World J Urol. 2018 Oct 25. doi: 10.1007\/s00345-018-2540-z. [Epub ahead of print]<\/p>\n
Horiguchi A<\/a>1<\/sup>,\u00a0Shinchi M<\/a>2<\/sup>,\u00a0Ojima K<\/a>2<\/sup>,\u00a0Masunaga A<\/a>2<\/sup>,\u00a0Ito K<\/a>2<\/sup>,\u00a0Asano T<\/a>2<\/sup>,\u00a0Takahashi E<\/a>3<\/sup>,\u00a0Kimura F<\/a>3<\/sup>,\u00a0Azuma R<\/a>4<\/sup>.<\/p>\n Author information: To better understand our urethroplasty outcome, we translated the English version of a urethral stricture surgery patient-reported outcome measure (USS-PROM) into Japanese and used it to evaluate the effect of urethroplasty for anterior urethral strictures.<\/p>\n The PROM quantifies lower urinary tract symptoms (LUTS) and health-related quality of life (EQ-5D), and it evaluates overall satisfaction by asking patients to choose \u00abvery satisfied\u00bb, \u00absatisfied\u00bb, \u00abunsatisfied\u00bb, or \u00abvery unsatisfied\u00bb. 93 Japanese-speaking male patients with anterior urethral stricture who underwent urethroplasty completed it before (baseline) and 6\u00a0months after urethroplasty. The psychometric criteria evaluated in the present study were the PROM’s internal consistency, test-retest reliability, criterion validity, and responsiveness.<\/p>\n Qmax<\/sub>\u00a0was negatively correlated with the LUTS-total scores (r = – 0.61). Cronbach’s alpha was 0.80 and the test-retest intraclass correlation coefficient for the LUTS-total score was 0.82. 83 patients (89.2%) achieved stricture-free, which was defined as no re-stricture on cystoscopy and no need for additional treatment. The mean total LUTS-score improved from 12.4 at baseline to 3.7 postoperatively (p < 0.0001). The mean EQ-5D visual analogue scores and EQ-5D index improved from 61.2 and 0.76, respectively, at baseline to 77.9 and 0.89 postoperatively (p < 0.0001, p < 0.0001). 55 patients (59.1%) were \u00abvery satisfied\u00bb with the outcome of their urethroplasty and 33 (35.5%) were \u00absatisfied\u00bb.<\/p>\n The Japanese version of the USS-PROM has adequate psychometric properties. Urethroplasty improved not only objective data but also voiding symptoms and health-related QOL, and it resulted in a high rate of patient satisfaction.<\/p>\n","protected":false},"excerpt":{"rendered":" World J Urol. 2018 Oct 25. doi: 10.1007\/s00345-018-2540-z. [Epub ahead of print] Evaluation of the effect of urethroplasty for anterior urethral strictures by a validated disease-specific patient-reported outcome measure. Horiguchi A1,\u00a0Shinchi M2,\u00a0Ojima K2,\u00a0Masunaga A2,\u00a0Ito K2,\u00a0Asano T2,\u00a0Takahashi E3,\u00a0Kimura F3,\u00a0Azuma R4. Author …<\/p>\n
\n1. Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.\u00a0impreza@ndmc.ac.jp.
\n2. Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
\n3. Department of Urology, Nishisaitama-chuo National Hospital, Saitama, Japan.
\n4. Department of Plastic Surgery, National Defense Medical College, Saitama, Japan.<\/p>\nAbstract<\/h3>\n
PURPOSE:<\/h4>\n
METHODS:<\/h4>\n
RESULTS:<\/h4>\n
CONCLUSIONS:<\/h4>\n