Urethral Stricture Disease Guideline Amendment (2023)

作者：H. Wessells, A. Morey, Lesley H. Souter, Leila L. Rahimi, A. Vanni · 发表于：Journal of Urology · 年份：2023 · DOI：10.1097/ju.0000000000003482 · 被引用次数：120 · 研究领域：Medicine

Purpose: The symptoms of urethral stricture are non-specific and may overlap with other common conditions that can confound diagnosis. Urologists play a key role in the initial evaluation of urethral stricture, currently provide all accepted treatments, and must be familiar with the evaluation, diagnostic tests, and surgical treatments for urethral stricture. Materials and Methods: A systematic review of the literature using the Pubmed, Embase, and Cochrane databases (search dates January 1, 1990 to January 12, 2015) was conducted to identify peer-reviewed publications relevant to the diagnosis and treatment of urethral stricture in men. The review yielded an evidence base of 250 articles after application of inclusion/exclusion criteria. The search for the 2023 Amendment was modified to included females and males (search dates December 2015—October 2022 for males; January 1990—October 2022 for females) and a new Key Question on sexual dysfunction was added (search dates: January 1990—10/2022). After inclusion and exclusion criteria were applied, 81 studies were added to the existing evidence base. Results: Once a urethral stricture is diagnosed, clinicians should determine the length and location of the stricture in order to inform treatment. After a period of urethral rest, patients with short (<2cm) bulbar urethral stricture may be treated endoscopically. Urethroplasty may be performed by an experienced surgeon in patients with first time or recurrent anterior and posterio...