Current opinion in urology · 2026
Standardizing outcomes in urethral stricture surgery: beyond anatomic patency.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chierigo Francesco, Saccucci Tommaso, Mantica Guglielmo, Trauma, Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists
Аннотация
PURPOSE OF REVIEW: Outcome assessment after urethral stricture surgery remains inconsistent, with success traditionally defined by anatomical patency or absence of reintervention. Growing recognition of discordance between objective findings and patient experience has made it necessary to re-evaluate how outcomes are measured. This review explores contemporary approaches to defining success and highlights the need for standardized, patient-centered endpoints.
RECENT FINDINGS: Current literature shows that anatomical and objective functional measures alone fail to capture the complexity of postoperative recovery. Patient-reported outcome measures have gained increasing importance, revealing persistent urinary symptoms, sexual dysfunction, and quality-of-life impairment despite technically successful reconstruction. Functional outcomes such as storage symptoms, ejaculatory changes, and perceived penile alterations are increasingly recognized as key determinants of satisfaction. Emerging composite outcomes aim to integrate anatomical, functional, and patient-reported domains into a unified framework.
SUMMARY: Outcome evaluation in urethral stricture surgery is shifting toward multidimensional assessment that prioritizes patient perception alongside traditional metrics. Standardized composite endpoints may improve comparability across studies, support shared decision-making, and better align surgical success with patient expectations.
RECENT FINDINGS: Current literature shows that anatomical and objective functional measures alone fail to capture the complexity of postoperative recovery. Patient-reported outcome measures have gained increasing importance, revealing persistent urinary symptoms, sexual dysfunction, and quality-of-life impairment despite technically successful reconstruction. Functional outcomes such as storage symptoms, ejaculatory changes, and perceived penile alterations are increasingly recognized as key determinants of satisfaction. Emerging composite outcomes aim to integrate anatomical, functional, and patient-reported domains into a unified framework.
SUMMARY: Outcome evaluation in urethral stricture surgery is shifting toward multidimensional assessment that prioritizes patient perception alongside traditional metrics. Standardized composite endpoints may improve comparability across studies, support shared decision-making, and better align surgical success with patient expectations.