title: Assessment of satisfaction and Quality of Life using self -reported questionnaires after urethroplasty: a prospective analysis.
abstract: OBJECTIVE
  To assess patient satisfaction and quality of life after urethroplasty using two different self-reported outcome measures and to compare it with objective clinical data.
  
  
  METHODS
  We prospectively collected data from 35 consecutive patients who underwent urethroplasty from January 2013 to September 2014. Patient demographics, International Prostate Symptom Score (IPSS), quality of life score, urethral stricture surgery patient-reported outcome measure (USS-PROM), maximum flow rate (Qmax) and post-void residual urine were collected before, two and eight months after surgery. Failure occurred when any postoperative instrumentation was performed. General estimation equation was used to compare the results and linear regression analysis to correlate both questionnaires with objective data.
  
  
  RESULTS
  Mean age was 61 years. Urethroplasties were equally divided between anastomotic and buccal mucosa grafts and 19 patients (59.3%) had a previous urethral procedure. Overall success rate was 87.5%. IPSS improved from a mean 19 at baseline to 5.32 at 8 months (p < 0.001). The mean USS-PROM score also improved from 13.21 preoperatively to 3.36 after surgery (p< 0.001) and 84.3% of patients were satisfied or very satisfied with surgical results. Mean Qmax increased from 4.64mL/s to 11mL/s (p< 0.001). Strong negative correlation was found respectively between flow rate and USS-PROM (r=-0.531, p< 0.001) and with IPSS (r=-0.512, p < 0.001).
  
  
  CONCLUSIONS
  Significant improvements in urinary symptoms and in quality of life are expected after urethroplasty and they are correlated with objective measures.
authors.affiliation: Departamento de Urologia, Hospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS, Brasil.
authors.forename: Eduardo Terra
authors.initials: ET
authors.lastname: Lucas
authors.affiliation: Departamento de Urologia, Hospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS, Brasil.
authors.forename: Walter José
authors.initials: WJ
authors.lastname: Koff
authors.affiliation: Departamento de Urologia, Hospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS, Brasil.
authors.forename: Tiago Elias
authors.initials: TE
authors.lastname: Rosito
authors.affiliation: Departamento de Urologia, Hospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS, Brasil.
authors.forename: Milton
authors.initials: M
authors.lastname: Berger
authors.affiliation: Departamento de Urologia, Hospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS, Brasil.
authors.forename: Tiago
authors.initials: T
authors.lastname: Bortolini
authors.affiliation: Departamento de Urologia, Hospital das Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS, Brasil.
authors.forename: Brasil Silva
authors.initials: BS
authors.lastname: Neto
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011184:Postoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000706:statistics & numerical data*; D057566:Self Report / Q000592:standards*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D014554:Urination / Q000502:physiology; D055815:Young Adult
keywords: Quality of Life; Surveys and Questionnaires; Urethral Stricture 