision and primary anastomotic urethroplasty in non-traumatic bulbar and membranous urethral strictures.International urology and nephrology · 2026Article
- Global research trends in robot-assisted urethral reconstruction for urethral stricture disease: a visualized bibliometric analysis.Journal of robotic surgery · 2026Review
- Economic evaluation of urethroplasty vs. repeated endoscopic dilation in short bulbar urethral stricture management.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026Article
- Establishing the role of single-stage preputial spiral graft urethroplasty for panurethral stricture.BJU international · 2025Article
- Analysis of the Pathogen Distribution and Antimicrobial Resistance after Plastic Surgery of the Urogenital System.Plastic and reconstructive surgery. Global open · 2024Article
- Novel single-stage preputial spiral graft for panurethral stricture: a step-by-step description of the technique.World journal of urology · 2023Article
- Mucosal-sparing augmented non-transected anastomotic (MsANTA) urethroplasty: a step forward in ANTA urethroplasty.BJU international · 2022Article
- Challenging the dogma of 6 steps for anastomotic urethroplasty in posterior urethral stricture: introducing step 3a.World journal of urology · 2022Article
- Dorsal approach for double-face bulbar urethroplasty: ventral inlay plus dorsal onlay using Kulkarni one-side dissection.International urology and nephrology · 2022Article
- Graft Plus Fasciocutaneous Penile Flap for Nearly or Completely Obliterated Long Bulbar and Penobulbar Strictures.European urology open science · 2022Article
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Authors and funding
12 authors.
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Abstract
purposeTo conduct a rigorous assessment of in-hospital morbidity after urethroplasty according with the European Association of Urology (EAU) guidelines for complication reporting.
methodsWe retrospectively (2015-2019) identified 469 consecutive patients receiving urethroplasty (e.g. bulbar urethroplasty with grafts, penile urethroplasty with/without grafts/flaps, Johanson, de novo or revision perineostomy, end-to-end anastomosis, meatoplasty and/or meatotomy) at our tertiary care institution. Complications were graded with Clavien-Dindo score and Comprehensive Complication Index (CCI). Complications were classified in: bleeding no gastrointestinal, cardiac, gastrointestinal, genitourinary, infectious, neurological, oral, wound, miscellaneous, and pulmonary. Logistic regression tested for predictors of in-hospital complications and prolonged hospitalization (> 75th percentile). Kaplan-Meier and Cox regression investigated the effect of complications on failure after urethroplasty.
resultsOverall, 161 (34.3%) patients experienced at least one complication. Of those, 47 (10%) experienced two or more complications and 59 (12.6%) experienced at least one Clavien-Dindo ≥ II complication. Only two patients had Clavien-Dindo III complications. Infectious was the most frequent complication, and de novo or revision perineostomy was associated with the highest rate of complications. The occurrence of any complications, as well as complication with Clavien-Dindo ≥ II were associated with prolonged hospitalizations, but not with higher rates of post-urethroplasty failure.
conclusionsComplications after urethroplasty were common events, but rarely with severe sequelae. Infectious were the most common complications and perineostomy was the type of urethroplasty with the highest rate of complications. The application of the EAU recommendations allowed the identifications of a higher number of complications after urethroplasty if compared with previous reports based on unsupervised chart review.
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