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EDITORIAL COMMENT

  • Hunter Wessells
    Correspondence
    Address correspondence to: Hunter Wessells, M.D., F.A.C.S., Professor and Nelson Chair in Urology, University of Washington, School of Medicine.
    Affiliations
    Professor and Nelson Chair in Urology, University of Washington, School of Medicine, Seattle, Washington, USA
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      The authors test the hypothesis that African American (AA) race confers a lower success rate on urethral reconstruction for stricture using a retrospective case series design. Detailed preoperative stricture information show that Caucasian (CA) and AA patients have similar stricture length and undergo equivalent surgical reconstructions (eg anastomotic versus substitution urethroplasty). The ability to answer questions about disparate outcomes depends on a sufficient number of events (eg complications or stricture recurrences) and the authors are hampered by their own success. With an equal and low recurrence rate amongst CA and AA patients, it us very unlikely that race is contributing a large amount of variance. Only vastly larger numbers in each group would provide the statistical power for the authors to conclude that there is smaller, and thus harder to detect, effect of race on these outcomes.
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