John M Lacy1, Ramiro J Madden-Fuentes2, Adam Dugan3, Andrew C Peterson2, Shubham Gupta3. 1. Department of Urology, University of Tennessee Health Sciences Center Graduate School of Medicine, Knoxville, TN. Electronic address: johnlacy1@gmail.com. 2. Department of Surgery, Division of Urology, Duke University Medical Center, Durham, NC. 3. Department of Urology, University of Kentucky Medical Center, Lexington, KY.
Abstract
OBJECTIVE: To determine the characteristics and predictors of perioperative complications after male anterior urethroplasty. MATERIALS AND METHODS: The American College of Surgeons-National Surgical Quality Improvement Program is a validated outcomes-based program comprising academic and community hospitals in the United States and Canada. Data from 2007 to 2015 were queried for single-stage anterior urethroplasty using Current Procedure Terminology codes. The primary outcome was frequency of complications within the 30-day postoperative period. Preoperative and intraoperative parameters were correlated with morbidity measures, and univariate and multivariate regression analyses were used. RESULTS: A total of 555 patients underwent anterior urethroplasty, of whom 180 (32.4%) had graft or flap placement. Of the patients, 127 (22.9%) went home the same day after surgery, 255 (45.9%) stayed for 1 night, and 173 (31.2%) stayed for 2 or more nights. No deaths, cardiovascular complications, or sepsis were noted. Forty-seven patients (8.5%) had complications in the 30-day period. The most common complications were infection (57.4%), readmission (42.9%), and return to the operating room (17%). On univariate analysis, patients who had substitution urethroplasty (P = .04) and longer operative times (P = .002) were more likely to have complications, but only longer operative time showed significance on multivariate analysis (P = .006). Age, American Society of Anesthesiologists score, and length of stay were not predictive of complication frequency. CONCLUSION: Anterior urethroplasty has low postoperative morbidity. Longer operative times were associated with increased rate of complications. Longer hospital stay after surgery is not protective against perioperative complications.
OBJECTIVE: To determine the characteristics and predictors of perioperative complications after male anterior urethroplasty. MATERIALS AND METHODS: The American College of Surgeons-National Surgical Quality Improvement Program is a validated outcomes-based program comprising academic and community hospitals in the United States and Canada. Data from 2007 to 2015 were queried for single-stage anterior urethroplasty using Current Procedure Terminology codes. The primary outcome was frequency of complications within the 30-day postoperative period. Preoperative and intraoperative parameters were correlated with morbidity measures, and univariate and multivariate regression analyses were used. RESULTS: A total of 555 patients underwent anterior urethroplasty, of whom 180 (32.4%) had graft or flap placement. Of the patients, 127 (22.9%) went home the same day after surgery, 255 (45.9%) stayed for 1 night, and 173 (31.2%) stayed for 2 or more nights. No deaths, cardiovascular complications, or sepsis were noted. Forty-seven patients (8.5%) had complications in the 30-day period. The most common complications were infection (57.4%), readmission (42.9%), and return to the operating room (17%). On univariate analysis, patients who had substitution urethroplasty (P = .04) and longer operative times (P = .002) were more likely to have complications, but only longer operative time showed significance on multivariate analysis (P = .006). Age, American Society of Anesthesiologists score, and length of stay were not predictive of complication frequency. CONCLUSION:Anterior urethroplasty has low postoperative morbidity. Longer operative times were associated with increased rate of complications. Longer hospital stay after surgery is not protective against perioperative complications.
Authors: Victor M Schuettfort; Jessica Schoof; Clemens M Rosenbaum; Tim A Ludwig; Malte W Vetterlein; Sami-Ramzi Leyh-Bannurah; Valentin Maurer; Christian P Meyer; Roland Dahlem; Margit Fisch; Christoph-Philip Reiss Journal: World J Urol Date: 2019-02-11 Impact factor: 4.226
Authors: H E Kay; P Srikanth; A V Srivastava; A N Tijerina; V R Patel; N Hauser; A A Laviana; J S Wolf; E C Osterberg Journal: BJUI Compass Date: 2021-03-10