Endoscopic Management of Urethral Stricture Disease and Bladder Neck Contractures

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

This section aims to review general principles of endoscopic management of urethral stricture disease and posterior urethral stenosis, with a special focus on the indications for treatment and technical aspects of urethral dilation and internal incision.

Related collections

Most cited references 27

Record: found
Abstract: found
Article: not found

Etiology of urethral stricture disease in the 21st century.

Nicolaas Lumen, Piet Hoebeke, Pieter Willemsen … (2009)

We determined the current etiology of urethral stricture disease in the developed world and whether there are any differences in etiology by patient age and stricture site. Between January 2001 and August 2007 we prospectively collected a database on 268 male patients with urethral stricture disease who underwent urethroplasty at a referral center. The database was analyzed for possible cause of stricture and for previous interventions. Subanalysis was done for stricture etiology by patient age and stricture site. The most important causes were idiopathy, transurethral resection, urethral catheterization, pelvic fracture and hypospadias surgery. Overall iatrogenic causes (transurethral resection, urethral catheterization, cystoscopy, prostatectomy, brachytherapy and hypospadias surgery) were the etiology in 45.5% of stricture cases. In patients younger than 45 years the main causes were idiopathy, hypospadias surgery and pelvic fracture. In patients older than 45 years the main causes were transurethral resection and idiopathy. In cases of penile urethra hypospadias surgery idiopathic stricture, urethral catheterization and lichen sclerosus were the main causes, while in the bulbar urethra idiopathic strictures were most prevalent, followed by strictures due to transurethral resection. The main cause of multifocal/panurethral anterior stricture disease was urethral catheterization, while pelvic fracture was the main cause of posterior urethral strictures. Of strictures treated with urethroplasty today iatrogenic causes account for about half of the urethral stricture cases in the developed world. In about 1 of 3 cases no obvious cause could be identified. The etiology is significantly different in younger vs older patients and among stricture sites.

0 comments Cited 75 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Male Urethral Stricture: American Urological Association Guideline.

Richard Santucci, Andrew C. Peterson, James Reston … (2017)

The purpose of this Guideline is to provide a clinical framework for the diagnosis and treatment of male urethral stricture.

0 comments Cited 70 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Urethrotomy has a much lower success rate than previously reported.

Richard Santucci, Lauren Eisenberg (2010)

We evaluated the success rate of direct vision internal urethrotomy as a treatment for simple male urethral strictures. A retrospective chart review was performed on 136 patients who underwent urethrotomy from January 1994 through March 2009. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth and fifth urethrotomy. Patients with complex strictures (36) were excluded from the study for reasons including previous urethroplasty, neophallus or previous radiation, and 24 patients were lost to followup. Data were available for 76 patients. The stricture-free rate after the first urethrotomy was 8% with a median time to recurrence of 7 months. For the second urethrotomy stricture-free rate was 6% with a median time to recurrence of 9 months. For the third urethrotomy stricture-free rate was 9% with a median time to recurrence of 3 months. For procedures 4 and 5 stricture-free rate was 0% with a median time to recurrence of 20 and 8 months, respectively. Urethrotomy is a popular treatment for male urethral strictures. However, the performance characteristics are poor. Success rates were no higher than 9% in this series for first or subsequent urethrotomy during the observation period. Most of the patients in this series will be expected to experience failure with longer followup and the expected long-term success rate from any (1 through 5) urethrotomy approach is 0%. Urethrotomy should be considered a temporizing measure until definitive curative reconstruction can be planned. 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

0 comments Cited 56 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (nlm-ta): J Endourol

Journal ID (iso-abbrev): J. Endourol

Journal ID (publisher-id): end

Title: Journal of Endourology

Publisher: Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA )

ISSN (Print): 0892-7790

ISSN (Electronic): 1557-900X

Publication date (Print): May 2020

Publication date (Electronic): 26 May 2020

Publication date PMC-release: 26 May 2020

Volume: 34

Issue: Suppl 1

Pages: S-7-S-12

Affiliations

[1]Department of Urology, University of California, Irvine, Orange, California, USA.

Author notes

[*]Address correspondence to: Joel Gelman, MD, Department of Urology, University of California, Irvine 333 City Blvd. W #2100, Orange, CA 92868, USA jgelman@ 123456uci.edu

Article

Publisher ID: 10.1089/end.2018.0317

DOI: 10.1089/end.2018.0317

PMC ID: 7249473

SO-VID: 1dc19647-d344-415b-9006-743133973f73

License:

This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are cited.

Endoscopic Management of Urethral Stricture Disease and Bladder Neck Contractures

Read this article at

Abstract

Related collections

Alternative approaches to Alzheimer's Disease

Most cited references 27

Etiology of urethral stricture disease in the 21st century.

Male Urethral Stricture: American Urological Association Guideline.

Urethrotomy has a much lower success rate than previously reported.

Author and article information

Journal

Affiliations

Author notes

Article

History

Page count

Categories

Comments

Comment on this article

Similar content 43

Cited by 2

Most referenced authors 224