Objective:

To evaluate long-term outcomes of anterior urethroplasty surgeries using anatomical, functional, symptom-related, and need for reintervention criteria for success, and to assess the progression of asymptomatic anatomical recurrences to predict future treatment needs.

Key Findings:

• A total of 138 patients were included with a mean follow-up of 35 months.
• Variability in success rates was observed based on the criteria used for evaluation, particularly between anatomical and functional measures.
• One-third of anatomical recurrences were asymptomatic after one year.

Interpretation:

The study highlights the complexity of defining success after urethroplasty and the importance of considering multiple outcome measures, including patient-reported outcomes.

Limitations:

• The study focused only on male patients, limiting generalizability.
• Follow-up duration varied, potentially affecting outcome assessment.
• Operator variability in uroflowmetry may influence functional success rates, particularly in relation to patient-specific factors.

Conclusion:

A comprehensive approach to evaluating outcomes after anterior urethroplasty, including patient-reported outcomes, is essential for better predicting the need for future interventions.