Behzad Abbasi1, Nathan M Shaw1, Jason L Lui1, Kevin D Li1, Patrick Low1, Nizar Hakam1, Behnam Nabavizadeh1, Benjamin N Breyer2,3. 1. Department of Urology, University of California San Francisco, 1001 Potrero Suite 3A, San FranciscoSan Francisco, CA, 94110, USA. 2. Department of Urology, University of California San Francisco, 1001 Potrero Suite 3A, San FranciscoSan Francisco, CA, 94110, USA. Benjamin.Breyer@ucsf.edu. 3. Department of Epidemiology and Biostatistics, University of California San Franciscom, 1001 Potrero Suite 3A, San Francisco, CA, 94110, USA. Benjamin.Breyer@ucsf.edu.
Abstract
PURPOSE: We aimed to provide a detailed comparison between the American Urologic Association (AUA), Société Internationale d'Urologie (SIU), and the European Association of Urology (EAU) guidelines on the evaluation, management, and follow-up of the patients with anterior urethral stricture disease (USD). METHODS: The urethral stricture guidelines from SUI, AUA, and EAU were collected and evaluated regarding the recommendations on diagnosis, evaluation, and treatment of anterior USD. The strength of evidence for each statement was included and discussed when guidelines differed. RESULTS: While the guidelines remarkably align in terms of the diagnostic workup and follow-up, there is discordance in the management of anterior urethral strictures, specifically for the use of endoscopic treatment and stenting. Further, the EAU offers more comprehensive recommendations regarding urethroplasty techniques and patient follow-up. The EAU guidelines are the most recent and first to offer guidance for USD in transgender people and women. CONCLUSION: Reconstructive urology is a rapidly adapting field, and best practices change accordingly. Guideline statements have become more inclusive and expansive but will require further research to improve the level of evidence and continue to provide patients and providers with the best treatment plans.
PURPOSE: We aimed to provide a detailed comparison between the American Urologic Association (AUA), Société Internationale d'Urologie (SIU), and the European Association of Urology (EAU) guidelines on the evaluation, management, and follow-up of the patients with anterior urethral stricture disease (USD). METHODS: The urethral stricture guidelines from SUI, AUA, and EAU were collected and evaluated regarding the recommendations on diagnosis, evaluation, and treatment of anterior USD. The strength of evidence for each statement was included and discussed when guidelines differed. RESULTS: While the guidelines remarkably align in terms of the diagnostic workup and follow-up, there is discordance in the management of anterior urethral strictures, specifically for the use of endoscopic treatment and stenting. Further, the EAU offers more comprehensive recommendations regarding urethroplasty techniques and patient follow-up. The EAU guidelines are the most recent and first to offer guidance for USD in transgender people and women. CONCLUSION: Reconstructive urology is a rapidly adapting field, and best practices change accordingly. Guideline statements have become more inclusive and expansive but will require further research to improve the level of evidence and continue to provide patients and providers with the best treatment plans.
Authors: Roman Jaeschke; Gordon H Guyatt; Phil Dellinger; Holger Schünemann; Mitchell M Levy; Regina Kunz; Susan Norris; Julian Bion Journal: BMJ Date: 2008-07-31
Authors: Hunter Wessells; Keith W Angermeier; Sean Elliott; Christopher M Gonzalez; Ron Kodama; Andrew C Peterson; James Reston; Keith Rourke; John T Stoffel; Alex J Vanni; Bryan B Voelzke; Lee Zhao; Richard A Santucci Journal: J Urol Date: 2016-08-03 Impact factor: 7.450