[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-440805-105":59,"doc-detail-440805-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","toward-standardized-outcome-reporting-in-urethral-reconstruction-development-of-the-stricture-fecta-brief-correspondence","Toward Standardized Outcome Reporting in Urethral Reconstruction - Development of the Stricture-fecta - Brief Correspondence","","Treatment success after urethral reconstruction remains poorly standardized, leading to heterogeneous outcome reporting and limited comparability across studies. To close this gap, the study developed a consensus-based, reproducible surgical success framework called the stricture-fecta. A two-round international modified Delphi process invited 113 experts and used a 9-point Likert scale to define consensus thresholds. Final agreement identified three core criteria: retreatment-free status, no significant continence or sexual-function impact assessed with validated instruments, and patient satisfaction.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/toward-standardized-outcome-reporting-in-urethral-reconstruction-development-of-the-stricture-fecta-brief-correspondence/440805/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/toward-standardized-outcome-reporting-in-urethral-reconstruction-development-of-the-stricture-fecta-brief-correspondence/440805.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is standardized outcome reporting after urethral reconstruction needed?","Question",{"text":113,"@type":114},"Treatment success definitions are not universally standardized, creating heterogeneous reporting and reducing comparability across studies. This also limits transparency, reproducibility, and objective evaluation.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the stricture-fecta framework developed?",{"text":118,"@type":114},"A two-round international modified Delphi consensus process was conducted with 113 experts using a 9-point Likert scale. Consensus required specific response thresholds for ratings.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the three final criteria of surgical success in the stricture-fecta?",{"text":122,"@type":114},"Surgical success requires freedom from stricture retreatment, no significant effect on continence or sexual function assessed with validated instruments, and patient satisfaction.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},440805,1790800842,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","EUROPEAN U ROLOGY OPEN SC IEN C E 8 3 ( 202 6 ) 120 – 1 24  \navailable [at www.sciencedirect. com](at www.sciencedirect. com)  \njournal [homepage: www.eu-openscience.europeanurology.com](homepage: www.eu-openscience.europeanurology.com)  \n| Brief Correspondence\u003Cbr>Toward Standardized Outcome Reporting in Urethral Reconstruction: Development of the ‘‘Stricture-fecta’’ Through an International Modified Delphi Consensus\u003Cbr>Guglielmo Manticaa,b, Wesley Verlac, Mikołaj Frankiewicz d, Andrea Cocci e, Francesco Chierigof,Łukasz Białekg, Franc¸ois-Xavier Madech, Maciej Oszczudłowski g, Felix Campos-Juanateyi, Paul Neuvillej, Clemens M. Rosenbaum k, Elaine J. Redmond l, Marjan Waterloosc,m,\u003Cbr>Malte W. Vetterleinn,*for the Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists and the Stricture-fecta Delphi Consensus Panel\u003Cbr>a IRCCS Ospedale Policlinico San Martino, Genova, Italy; b Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy; c Department of Urology, Ghent University Hospital, Ghent, Belgium; d Department of Urology, Medical University of Gdask, Gdask, Poland; e Department of Urology and Andrology, Careggi Hospital, University of Florence, Florence, Italy; f Department of Urology, San Paolo Hospital, Milan, Italy; g Department of Urology, Centre for Postgraduate Medical Education, Warsaw, Poland; h Service d’Urologie, Hôpital Foch, Suresnes, France; iAndrology and Reconstructive Urology Unit, Marqués de Valdecilla University Hospital, School of Medicine, Cantabria University, IDIVAL, Santander, Spain; jDepartment of Urology, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France; k Department of Urology, Asklepios Paulinen Hospital Wiesbaden, Wiesbaden, Germany; l Department of Urology, Cork University Hospital, Cork, Ireland; m Department of Urology, AZ Maria Middelares, Ghent, Belgium; n Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany |  |\n| --- | --- |\n| Article info | Abstract\u003Cbr>Treatment success after urethral reconstruction remains poorly standardized, resulting in heterogeneous outcome reporting and limited comparability across studies. To address this gap, we aimed to establish a consensus-based, reproducible definition of surgical success through the development of a novel outcome framework: the stricture-fecta. A two-round Delphi process was conducted under the auspices of the European Association of Urology (EAU) Young Academic Urologists—Trauma and Reconstructive Urology Working Party. A total of 113 international experts in urethral reconstruction were invited to assess the potential outcome criteria using a 9-point Likert scale. Consensus was defined as a rating of 7–9 by 70% and 1–3 by 15% of respondents. Eighty-seven (77%) experts completed round 1, and 65 (75%) participated in round 2. The final consensus identified three core criteria: (1) freedom from stricture retreatment; (2) no significant impact on continence or sexual function, assessed with validated instruments; and (3) patient satisfaction. The stricture-fecta represents a step toward\u003Cbr> Trauma and Reconstructive Urology Working Party of the European Association of Urology Young Academic Urologists and the Stricture-fecta Delphi Consensus Panel collaborators are listed in the Acknowledgements.\u003Cbr>*\u003Cbr>Corresponding author. Department of Urology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany. Tel. +49 40 7410 53445; Fax: +49 40 7410 42444.\u003Cbr>E-mail [address:](address: m.vetterlein@uke.de)[ m.vetterlein@uke.de](address: m.vetterlein@uke.de) (M.W. Vetterlein).  |\n| Article history:\u003Cbr>Accepted November 21, 2025\u003Cbr>Associate Editor:\u003Cbr>Guillaume Ploussard |  |\n| Keywords:\u003Cbr>Consensus\u003Cbr>Patient-reported outcome measures\u003Cbr>Treatment outcome Trifecta\u003Cbr>Urethral stricture Urethroplasty |  |\n|  |  |\n\n[https://doi.org/10.1016/j.euros.2025.11.008](https://doi.org/10.1","cbCaiplVgc4DRbeK","https://ap.wps.com/l/cbCaiplVgc4DRbeK","pdf",551208,"English","# Article info\n## Abstract\n## Article history\n## Keywords","[{\"question\":\"Why is standardized outcome reporting after urethral reconstruction needed?\",\"answer\":\"Treatment success definitions are not universally standardized, creating heterogeneous reporting and reducing comparability across studies. This also limits transparency, reproducibility, and objective evaluation.\"},{\"question\":\"How was the stricture-fecta framework developed?\",\"answer\":\"A two-round international modified Delphi consensus process was conducted with 113 experts using a 9-point Likert scale. Consensus required specific response thresholds for ratings.\"},{\"question\":\"What are the three final criteria of surgical success in the stricture-fecta?\",\"answer\":\"Surgical success requires freedom from stricture retreatment, no significant effect on continence or sexual function assessed with validated instruments, and patient satisfaction.\"}]","Toward Standardized Outcome Reporting in Urethral Reconstruction - Development of the Stricture-fecta - Brief Correspondence | PDF",1790693418,13]