ASCO 2019 ANNUAL MEETING

ASCO 2019 ANNUAL MEETING

INTERVIEW WITH EVAN YU
Management of mCRPC using Sipuleucel-T

VIEW ALL mCRPC VIDEOS

ASCO 2019 ANNUAL MEETING

ASCO 2019 ANNUAL MEETING

INTERVIEW WITH JACOB BERCHUCK & MARY-ELLEN TAPLIN
Genetic Risk in Prostate Cancer

VIEW ALL PROSTATE CANCER VIDEOS

ASCO 2019 ANNUAL MEETING

ASCO 2019 ANNUAL MEETING

INTERVIEW WITH KARIM FIZAZI
ARAMIS Trial in Prostate Cancer: Impact of Darolutamide on Pain and Quality of Life

VIEW ALL nmCRPC VIDEOS

EAU 2019 ANNUAL MEETING

EAU 2019 ANNUAL MEETING

INTERVIEW WITH THOMAS POWLES
Immunotherapy in the Peri-Operative Setting for Bladder Cancer

VIEW ALL BLADDER CANCER VIDEOS

Videos
State-of-the-industry video lectures by leading urology experts
Featured Videos

#AUA14 - Lower urinary tract pain and urethral stricture disease: Incidence and effects of urethral reconstruction - Session Highlights

ORLANDO, FL USA (UroToday.com) - Anterior urethral stricture disease most commonly presents with manifestations of urinary obstruction; lower urinary tract pain (LUTP) is not commonly reported as a presenting symptom. Because pain can be associated with higher healthcare costs, Bertrand and colleagues conducted a prospective study to characterize LUTP in association with urethral stricture disease and assess the effects of urethroplasty on this pain.

auaMen (≥ 18) with anterior urethral stricture disease were prospectively enrolled in a longitudinal, multi-institutional, urethral reconstruction outcomes study (June 2010 – January 2013) as part of the Trauma and Urologic Reconstruction Network of Surgeons. Pre- and post-operative LUTP was assessed via the validated Core Lower Urinary Tract Symptom Score (CLSS). Voiding and sexual function were assessed using multiple validated patient-reported measures, including the International Prostate Symptom Score (IPSS).

A total of 167 men were included in the study. Preoperatively, 118/167 (71%) men reported urethral pain and 68 (41%) reported bladder pain. Age was the only predictor of urethral pain with men ≤ 40 years old reporting more pain than men ≥ 60 (81% vs 58%; p = 0.0104). LUTP was associated with worse quality of life and overall voiding symptoms on the CLSS and IPSS (all p < 0.01). Postoperatively, the majority of men had complete resolution of their LUTP (64% of urethral pain and 73.5% of bladder pain). There were no predictive factors for changes in LUTP after urethral reconstruction.

LUTP is common in urethral stricture disease, especially in younger men, and is associated with worse quality of life and with voiding function. In the majority of men, LUTP improves after urethral reconstruction.

Presented by Laura Bertrand, MD at the American Urological Association (AUA) Annual Meeting- May 16 - 21, 2014 - Orlando, Florida USA

Iowa City, IA USA

Written by Zhamshid Okhunov, MD, University of California (Irvine), and medical writer for UroToday.com

 

Conference Coverage
 
Recent data from conferences worldwide
Journals
Publications focusing on urologic cancer treatments through original manuscripts
Everyday Urology Volume 4 Issue 1

Everyday Urology™ - Oncology Insights

PCAN cover

Prostate Cancer and Prostatic Diseases

From the Editor

E-Newsletters

Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.

Subscribe