Evidence map›Paper›PMID 39046552›Full record

ArticleWorld journal of urology2024

Current urethroplasty trends in recent GURS fellowship graduates.

Nikolas Moring, Andrea Juneau, Paul J Feustel, Uzoma A Anele, Brian M Inouye

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nikolas MoringDepartment of Urology, Albany Medical Center, 25 Hackett Blvd, Albany, NY, 12208, USA. moringn@amc.edu.
Andrea JuneauUrology, University of Louisville School of Medicine, Louisville, KY, USA.
Paul J FeustelAlbany Medical College, Albany, NY, USA.
Uzoma A AneleUrology, University of Louisville School of Medicine, Louisville, KY, USA.
Brian M InouyeDepartment of Urology, Albany Medical Center, 25 Hackett Blvd, Albany, NY, 12208, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess self-reported urethroplasty success rates and outcomes of recent GURS fellowship graduates and compare these data to the large body of published urethroplasty outcomes literature.

methodsA voluntary survey was distributed from June 1 to June 30, 2023 to GURS fellowship graduates of the last 5 years. Participants were surveyed on time since graduation, operative volume, outcomes, and quoted success rates for urethroplasty. Data were then analyzed using descriptive statistics, binary logistic regression, and correlative analyses.

resultsWe received responses from 49/101 (48.5%) GURS graduates. Five-year post-graduates were most represented (44.7%). The majority (52.2%) consider 81-90% of urethroplasty successful, without significant change with years in practice. Approximately 65% quoted excision and primary anastomosis (EPA) as > 90% successful. Over half of the respondents had performed > 60 urethroplasties since graduation. Only 31.3% of respondents reported re-intervening in > 10% of their postop patients, with a weak positive correlation between years in practice and need for re-intervention (p 0.01). Nearly 20% of respondents referred patients to an external reconstructionist.

conclusionIncreased length of time in practice does not result in higher reported urethroplasty success rates, counseling on successful outcomes, or rates of re-intervention and complications. Our survey highlights that the traditionally used success rates for urethroplasty may not be reflective of new graduates and lower volume reconstructive surgeons in their early career.

Indexed as

Fellowships and ScholarshipsUrethraUrethral StrictureUrologic Surgical Procedures, MaleAdultHumansMalePractice Patterns, Physicians'Self ReportSurveys and QuestionnairesTreatment OutcomeUrologyCounselingFellowshipGraduatesOutcomesSurveyUrethroplasty

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.