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Scandinavian Urethroplasty Study

Scandinavian Urethroplasty Study. A Multicentre, Prospective, Randomized Study Comparing Bulbar Urethroplasty With Excision and Primary Anastomosis or With an Onlay Grafting Procedure Using Buccal Mucosa.

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02321670
Acronym
SUPS
Enrollment
151
Registered
2014-12-22
Start date
2015-09-30
Completion date
2021-02-15
Last updated
2021-11-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urethral Stricture

Keywords

operative technique

Brief summary

A multicentre, prospective, randomized study comparing bulbar urethroplasty with excision and primary anastomosis or with an onlay grafting procedure using buccal mucosa.

Detailed description

The study is a prospective, randomized study to compare two common techniques of urethroplasty used to treat bulbar urethral strictures. One technique is excision of the stricture and end-to-end anastomosis of the urethra. The other technique is an onlay grafting procedure with buccal mucosa where the corpus spongiosum is not divided. The study is designed to compare complications of sexual and penile function, and is not powered to compare the success rates of the two techniques. The primary endpoint will be degree of erectile dysfunction and penile complications. The secondary endpoint will be restricturing leading to reoperation, and other complications.

Interventions

PROCEDUREEnd-to-end

Excision of the stricture and end-to-end anastomosis of the urethra.

PROCEDUREGraft

Incision of stricture and grafting procedure with buccal mucosa where the corpus spongiosum is not divided

Sponsors

Sahlgrenska University Hospital
CollaboratorOTHER
Region Örebro County
CollaboratorOTHER
Helsinki University Central Hospital
CollaboratorOTHER
Oslo University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

Patient with bulbar urethral stricture, length estimated by urethrography or endoscopy ≤ 2 cm Patient is able and willing to sign informed consent Patient is able and willing to complete all study requirements

Exclusion criteria

Previous open urethroplasty Previous hypospadia surgery Previous surgery for congenital curvature or Mb Peyronie Previous pelvic irradiation therapy Known grave psychiatric disorder Haemophilia or other clotting disorders that cause bleeding diathesis Use of medication to increase erectile function, such as PDE5-inhibitors and intracavernous injections, during the study Any condition or situation, which, in the investigator's opinion, puts the patient at significant risk, could confound the study results, or may interfere significantly with the patient's participation in the study

Design outcomes

Primary

MeasureTime frameDescription
Degree of erectile dysfunction after surgeryup to one yearMeasured by changes in IIEF-5
Penile complicationsup to one yearMeasured by questionnaire made for this study

Secondary

MeasureTime frame
Occurrence of failure within the follow up periodOne year
Occurrence of complicationsFrom operation to one year

Countries

Finland, Norway, Sweden

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026