Nathan M Shaw1, Krishnan Venkatesan2. 1. Department of Urology, Georgetown University Hospital, 3800 Reservoir Rd NW, PHC 1, Washington, DC, 20037, USA. 2. Department of Urology, Medstar Washington Hospital Center, 110 Irving St NW, Suite 3B-19, Washington, DC, 20010, USA. krishnan.venkatesan@medstar.net.
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.
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.
Entities:
Keywords:
Endoscopic management; Male urethral stricture disease; Urethral stricture; Urosurgery
Authors: Menno A van Leeuwen; Jacob J Brandenburg; Esther T Kok; Peter L M Vijverberg; J L H Ruud Bosch Journal: Eur Urol Date: 2011-03-21 Impact factor: 20.096
Authors: Clemens M Rosenbaum; Marianne Schmid; Tim A Ludwig; Luis A Kluth; Philip Reiss; Roland Dahlem; Oliver Engel; Felix K-H Chun; Silke Riechardt; Margit Fisch; Sascha A Ahyai Journal: World J Urol Date: 2014-11-27 Impact factor: 4.226
Authors: Rachel A Mann; Ramón Virasoro; Jessica M DeLong; Rafael E Estrella; Merycarla Pichardo; Ramón Rodríguez Lay; Gustavo Espino; Joshua D Roth; Sean P Elliott Journal: Can Urol Assoc J Date: 2021-02 Impact factor: 1.862
Authors: Freek P W de Rooij; Femke R M Peters; Brechje L Ronkes; Wouter B van der Sluis; Muhammed Al-Tamimi; R Jeroen A van Moorselaar; Mark-Bram Bouman; Garry L S Pigot Journal: BJU Int Date: 2021-06-17 Impact factor: 5.969