Validating the martini staging system for rectourethral fistula: A meta-analysis of postoperative outcomes.

Title

Validating the martini staging system for rectourethral fistula: A meta-analysis of postoperative outcomes.

Creator

Mishra K;Mahran A;Abboud B;Bukavina L;Elshafei A;Ray A;Fernstrum A;Abboud R;Elgammal M;Zhao LC;Gupta S

Publisher

Urology

Date

2020
2020-09-08

Description

Objective: To validate the Martini staging system for postoperative rectourethral fistula (RUF) utilizing data from previous studies to determine whether it can accurately predict postoperative success rate.; Methods: A systematic search of peer-reviewed studies was conducted through January, 2020. The primary inclusion criteria for the studies were studies that evaluated outcomes based on the etiology of the fistula (ie, radiotherapy/ablation [RA] vs nonradiotherapy/ablation [NRA]). Martini RUF classification was utilized for the subgroup analysis.; Results: Out of 1948 papers, 7 studies with a total of 490 patients (251 in RA vs 239 NRA) were included in this study. Receiving RA increased the risk of permanent bowel diversion by 11.1 folds, eventual fistula recurrence by 9.1 folds, and post-op urinary incontinence (UI) by 2.6 folds. Similarly, compared to a Grade 0 fistula, a Grade I fistula increased the risk of permanent bowel diversion by 9.1 folds, fistula recurrence by 20 folds, and post-op UI by 2.7 folds. There were some valuable variables that were not captured by the Martini classification.; Conclusion: Overall, the Martini classification system is efficacious in stratifying post-op complications from RUF repair based on the grade and etiology; however, it is limited in application. There is an opportunity for the development of more comprehensive staging systems in this domain. (Copyright © 2020 Elsevier Inc. All rights reserved.)

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

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ISSN

1527-9995

NEOMED College

NEOMED College of Medicine Student

NEOMED Department

NEOMED Student Publications

Update Year & Number

September 2020 List

Citation

Mishra K;Mahran A;Abboud B;Bukavina L;Elshafei A;Ray A;Fernstrum A;Abboud R;Elgammal M;Zhao LC;Gupta S, “Validating the martini staging system for rectourethral fistula: A meta-analysis of postoperative outcomes.,” NEOMED Bibliography Database, accessed November 24, 2020, https://neomed.omeka.net/items/show/11288.

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