Table 3.
Demographics by preoperative and postoperative urge incontinence symptoms for anterior urethroplasty
Preop Urge Incontinence | Postop Urge Incontinence | ||||||
---|---|---|---|---|---|---|---|
Overall | No | Yes | p Value | No | Yes | p Value | |
No. pts | 305 | 210 | 95 | _ | 269 | 36 | _ |
Mean ± SD followup (mos) | 9.2 ± 8.5 | 8.9 ± 7.9 | 9.8 ± 9.7 | 0.40 | 9.1 ± 8.6 | 9.9 ± 8.4 | 0.61 |
Mean ± SD age | 45.4 ± 16.0 | 43.6 ± 15.6 | 49.4 ± 16.1 | <0.01 | 43.5 ± 15.0 | 60.0 ± 15.5 | <0.01 |
Mean ± SD stricture length (cm) | 3.8 ± 2.9 | 3.6 ± 2.7 | 4.4 ± 2.9 | 0.02 | 3.8 ± 3.0 | 3.9 ± 2.3 | 0.95 |
No. stricture location (%) | |||||||
Penile | 25 (8.2) | 16 (7.6) | 9 (9.5) | 0.29 | 23 (8.6) | 2 (5.6) | 0.30 |
Bulbar | 246 (80.7) | 177 (84.3) | 69 (72.6) | 0.01 | 218 (81.0) | 28 (77.8) | 0.30 |
Penobulbar | 34 (11.2) | 17 (8.1) | 17 (17.9) | 0.99 | 28 (10.4) | 6 (16.7) | 0.99 |
No. urethroplasty type (%) | |||||||
Buccal | 123 (41.1) | 77 (37.4) | 46 (49.5) | 0.70 | 106 (40.3) | 17 (47.2) | 0.82 |
Augmented | 21 (7.0) | 11 (5.3) | 10 (10.8) | 0.87 | 16 (6.1) | 5 (13.9) | 0.44 |
Excision + primary anastomosis | 139 (46.5) | 108 (52.4) | 31 (33.3) | 0.14 | 126 (47.9) | 13 (36.1) | 0.86 |
Penile fasciocutaneous flap | 7 (2.3) | 5 (2.4) | 2 (2.1) | 0.40 | 7 (2.7) | 0 | 0.99 |
Perineal urethrostomy | 9 (3.0) | 5 (2.4) | 4 (4.3) | 0.99 | 8 (3.0) | 1 (2.8) | 0.99 |
Combined approach | 6 (2.0) | 4 (1.9) | 2 (2.1) | 0.88 | 6 (2.2) | 0 | 0.99 |
No. recurrence (%) | 20 (6.6) | 15 (7.1) | 5 (5.3) | 0.63 | 16 (6.0) | 4 (11.1) | 0.27 |
Patients were asked how often they experienced leaking of urine because they could not hold it to assess urge incontinence symptoms, which was graded on Likert scale, including 0—never, 1—rarely, 2—sometimes and 3—often with no urge incontinence scored as 0 or 1 and urge incontinence scored as 1 or 2.