Grading Anterior Urethra Stricture to Predict Surgical Complexity and Outcome Using the Urethra Stricture Score: Anterior Urethra Stricture: Surgical Complexity and Urethra Stricture Score

Naseem Akhtar; Ayesha Khan; Usama Bin Shaheen; Nazish Mughal; Harris Hassan Qureshi; Manzoor Hussain; Pardeep Kumar

doi:10.54393/pjhs.v7i8.1367

Authors

Naseem Akhtar Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan
Ayesha Khan Department of Urology Surgery and Transplant, Jinnah Postgraduate Medical Center, Karachi, Pakistan
Usama Bin Shaheen Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan
Nazish Mughal Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan
Harris Hassan Qureshi Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan
Manzoor Hussain Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan
Pardeep Kumar Department of Urology, Almana Hospital Dammam, Dammam, Saudi Arabia

DOI:

https://doi.org/10.54393/pjhs.v7i8.1367

Keywords:

Anterior Urethral Stricture, Urethrotomy, Urethroplasty, Surgical Complexity

Abstract

Urethral stricture is a cause of impedance of urine outflow and is quite common in urology. 300 out of 100,000 men are affected by this disease. There is no objective system for determining the structure's complexity. Objectives: To appraise the relationship between Urethral Stricture Score (USS) and surgical complexity, standardize the surgical approaches, and predict the surgical outcomes with the use of USS. Methods: This was a descriptive study conducted in the Department of Urology, Sindh Institute of Urology and Transplantation, Karachi. The duration for sample collection was six months. Non-probability consecutive sampling was employed. Mean and standard deviation were computed for age, duration of disease, duration of surgery, BMI, and USS. Effect modifiers like age, duration of disease, and BMI were stratified to see the effect of this on the outcome. Post stratification spearman correlation and Anova test were applied. The p-value <0.005 was considered significant. Results: A total of 45 patients were included in this study that was diagnosed with anterior urethral strictures. We found a significant association of USS with surgical complexity. As the score increased, surgical complexity increased; the F-value of the ANOVA test was 61.25, and the p-value was <0.001. The study also found a significant correlation between USS and duration of surgery, with a correlation coefficient of 0.806 and p-value <0.001. Conclusion: This study affirms the positive correlation between the increasing USS and increasing surgical complexity.

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