Evaluation of Functional, Objective and Sexual Outcomes and Patient Reported Quality of Life After Anterior Urethral Reconstruction

Abstract

Objective: To assess patient satisfaction and quality of life after urethroplasty using clinician driven and patient reported outcome measures. Materials and Methods: We prospectively evaluated fifty-one men with anterior urethral stricture who underwent urethroplasty. Patient demographics, maximum flow rate and post-void residual urine, International Prostate Symptom Score (IPSS), urethral stricture surgery patientreported outcome measure (USS-PROM), five-item International Index of Erectile Function (IIEF-5), Male Sexual Health Questionnaire Short Form (MSHQ EjD SF), were collected before surgery and compared with outcomes 1 year after surgery. Results: Fifty-one men with anterior urethral stricture underwent 18 (35.3%) anastomotic urethroplasties and 33 (64.7%) augmentation urethroplasties. Of 47 men who were available at follow-up, Qmax improved from preoperative mean of 4.4 to 18.3 [-13.86; 95% confidence interval (CI) (-15.1) - (-12.6); p