Role of Chronic Suprapubic Tube in the Management of Radiation Induced Urethral Strictures

We examined the role of chronic suprapubic tube drainage in patients with radiation induced urethral stricture disease. A retrospective review was performed of patients undergoing evaluation and treatment of radiation induced urethral stricture. Differences in patient and stricture characteristics a...

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Bibliographic Details
Published in:Urology practice 2017-11, Vol.4 (6), p.479-485
Main Authors: Fuchs, Joceline S, Sheth, Kunj, Viers, Boyd R, Hofer, Matthias D, Pagliara, Travis J, Scott, Jeremy M, Morey, Allen F
Format: Article
Language:English
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Summary:We examined the role of chronic suprapubic tube drainage in patients with radiation induced urethral stricture disease. A retrospective review was performed of patients undergoing evaluation and treatment of radiation induced urethral stricture. Differences in patient and stricture characteristics among those treated with chronic suprapubic tube vs urethral reconstruction were evaluated. Among 75 patients who received suprapubic tube for radiation induced urethral stricture 37 (49%) selected chronic suprapubic tube and 38 (51%) ultimately underwent urethroplasty. Mean age was 70.9 years and mean followup was 25.3 months after suprapubic tube placement. Preoperative stress urinary incontinence improved after suprapubic tube placement in 20 of 33 (61%) patients. Accordingly, men with stress urinary incontinence were significantly more likely to be treated with chronic suprapubic tube (73%) compared to those proceeding to reconstruction (27%, p 
ISSN:2352-0787
DOI:10.1016/j.urpr.2016.10.004