{"id":1161,"date":"2024-01-26T13:10:55","date_gmt":"2024-01-26T13:10:55","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=1161"},"modified":"2024-01-26T13:10:55","modified_gmt":"2024-01-26T13:10:55","slug":"cistoscopia-en-recurrencia-uretral","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=1161","title":{"rendered":"CISTOSCOPIA EN RECURRENCIA URETRAL"},"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=\"World journal of urology\" aria-controls=\"full-view-journal\" aria-expanded=\"false\" aria-label=\"Toggle dropdown menu for journal World journal of urology\" data-pinger-ignore=\"\">World J Urol<\/button><\/p>\n<div id=\"full-view-journal\" class=\"journal-actions-dropdown dropdown dropdown-container\" aria-label=\"Dropdown menu for journal World journal of urology\" aria-hidden=\"true\">\n<div class=\"title\"><span class=\"period\">. <\/span><span class=\"cit\">2019 Dec;37(12):2763-2768.<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><span class=\"citation-doi\">doi: 10.1007\/s00345-019-02653-6.<\/span> <span class=\"secondary-date\">Epub 2019 Feb 2.<\/span><\/div>\n<h1 class=\"heading-title\">Clinical significance of cystoscopic urethral stricture recurrence after anterior urethroplasty: a multi-institution analysis from Trauma and Urologic Reconstructive Network of Surgeons (TURNS)<\/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=Baradaran+N&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Nima Baradaran\">Nima Baradaran<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Ohio State University, Columbus, OH, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#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=Fergus+KB&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Kirkpatrick B Fergus\">Kirkpatrick B Fergus<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#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=Moses+RA&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Rachel A Moses\">Rachel A Moses<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Division of Urology, University of Utah, Salt Lake City, UT, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#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=Patel+DP&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Darshan P Patel\">Darshan P Patel<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Division of Urology, University of Utah, Salt Lake City, UT, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#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=Gaither+TW&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Thomas W Gaither\">Thomas W Gaither<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#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=Voelzke+BB&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Bryan B Voelzke\">Bryan B Voelzke<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, University of Washington, Seattle, WA, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-4\">4<\/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=Smith+TG+3rd&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Thomas G Smith 3rd\">Thomas G Smith 3rd<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Baylor College of Medicine, Houston, TX, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-5\">5<\/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=Erickson+BA&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Bradley A Erickson\">Bradley A Erickson<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, University of Iowa, Iowa City, IA, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-6\">6<\/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=Elliott+SP&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Sean P Elliott\">Sean P Elliott<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, University of Minnesota, Minneapolis, MN, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-7\">7<\/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=Alsikafi+NF&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Nejd F Alsikafi\">Nejd F Alsikafi<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Uropartners, Gurnee, IL, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-8\">8<\/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=Vanni+AJ&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Alex J Vanni\">Alex J Vanni<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Lahey Hospital and Medical Center, Burlington, MA, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-9\">9<\/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=Buckley+J&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Jill Buckley\">Jill Buckley<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, University of California San Diego, San Diego, CA, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-10\">10<\/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=Zhao+LC&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Lee C Zhao\">Lee C Zhao<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"New York University School of Medicine, New York, NY, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-11\">11<\/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=Myers+JB&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Jeremy B Myers\">Jeremy B Myers<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Division of Urology, University of Utah, Salt Lake City, UT, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#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=Breyer+BN&amp;cauthor_id=30712091\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Benjamin N Breyer\">Benjamin N Breyer<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA. benjamin.breyer@ucsf.edu.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30712091\/#full-view-affiliation-12\">12<\/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=\"\/30712091\/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\">30712091<\/strong><\/span><\/li>\n<li><span class=\"identifier doi\"><span class=\"id-label\">DOI: <\/span><a class=\"id-link\" href=\"https:\/\/doi.org\/10.1007\/s00345-019-02653-6\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"DOI\">10.1007\/s00345-019-02653-6<\/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\">Purpose: <\/strong>To assess the functional Queryoutcome of patients with cystoscopic recurrence of stricture post-urethroplasty and to evaluate the role of cystoscopy as initial screening tool to predict future failure.<\/p>\n<p><strong class=\"sub-title\">Methods: <\/strong>Cases with cystoscopy data after anterior urethroplasty in a multi-institutional database were retrospectively studied. Based on cystoscopic evaluation, performed within 3-months post-urethroplasty, patients were categorized as small-caliber (SC) stricture recurrence: stricture unable to be passed by standard cystoscope, large-caliber (LC) stricture accommodating a cystoscope, and no recurrence. We assessed the cumulative probability of intervention and the quality of life scores in association with cystoscopic recurrence 1-year post-urethroplasty. Patients with history of hypospadias, perineal urethrostomy, urethral fistula, and meatal pathology were excluded.<\/p>\n<p><strong class=\"sub-title\">Results: <\/strong>From a total of 2630 men in our cohort, 1054 patients met the inclusion criteria: normal (n = 740), LC recurrence (n = 178), and SC recurrence (n = 136) based on the first cystoscopic evaluation performed at median 111 days postoperatively. Median follow-up was 350 days (IQR 121-617) after urethroplasty. Cystoscopic recurrence was significantly associated with secondary interventions (2.7%, 6.2%, 33.8% in normal, LC, and SC groups, respectively). Quality of life variables were not statistically significantly different among the three study groups.<\/p>\n<p><strong class=\"sub-title\">Conclusions: <\/strong>Many patients with cystoscopic recurrence do not need an intervention after initial urethroplasty. Despite good negative predictive value, cystoscopy alone may be a poor screening test for stricture recurrence defined by patient symptoms and need for secondary interventions.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords: <\/strong>Cystoscopy; Lower urinary tract symptoms; Self report; Treatment outcome; Urethra; Urethral stricture.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>World J Urol . 2019 Dec;37(12):2763-2768. doi: 10.1007\/s00345-019-02653-6. Epub 2019 Feb 2. Clinical significance of cystoscopic urethral stricture recurrence after anterior urethroplasty: a multi-institution analysis from Trauma and Urologic Reconstructive Network of Surgeons (TURNS) Nima Baradaran\u00a01,\u00a0Kirkpatrick B Fergus\u00a02,\u00a0Rachel A Moses\u00a03,\u00a0Darshan &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=1161\"> <span class=\"screen-reader-text\">CISTOSCOPIA EN RECURRENCIA URETRAL<\/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-1161","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\/1161","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=1161"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1161\/revisions"}],"predecessor-version":[{"id":1162,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1161\/revisions\/1162"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}