AUA 2017: Incidence of Stress Incontinence Following Posterior Urethroplasty Among Radiation-Induced Posterior Urethral Stenoses
Boston, MA (UroToday.com) The purpose of this study was to identify the incidence of stress urinary incontinence in patients with radiation-induced urethral strictures who underwent EPA. These patients were compared to those undergoing urethroplasty for pelvic fracture. Seventy-five patients were evaluated and inclusion criteria included intact bladder neck and a successful EPA urethroplasty. Radiation patients were older. The majority of radiation patients had either brachytherapy or brachytherapy and EBRT. Radiation patients had longer strictures and strictures that were located in the prostatic urethra. Thirty-three percent of radiation patients reported SUI versus 12% of pelvic fracture patients. Eighty-seven percent of radiation patients required the use of pads, but only two patients (17%) underwent AUS placement. Location of the stricture is likely a contributing factor to the development of stress urinary incontinence in this population.
Written By: Lisa Parrillo, MD, Genitourinary Reconstructive Surgery Fellow, University of Colorado
at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA