title: Redo-urethroplasty: comparison of early functional results and quality of life in penile and bulbar strictures.
abstract: OBJECTIVE
  To assess bothersome results of surgery and changes in quality of life (QoL) in patients with redo-urethroplasty, comparing the functional results of penile and bulbar cases. As after previous urethroplasty scar tissue formation is likely to occur, less favorable functional results than at primary repair could be expected. Yet data on these items for techniques currently used are limited.
  
  
  METHODS
  Retrospective analysis with standardized questionnaire including 33 consecutive patients treated with redo-urethroplasty for bulbar or penile strictures. Previous surgeries, recurrence rate, complications, incontinence, erectile function, satisfaction with the surgery and QoL were assessed.
  
  
  RESULTS
  Overall success rate was 78.8 %, number of previous open urethroplasty once in 24 patients (72.7 %), and more than once in 9 (27.3 %). Urinary stress incontinence Grade I occurred in 5 patients (15.2 %) and Grade II in 2 patients (6.1 %). In 24 patients (72.7 %), no penile shortening occurred and in 28 (84.8 %), no deviation was observed. Eight patients (24.2 %) reported their glans sensitivity to be altered, in 3 (9.1 %) a disturbing alteration occurred. Overall satisfaction with the surgery was high (70 %), and an improvement in QoL was seen in 72.7 % (24 patients).
  
  
  CONCLUSIONS
  Urethroplasty after failed open repair gives good functional results and shows a high patient satisfaction rate. However, results are not quite as good as for primary repair, emphasizing the importance of a successful primary repair.
authors.affiliation: Department of Urology, University Medical Centre Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany, dp.pfalzgraf@googlemail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Pfalzgraf
authors.forename: Luis
authors.initials: L
authors.lastname: Kluth
authors.forename: Philip
authors.initials: P
authors.lastname: Reiss
authors.forename: Margit
authors.initials: M
authors.lastname: Fisch
authors.forename: Roland
authors.initials: R
authors.lastname: Dahlem
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis; D010502:Perineum; D011788:Quality of Life; D020127:Recovery of Function; D019233:Retreatment; D012611:Scrotum; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult