{"id":1148,"date":"2024-01-22T19:33:51","date_gmt":"2024-01-22T19:33:51","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=1148"},"modified":"2024-01-22T19:33:51","modified_gmt":"2024-01-22T19:33:51","slug":"manejo-de-estenosis-de-uretra-en-usa","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=1148","title":{"rendered":"Manejo de estenosis de uretra en USA"},"content":{"rendered":"<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n<div class=\"article-citation\">\n<div class=\"article-source\">\n<div class=\"journal-actions dropdown-block\"><button id=\"full-view-journal-trigger\" class=\"journal-actions-trigger trigger\" tabindex=\"0\" title=\"Urology\" aria-controls=\"full-view-journal\" aria-expanded=\"false\" aria-label=\"Toggle dropdown menu for journal Urology\" data-pinger-ignore=\"\">Urology<\/button><\/p>\n<div id=\"full-view-journal\" class=\"journal-actions-dropdown dropdown dropdown-container\" aria-label=\"Dropdown menu for journal Urology\" aria-hidden=\"true\">\n<div class=\"title\"><\/div>\n<\/div>\n<\/div>\n<p><span class=\"period\">. <\/span><span class=\"cit\">2019 Jan:123:258-264.<\/span><\/div>\n<p><span class=\"citation-doi\">doi: 10.1016\/j.urology.2018.06.059.<\/span> <span class=\"secondary-date\">Epub 2018 Aug 28.<\/span><\/div>\n<h1 class=\"heading-title\">Population Analysis of Male Urethral Stricture Management and Urethroplasty Success in the United States<\/h1>\n<div class=\"inline-authors\">\n<div class=\"authors\">\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Benson+CR&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Cooper R Benson\">Cooper R Benson<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Columbia University, Department of Urology, New York, NY.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Goldfarb+R&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Robert Goldfarb\">Robert Goldfarb<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Columbia University, Department of Urology, New York, NY.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Kirk+P&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Peter Kirk\">Peter Kirk<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-2\">2<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Qin+Y&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Yongmei Qin\">Yongmei Qin<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-2\">2<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Borza+T&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Tudor Borza\">Tudor Borza<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-2\">2<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Skolarus+TA&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Ted A Skolarus\">Ted A Skolarus<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI; Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-3\">3<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=B+Brandes+S&amp;cauthor_id=30170091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Steven B Brandes\">Steven B Brandes<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Columbia University, Department of Urology, New York, NY. Electronic address: Sbb2169@cumc.columbia.edu.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30170091\/#full-view-affiliation-4\">4<\/a><\/sup><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\" data-fetch-url=\"\/30170091\/long-authors\/\" data-id-prefix=\"\"><span class=\"title\">expand<\/span><\/button><\/div>\n<ul id=\"full-view-identifiers\" class=\"identifiers\">\n<li><span class=\"identifier pubmed\"><span class=\"id-label\">PMID: <\/span><strong class=\"current-id\" title=\"PubMed ID\">30170091<\/strong><\/span><\/li>\n<li><span class=\"identifier doi\"><span class=\"id-label\">DOI: <\/span><a class=\"id-link\" href=\"https:\/\/doi.org\/10.1016\/j.urology.2018.06.059\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"DOI\">10.1016\/j.urology.2018.06.059<\/a><\/span><\/li>\n<\/ul>\n<\/div>\n<\/header>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Objective: <\/strong>To examine population-based practice patterns and outcomes related to urethroplasty for urethral stricture management.<\/p>\n<p><strong class=\"sub-title\">Methods: <\/strong>We conducted a retrospective study of adult males with urethral stricture disease treated from January 2001 to June 2015 using the Clinformatics Data Mart Database. Treatment was defined as urethral dilation, direct visualized internal urethrotomy, and urethroplasty. We then examined anterior or posterior urethroplasty outcomes defining failure as any subsequent procedure specific to urethral stricture disease occurring &gt;30 days after urethroplasty. We used multivariable and time-to-event analysis to examine factors associated with failure.<\/p>\n<p><strong class=\"sub-title\">Results: <\/strong>We identified 75,666 patients treated for urethral stricture disease, with 420 and 367 undergoing anterior and posterior urethroplasty, respectively. Urethroplasty utilization doubled from 2005 to 2015. One- and 5-year failure rates for anterior and posterior urethroplasty were 25% and 18%, and 40% and 25%, respectively, with median times to failure of 5.1 and 4.1 months. Failures were salvaged primarily with direct visualized internal urethrotomy, with salvage urethroplasty in 19% and 12% of anterior and posterior repairs, respectively.<\/p>\n<p><strong class=\"sub-title\">Conclusion: <\/strong>Despite increasing population-based urethroplasty utilization over the past decade in our insured cohort, we found higher rates of salvage treatments than reported by high-volume and expert surgeon reports. Further efforts appear warranted to balance workforce expertise and quality of urethroplasty care to meet increasing urethral stricture population needs.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Urology . 2019 Jan:123:258-264. doi: 10.1016\/j.urology.2018.06.059. Epub 2018 Aug 28. Population Analysis of Male Urethral Stricture Management and Urethroplasty Success in the United States Cooper R Benson\u00a01,\u00a0Robert Goldfarb\u00a01,\u00a0Peter Kirk\u00a02,\u00a0Yongmei Qin\u00a02,\u00a0Tudor Borza\u00a02,\u00a0Ted A Skolarus\u00a03,\u00a0Steven B Brandes\u00a04 Affiliations expand PMID: 30170091 DOI: &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=1148\"> <span class=\"screen-reader-text\">Manejo de estenosis de uretra en USA<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1148","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1148"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1148\/revisions"}],"predecessor-version":[{"id":1149,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1148\/revisions\/1149"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}