Research and Reports in Urology (Dec 2022)
Reaching Consensus for Comprehensive Outcome Measurement After Urethral Stricture Surgery: Development of Study Protocol for Stricture-Fecta Criteria
Abstract
Guglielmo Mantica,1,2 Wesley Verla,3 Andrea Cocci,4 Mikołaj Frankiewicz,5 Jan Adamowicz,6 Felix Campos-Juanatey,7 Clemens M Rosenbaum,8 Marjan Waterloos,9 Luis A Kluth,10 Malte W Vetterlein11 On behalf of the Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists1IRCCS Ospedale Policlinico San Martino, Genova, Italy; 2Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy; 3Department of Urology, Ghent University Hospital, Ghent, Belgium; 4Department of Urology and Andrology, Careggi Hospital, University of Florence, Florence, Italy; 5Department of Urology, Medical University of Gdańsk, Gdańsk, Poland; 6Department of Regenerative Medicine, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland; 7Andrology and Reconstructive Urology Unit, Marques de Valdecilla University Hospital, IDIVAL, Santander, Spain; 8Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany; 9Department of Urology, Division of Reconstructive Urology, Ghent University Hospital, Ghent, Belgium; 10Department of Urology, University Medical Center Frankfurt, Frankfurt/Main, Germany; 11Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCorrespondence: Guglielmo Mantica, IRCCS San Martino Hospital, University of Genova, Largo Rosanna Benzi 10, Genova, 16132, Italy, Tel +390105555964, Email [email protected]: Urethral stricture disease is a very heterogeneous condition where different urethral segments can be involved as a result of diverse etiologies which come with variable prognosis. The surgical management of urethral strictures, and in particular urethroplasties can result in very diverse outcomes on many levels and, currently, there is absolutely no consensus about what should and what should not be considered a “success” after urethral surgery. In the wake of well-established quality criteria in urologic oncology, such as tri- or pentafecta outcomes, and given the lack of agreement on meaningful outcomes after urethral surgery, we aim to introduce our study protocol as the first step of a multistep research endeavor to reach consensus on comprehensive urethroplasty outcomes within a novel conceptual framework: the “stricture-fecta criteria”. The development of stricture-fecta will be based on a Delphi consensus involving some of worldwide most influencing reconstructive urologists.Keywords: urethral stricture, urethral stenosis, urethrotomy, urethroplasty, pentafecta
