title: Safety and Surgical Outcomes of Same-day Anterior Urethroplasty.
abstract: OBJECTIVE
  To evaluate the safety and feasibility of same-day anterior urethroplasty at our institution and define predictors of postoperative admission and surgical failure.
  
  
  METHODS
  We retrospectively reviewed the charts of 118 consecutive anterior urethroplasties performed at a tertiary care center. Data were analyzed to detect predictors of postoperative admission and urethroplasty failure. The 30-day complications and long-term outcomes were compared between same-day and admitted patients.
  
  
  RESULTS
  Ninety-two patients (78%) were discharged on the day of surgery. A penile stricture location compared with a bulbar stricture location (odds ratio: 13.4, P = .009) and having undergone more than 3 prior endoscopic stricture interventions (odds ratio: 10.2, P = .001) were significantly associated with postoperative admission. Patients with a ventral onlay approach were more likely to be discharged home (P = .03), whereas patients with combined repairs were more likely to be admitted (P = .04). Same-day urethroplasty did not increase 30-day postoperative complications, patient emergency room visits, unplanned clinic visits, or phone calls. Success rates did not differ between same-day (89%) and admitted (79%) cohorts, and no individual stricture characteristic was predictive of urethroplasty failure.
  
  
  CONCLUSIONS
  Same-day anterior urethroplasty is safe and feasible and could help increase utilization of urethroplasty for urethral stricture disease.
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA. Electronic address: theisenkm@upmc.edu.
authors.forename: Katherine
authors.initials: K
authors.lastname: Theisen
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Fuller
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA.
authors.forename: Utsav
authors.initials: U
authors.lastname: Bansal
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Reese
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Lamm
authors.affiliation: California Pacific Medical Center, San Francisco, CA.
authors.forename: Mang
authors.initials: M
authors.lastname: Chen
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA.
authors.forename: Paul
authors.initials: P
authors.lastname: Rusilko
mesh_terms: D005260:Female; D006801:Humans; D000069451:Long Term Adverse Effects / Q000175:diagnosis* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000175:diagnosis* / Q000453:epidemiology; D058996:Quality Improvement; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012189:Retrospective Studies; D061665:Time-to-Treatment; D014481:United States; D014521:Urethra / Q000473:pathology / Q000601:surgery; D014525:Urethral Stricture / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods