Male urethral strictures: A national survey among urologists in Italy

Enzo Palminteri, Serena Maruccia, Elisa Berdondini, Giovanni Battista Di Pierro, Omid Sedigh, Francesco Rocco

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objective To determine national practice patterns in the management of male urethral strictures among Italian urologists. Methods We conducted a survey using a nonvalidated questionnaire mailed to 700 randomly selected Italian urologists. Data were registered into a database and extensively evaluated. Analysis was performed using SAS statistical software (version 9.2). Statistical significance was defined as P ≤.05. Results A total of 523 (74.7%) urologists completed the questionnaire. Internal urethrotomy and dilatation were the most frequently used procedures (practiced by 81.8% and 62.5% of responders, respectively), even if most urologists (71.5%) considered internal urethrotomy appropriate only for strictures no longer than 1.5 cm; 12% of urologists declared to use stents. Overall, minimally invasive techniques were performed more frequently that any open urethroplasty (P =.012). Particularly, 60.8% of urologists did not perform urethroplasty surgery, 30.8% performed 1-5 urethroplasties yearly, and only 8.4% performed >5 urethroplasty surgeries yearly. The most common urethroplasty surgery was one-stage graft technique, particularly using oral mucosa and ventrally placed. Diagnostic workup and outcome assessment varied greatly. Conclusion In Italy, minimally invasive procedures are the most commonly used treatment for urethral stricture disease. Only a minimal part of urologists perform urethroplasty surgery and only few cases per year. The most preferred techniques are not traditional anastomotic procedures but graft urethroplasties using oral mucosa; the graft is preferably ventrally placed rather than dorsally. There is no uniformity in the methods used to evaluate urethral stricture before and after treatment.

Original languageEnglish
Pages (from-to)477-482
Number of pages6
JournalUrology
Volume83
Issue number2
DOIs
Publication statusPublished - Feb 2014

Fingerprint

Urethral Stricture
Italy
Mouth Mucosa
Transplants
Urethral Diseases
Urologists
Surveys and Questionnaires
Stents
Dilatation
Pathologic Constriction
Software
Outcome Assessment (Health Care)
Databases
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Palminteri, E., Maruccia, S., Berdondini, E., Di Pierro, G. B., Sedigh, O., & Rocco, F. (2014). Male urethral strictures: A national survey among urologists in Italy. Urology, 83(2), 477-482. https://doi.org/10.1016/j.urology.2013.10.043

Male urethral strictures : A national survey among urologists in Italy. / Palminteri, Enzo; Maruccia, Serena; Berdondini, Elisa; Di Pierro, Giovanni Battista; Sedigh, Omid; Rocco, Francesco.

In: Urology, Vol. 83, No. 2, 02.2014, p. 477-482.

Research output: Contribution to journalArticle

Palminteri, E, Maruccia, S, Berdondini, E, Di Pierro, GB, Sedigh, O & Rocco, F 2014, 'Male urethral strictures: A national survey among urologists in Italy', Urology, vol. 83, no. 2, pp. 477-482. https://doi.org/10.1016/j.urology.2013.10.043
Palminteri E, Maruccia S, Berdondini E, Di Pierro GB, Sedigh O, Rocco F. Male urethral strictures: A national survey among urologists in Italy. Urology. 2014 Feb;83(2):477-482. https://doi.org/10.1016/j.urology.2013.10.043
Palminteri, Enzo ; Maruccia, Serena ; Berdondini, Elisa ; Di Pierro, Giovanni Battista ; Sedigh, Omid ; Rocco, Francesco. / Male urethral strictures : A national survey among urologists in Italy. In: Urology. 2014 ; Vol. 83, No. 2. pp. 477-482.
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