Urethral stricture disease is a very heterogeneous condition where different urethral segments can be involved as a result of diverse etiologies which come with variable prognosis. The surgical management of urethral strictures, and in particular urethroplasties can result in very diverse outcomes on many levels and, currently, there is absolutely no consensus about what should and what should not be considered a "success" after urethral surgery. In the wake of well-established quality criteria in urologic oncology, such as tri- or pentafecta outcomes, and given the lack of agreement on meaningful outcomes after urethral surgery, we aim to introduce our study protocol as the first step of a multistep research endeavor to reach consensus on comprehensive urethroplasty outcomes within a novel conceptual framework: the "stricture-fecta criteria". The development of stricture-fecta will be based on a Delphi consensus involving some of worldwide most influencing reconstructive urologists.
Research and reports in urology. 2022 Dec 19*** epublish ***
Guglielmo Mantica, Wesley Verla, Andrea Cocci, Mikołaj Frankiewicz, Jan Adamowicz, Felix Campos-Juanatey, Clemens M Rosenbaum, Marjan Waterloos, Luis A Kluth, Malte W Vetterlein, Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists
IRCCS Ospedale Policlinico San Martino, Genova, Italy., Department of Urology, Ghent University Hospital, Ghent, Belgium., Department of Urology and Andrology, Careggi Hospital, University of Florence, Florence, Italy., Department of Urology, Medical University of Gdańsk, Gdańsk, Poland., Department of Regenerative Medicine, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland., Andrology and Reconstructive Urology Unit, Marques de Valdecilla University Hospital, IDIVAL, Santander, Spain., Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany., Department of Urology, Division of Reconstructive Urology, Ghent University Hospital, Ghent, Belgium., Department of Urology, University Medical Center Frankfurt, Frankfurt/Main, Germany., Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.