The use and efficacy of the American Urological Association Symptom Index in assessing the outcome of urethroplasty for post‐traumatic complete posterior urethral strictures

• Published in: BJU international 2001-09, Vol.88 (4), p.382-384
• Main Authors: Aydos, M.M., Memis, A., Yakupoglu, Y.K., Ozdal, O.L., Oztekin, V.
• Format: Article
• Language: English
• Subjects: Adult; AUA Symptom Index; Biological and medical sciences; Humans; Male; Medical sciences; Middle Aged; outcome assessment; Recurrence; Severity of Illness Index; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Treatment Outcome; Urethra - injuries; Urethral Obstruction - diagnosis; Urethral Obstruction - etiology; Urethral Obstruction - surgery; urethral stricture; Urinary Catheterization - methods; Urinary Diversion - methods
• ISSN: 1464-4096; 1464-410X
• DOI: 10.1046/j.1464-410X.2001.02343.x

Objective To determine if the American Urological Association (AUA) Symptom Index is an accurate and reliable instrument for use in assessing the outcome after urethroplasty. Patients and methods The AUA Symptom Index questionnaire was answered by 33 men (mean age 31.3 years) who underwent end‐to‐end urethral reconstruction after complete urethral disruption; the index was completed at a mean of 6 months after surgery. The scores were then correlated with maximum flow rates (Qmax) and presence of re‐stenosis on retrograde urethrography. Results The initial mean (sd) AUA score was 10.42 (9.6) and the Qmax 22.12 (9.37) mL/s. Of the 33 patients, six (18%) had re‐stenosis, with a mean score of 30 and Qmax of 6 mL/s. There was a significant inverse correlation between the AUA symptom score and Qmax (r = − 0.401, P