European Association of Urology Guidelines on Urethral Stricture Disease (Part 1): Management of Male Urethral Stricture Disease
| Autor: | Konstantinos Dimitropoulos, Marjan Waterloos, Francesco Esperto, Felix Campos-Juanatey, Wesley Verla, Nicolaas Lumen, Rachel Barratt, Nadir I. Osman, Achilles Ploumidis, Francisco Martins, Silke Riechardt, Garson Chan, Tamsin Greenwell |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Urologic Surgical Procedures Male Urethrotomy Urethral stricture Urology medicine.medical_treatment Urethroplasty 030232 urology & nephrology Constriction Pathologic Disease 03 medical and health sciences 0302 clinical medicine Urethra medicine Humans Urethral Stricture business.industry Evidence-based medicine medicine.disease Erectile dysfunction medicine.anatomical_structure 030220 oncology & carcinogenesis Inclusion and exclusion criteria business |
| Zdroj: | European Urology. 80:190-200 |
| ISSN: | 0302-2838 |
| DOI: | 10.1016/j.eururo.2021.05.022 |
| Popis: | Objective To present a summary of the 2021 version of the European Association of Urology (EAU) guidelines on management of male urethral stricture disease. Evidence acquisition The panel performed a literature review on these topics covering a time frame between 2008 and 2018, and used predefined inclusion and exclusion criteria for the literature to be selected. Key papers beyond this time period could be included as per panel consensus. A strength rating for each recommendation was added based on a review of the available literature and after panel discussion. Evidence synthesis Management of male urethral strictures has extensively been described in literature. Nevertheless, few well-designed studies providing high level of evidence are available. In well-resourced countries, iatrogenic injury to the urethra is one of the most common causes of strictures. Asymptomatic strictures do not always need active treatment. Endoluminal treatments can be used for short, nonobliterative strictures at the bulbar and posterior urethra as first-line treatment. Repetitive endoluminal treatments are not curative. Urethroplasty encompasses a multitude of techniques, and adaptation of the technique to the local conditions of the stricture is crucial to obtain durable patency rates. Conclusions Management of male urethral strictures is complex, and a multitude of techniques are available. Selection of the appropriate technique is crucial, and these guidelines provide relevant recommendations. Patient summary Injury to the urethra by medical interventions is one of the most common reasons of male urethral stricture disease in well-resourced countries. Although different techniques are available to manage urethral strictures, not every technique is appropriate for every type of stricture. These guidelines, developed based on an extensive literature review, aim to guide physicians in the selection of the appropriate technique(s) to treat a specific type of urethral stricture. |
| Databáze: | OpenAIRE |
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