title: Perineal urethrostomy: surgical and functional evaluation of two techniques.
abstract: BACKGROUND
  PU is an option to manage complex and/or recurrent urethral strictures and is necessary after urethrectomy and/or penectomy. PU is generally assumed to be the last option before abandoning the urethral outlet.
  
  
  METHODS
  Between 2001 and 2013, 51 patients underwent PU. Mean age (± standard deviation) was 60 ± 15 years. Only 13 patients (25.5%) did not undergo previous urethral interventions. PU was performed according to the Johanson (n = 35) or Blandy (n = 16) technique and these 2 groups were compared for surgical failure, maximum urinary flow (Qmax), urinary symptoms, and quality of life (according to the International Prostate Symptom Score).
  
  
  RESULTS
  Both groups were similar for patient's and stricture characteristics. Only follow-up duration was significantly longer after Johanson PU (47.9 months versus 11.1 months; P = 0.003). For the entire cohort, 11 patients (21.6%) were considered a failure (9 or 25.7% for Johanson group and 2 or 12.5% for Blandy group; P = 0.248). There was a significant improvement of Qmax in both groups. Quality of life after PU was comparable in both groups.
  
  
  CONCLUSIONS
  PU is associated with a 21.6% recurrence rate and the patient should be informed about this risk.
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Nicolaas
authors: 0000-0003-1242-3644
authors: N
authors: Lumen
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Matthias
authors: 0000-0002-8628-933X
authors: M
authors: Beysens
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Charles
authors: 0000-0002-4467-0829
authors: C
authors: Van Praet
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Karel
authors: K
authors: Decaestecker
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Anne-Francoise
authors: AF
authors: Spinoit
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Piet
authors: P
authors: Hoebeke
authors: Department of Urology, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
authors: Willem
authors: W
authors: Oosterlinck
mesh_terms: D006801:Humans; D008875:Middle Aged; D010030:Ostomy / Q000379:methods*; D011788:Quality of Life; D012008:Recurrence; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery