Urethrogram: Does post-operative contrast extravasation portend stricture recurrence?

Abstract Objective To demonstrate our hypothesis that the presence of extravasation on post-operative urethrogram is inconsequential for disease recurrence in urethroplasty post-operative follow-up. Materials and Methods We utilized the Trauma and Urologic Reconstructive Network of Surgeons (TURNS) database to assess 1691 patients who underwent urethroplasty and post-operative urethrogram. Anatomic and functional recurrence were defined as Results Among 1101 patients with cystoscopy follow-up, 54(4.9%) had extravasation on initial post-operative urethrogram. Among those 54, 74.1% developed an anatomic recurrence versus 13% without extravasation (p Conclusions Post-operative urethrogram has a high specificity but low sensitivity for anatomic and functional recurrence during short term follow-up. The PPV of urinary extravasation is high: patients with extravasation incur a high risk of anatomic recurrence within 1 year and such patients may warrant increased monitoring.