Endoscopic Management of Urethral Stricture: Review and Practice Algorithm for Management of Male Urethral Stricture Disease.

Abstract:

PURPOSE OF REVIEW:Male urethral stricture disease is characterized by the formation of scar tissue within the urethra resulting in lower urinary tract symptoms, infection, and potentially kidney dysfunction. There is significant variability in clinical practice for the treatment of urethral stricture. We sought to summarize the known data on endoscopic management of urethral stricture disease as part of this larger edition on urethral stricture management. RECENT FINDINGS:Older studies quoted high rates of success with endoscopic management of urethral stricture, including repeated DVIU. There is now evidence to support a limited role of endoscopic intervention in the management of urethral stricture, and especially strong evidence that repeated endoscopic procedures are not effective. There is poor evidence to support the long-term efficacy of endoscopic urethral stricture management. Furthermore, novel advances in adjunctive therapies have not yet demonstrated durable patency. We discuss the limited role of endoscopic management and suggest an algorithm for its use in stricture management.

journal_name

Curr Urol Rep

journal_title

Current urology reports

authors

Shaw NM,Venkatesan K

doi

10.1007/s11934-018-0771-6

subject

Has Abstract

pub_date

2018-02-26 00:00:00

pages

19

issue

3

eissn

1527-2737

issn

1534-6285

pii

10.1007/s11934-018-0771-6

journal_volume

19

pub_type

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