Factors Predicting Urethral Stricture Recurrence After Dorsal Onlay Augmented, Buccal Mucosal Graft Urethroplasty

NCT ID: NCT04357080

Last Updated: 2021-01-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-07-15

Study Completion Date

2020-08-29

Brief Summary

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In this observational study, the investigators will evaluate potential risk factors associated with urethral stricture recurrence after augmentation anterior urethroplasty using dorsal onlay buccal mucosal Graft during the past 10 years. Patients' medical files will be reviewed for data relevant to demographics, clinical and operative characteristics. data will be analyzed using the appropriate statistical tests and the independent predictors of urethroplasty outcome will be identified.

Detailed Description

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In this series, the investigators will study different factors related to the stricture and to the patients to identify the independent predictors of urethral stricture recurrence after augmentation anterior urethroplasty using dorsal onlay buccal mucosal graft.

A retrospective review of medical records will be performed to identify patients who underwent augmented anastomotic anterior urethroplasty with dorsal onlay graft at Al-Azhar University Hospitals in Egypt since 2010. Patients will be included only if they were two or more years out of surgery. The data will be recorded without patients' identification.

Data to be collected are patient age, body mass index (BMI), smoking status, diabetes status, overall comorbidity, stricture etiology, prior endoscopic treatment and open urethroplasty, urethral stricture length and location, degree of urethral obliteration, urethral plate width, presence and degree of spongiofibrosis. estimated intraoperative blood loss, catheter size, overall operative time, hospital stay and early postoperative complications.

The diagnosis of urethral stricture recurrence is based on the radiological and endoscopic features of stricture recurrence. Time to recurrence will be calculated from the date of surgery till the date restricture diagnosis.

Univariate and multivariate regression analysis will be performed and factors predicting urethral stricture recurrence will be identified.

Conditions

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Urethral Stricture

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Case

Patients with urethral stricture recurrence

Urethroplasty

Intervention Type PROCEDURE

Augmentation Anterior Urethroplasty Using Dorsal Onlay Buccal Mucosal Graft

Control

Patients with normal, patent urethra

Urethroplasty

Intervention Type PROCEDURE

Augmentation Anterior Urethroplasty Using Dorsal Onlay Buccal Mucosal Graft

Interventions

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Urethroplasty

Augmentation Anterior Urethroplasty Using Dorsal Onlay Buccal Mucosal Graft

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients who will be 2 years or more out of surgery

Exclusion Criteria

* patients with incomplete medical records or follow-up informations
Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role lead

Responsible Party

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Abul-fotouh Ahmed

Professor of Urology and Andrology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Urology Department, Al-Azhar University Hospital

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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Uro_Azhar_4_020

Identifier Type: -

Identifier Source: org_study_id

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