JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 36

Journal of Clinical Urology 11(1S)

P3-10: Table 6. Secondary urinary symptoms, recorded in
1,749 men with primary voiding symptoms, due to urethral
stricture disease.
Secondary urinary symptom

Incidence

Post-micturition dribble
Infective / inflammatory
Storage urinary symptoms
Spraying
Pain on voiding
Haematuria
Asymptomatic large residual

25.60%
23.60%
17.50%
13.30%
10.90%
8.20%
0.90%

P3-10: Table 7. Incidence of sexual dysfunction, recorded in
982 sexually symptomatic men, with urethral stricture disease.
Sexual symptom

Incidence

Erectile dysfunction
Ejaculatory problems
Poor cosmesis
Penile bend

12.40%
6.40%
4.50%
1.20%

P3-11 Contemporary surgical management of
urethral disease in the United Kingdom
S1,

S1,

urethra, or in the distal anterior urethra after recurrent
surgery for Lichen Sclerosis or following previous hypospadias repair.
Conclusion: Online databases provide considerable
detail about the intra- and post-operative management of
men having reconstructive urethral surgery. Analysis of
complications and outcomes for individual patient groups
allows definition of surgical groups dependent upon individual patient's complexity and risk.
P3-11: Table 1. The site of the urethral stricture recorded in
3,964 men.
Stricture site

Incidence

Bladder neck
Bulbo-prostatic
Bulbar
Peno-bulbar
Penile
Navicular Fossa or Meatus

0.8%
5.1%
54.9%
5.7%
22.5%
11%

P3-11: Table 2. The percentage surgical procedures
performed, per stricture site, on 3,531 men.
Stricture site

Payne
Fowler
Mundy
1BAUS, London, United Kingdom, 2University College Hospital
London, United Kingdom

Objective: To determine the operative interventions utilised to deal with urethral stricture, fistula disease, and
untreated adult hypospadias, together with their complications and subjective and objective outcomes.
Methods: Between June 2010 and the end of May 2017
4,809 men were enrolled onto a secure online platform
to collect surgical and post-operative follow-up data.
Data regarding patient's co-morbidity, the surgical
approach, technique, peri-operative management, intra
and post-op complications, post op symptoms and
results of objective post-procedural investigations were
collected.
Results: Mean age of patients at operation was 51.1 years
and most men were ASA 2 or less. The majority of operations were performed for stricture disease of the bulbar
urethra, peno-bulbar segment or penile urethra, most as a
single stage procedures utilising dorsally applied buccal
mucosa as an augmenting material. Follow-up data was
available for 66.8% of all men with data completeness of
53.7%. The overall complication rates at follow up were
15.2% for strictures, 40% and 5.5% for posterior and anterior fistula repairs respectively and 11.8% for primary
adult hypospadias surgery. Fistula and stricture recurrence
rates were highest at the bladder neck and posterior

Bladder neck

Bulbo-prostatic

Bulbar

Peno-bulbar

Number
of cases
31

188

2,024

209

Procedure

% repairs

Abdominalperineal repair
Anastomotic
repair
Augmentation
Anastomotic
repair
Augmentation
Augmented
anastomotic repair
Anastomotic
repair, unspecified

16.7%

Transecting
anastomotic
repair*
Non-transecting
anastomotic
repair*
Augmentation
Augmented
anastomotic repair
Perineal
urethrostomy
Anastomotic
repair, unspecified
Transecting
anastomotic repair

72.2%
11.1%
93.6%
4.8%
1.6%
17.90%
7.60%

4.10%

65.30%
4.20%
0.90%
0.5%
4.4%
(Continued)

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