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

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‐en...

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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.
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container_start_page 382
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creator Aydos, M.M.
Memis, A.
Yakupoglu, Y.K.
Ozdal, O.L.
Oztekin, V.
description 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 
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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 &lt; 0.05). Conclusion The AUA Symptom Index is inversely correlated with Qmax and may indicate the presence of re‐stenosis after urethroplasty. The AUA score can thus be used as a cost‐effective and easy method in the first‐line screening of the outcome of urethroplasty.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1046/j.1464-410X.2001.02343.x</identifier><identifier>PMID: 11564026</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>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</subject><ispartof>BJU international, 2001-09, Vol.88 (4), p.382-384</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3943-1a235bc7f660972338c1357cb79cb339fc1e6d57106ec1a0461e63596e2d642b3</citedby><cites>FETCH-LOGICAL-c3943-1a235bc7f660972338c1357cb79cb339fc1e6d57106ec1a0461e63596e2d642b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1145903$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11564026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aydos, M.M.</creatorcontrib><creatorcontrib>Memis, A.</creatorcontrib><creatorcontrib>Yakupoglu, Y.K.</creatorcontrib><creatorcontrib>Ozdal, O.L.</creatorcontrib><creatorcontrib>Oztekin, V.</creatorcontrib><title>The use and efficacy of the American Urological Association Symptom Index in assessing the outcome of urethroplasty for post‐traumatic complete posterior urethral strictures</title><title>BJU international</title><addtitle>BJU Int</addtitle><description>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 &lt; 0.05). Conclusion The AUA Symptom Index is inversely correlated with Qmax and may indicate the presence of re‐stenosis after urethroplasty. The AUA score can thus be used as a cost‐effective and easy method in the first‐line screening of the outcome of urethroplasty.</description><subject>Adult</subject><subject>AUA Symptom Index</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>outcome assessment</subject><subject>Recurrence</subject><subject>Severity of Illness Index</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Treatment Outcome</subject><subject>Urethra - injuries</subject><subject>Urethral Obstruction - diagnosis</subject><subject>Urethral Obstruction - etiology</subject><subject>Urethral Obstruction - surgery</subject><subject>urethral stricture</subject><subject>Urinary Catheterization - methods</subject><subject>Urinary Diversion - methods</subject><issn>1464-4096</issn><issn>1464-410X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqNkUuO1DAQhiMEYoaBKyAvELsOduw4nQWLZsRj0EgsmJbYWY5TnnEriYPL0XR2HIGbcCdOgtPdPJasXI-v6rfqzzLCaM6okK92ORNSrASjX_KCUpbTggue7x9k538aD3_HtJZn2RPEXQKFlOXj7IyxUgpayPPsx80dkAmB6KElYK0z2szEWxJTfdNDSIWBbIPv_G0KO7JB9Mbp6PxAPs_9GH1ProYW9sQNRCMCohtuD-N-isb3sGybAsS74MdOY5yJ9YGMHuPPb99j0FOfthmS0LGDCIdO0k3McSqJYkz_iCnFp9kjqzuEZ6f3Itu-e3tz-WF1_en91eXmemV4LfiK6YKXjamslLSuCs7XhvGyMk1Vm4bz2hoGsi0rRiUYptNNU87LWkLRSlE0_CJ7edw7Bv91Aoyqd2ig6_QAfkJVMbamRVUncH0ETfCIAawag-t1mBWjajFL7dTig1o8UYtZ6mCW2qfR5yeNqemh_Tt4cicBL06AxnR7G_RgHP7DibKmPGGvj9i962D-b3315uN2ifgvZ7W1KQ</recordid><startdate>200109</startdate><enddate>200109</enddate><creator>Aydos, M.M.</creator><creator>Memis, A.</creator><creator>Yakupoglu, Y.K.</creator><creator>Ozdal, O.L.</creator><creator>Oztekin, V.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200109</creationdate><title>The use and efficacy of the American Urological Association Symptom Index in assessing the outcome of urethroplasty for post‐traumatic complete posterior urethral strictures</title><author>Aydos, M.M. ; Memis, A. ; Yakupoglu, Y.K. ; Ozdal, O.L. ; Oztekin, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3943-1a235bc7f660972338c1357cb79cb339fc1e6d57106ec1a0461e63596e2d642b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>AUA Symptom Index</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>outcome assessment</topic><topic>Recurrence</topic><topic>Severity of Illness Index</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Treatment Outcome</topic><topic>Urethra - injuries</topic><topic>Urethral Obstruction - diagnosis</topic><topic>Urethral Obstruction - etiology</topic><topic>Urethral Obstruction - surgery</topic><topic>urethral stricture</topic><topic>Urinary Catheterization - methods</topic><topic>Urinary Diversion - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aydos, M.M.</creatorcontrib><creatorcontrib>Memis, A.</creatorcontrib><creatorcontrib>Yakupoglu, Y.K.</creatorcontrib><creatorcontrib>Ozdal, O.L.</creatorcontrib><creatorcontrib>Oztekin, V.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aydos, M.M.</au><au>Memis, A.</au><au>Yakupoglu, Y.K.</au><au>Ozdal, O.L.</au><au>Oztekin, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use and efficacy of the American Urological Association Symptom Index in assessing the outcome of urethroplasty for post‐traumatic complete posterior urethral strictures</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2001-09</date><risdate>2001</risdate><volume>88</volume><issue>4</issue><spage>382</spage><epage>384</epage><pages>382-384</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><abstract>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 &lt; 0.05). Conclusion The AUA Symptom Index is inversely correlated with Qmax and may indicate the presence of re‐stenosis after urethroplasty. The AUA score can thus be used as a cost‐effective and easy method in the first‐line screening of the outcome of urethroplasty.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>11564026</pmid><doi>10.1046/j.1464-410X.2001.02343.x</doi><tpages>3</tpages></addata></record>
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source Wiley-Blackwell Read & Publish Collection
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
title The use and efficacy of the American Urological Association Symptom Index in assessing the outcome of urethroplasty for post‐traumatic complete posterior urethral strictures
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