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Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data.

Publication ,  Journal Article
Lacy, JM; Madden-Fuentes, RJ; Dugan, A; Peterson, AC; Gupta, S
Published in: Urology
January 2018

OBJECTIVE: To determine the characteristics and predictors of perioperative complications after male anterior urethroplasty. MATERIALS AND METHODS: The American College of Surgeons-National Surgical Quality Improvement Program is a validated outcomes-based program comprising academic and community hospitals in the United States and Canada. Data from 2007 to 2015 were queried for single-stage anterior urethroplasty using Current Procedure Terminology codes. The primary outcome was frequency of complications within the 30-day postoperative period. Preoperative and intraoperative parameters were correlated with morbidity measures, and univariate and multivariate regression analyses were used. RESULTS: A total of 555 patients underwent anterior urethroplasty, of whom 180 (32.4%) had graft or flap placement. Of the patients, 127 (22.9%) went home the same day after surgery, 255 (45.9%) stayed for 1 night, and 173 (31.2%) stayed for 2 or more nights. No deaths, cardiovascular complications, or sepsis were noted. Forty-seven patients (8.5%) had complications in the 30-day period. The most common complications were infection (57.4%), readmission (42.9%), and return to the operating room (17%). On univariate analysis, patients who had substitution urethroplasty (P = .04) and longer operative times (P = .002) were more likely to have complications, but only longer operative time showed significance on multivariate analysis (P = .006). Age, American Society of Anesthesiologists score, and length of stay were not predictive of complication frequency. CONCLUSION: Anterior urethroplasty has low postoperative morbidity. Longer operative times were associated with increased rate of complications. Longer hospital stay after surgery is not protective against perioperative complications.

Duke Scholars

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

January 2018

Volume

111

Start / End Page

197 / 202

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urologic Surgical Procedures, Male
  • Urethra
  • United States
  • Time Factors
  • Quality Improvement
  • Prospective Studies
  • Postoperative Complications
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lacy, J. M., Madden-Fuentes, R. J., Dugan, A., Peterson, A. C., & Gupta, S. (2018). Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data. Urology, 111, 197–202. https://doi.org/10.1016/j.urology.2017.08.006
Lacy, John M., Ramiro J. Madden-Fuentes, Adam Dugan, Andrew C. Peterson, and Shubham Gupta. “Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data.Urology 111 (January 2018): 197–202. https://doi.org/10.1016/j.urology.2017.08.006.
Lacy JM, Madden-Fuentes RJ, Dugan A, Peterson AC, Gupta S. Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data. Urology. 2018 Jan;111:197–202.
Lacy, John M., et al. “Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data.Urology, vol. 111, Jan. 2018, pp. 197–202. Pubmed, doi:10.1016/j.urology.2017.08.006.
Lacy JM, Madden-Fuentes RJ, Dugan A, Peterson AC, Gupta S. Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data. Urology. 2018 Jan;111:197–202.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

January 2018

Volume

111

Start / End Page

197 / 202

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Urologic Surgical Procedures, Male
  • Urethra
  • United States
  • Time Factors
  • Quality Improvement
  • Prospective Studies
  • Postoperative Complications
  • Middle Aged
  • Male