Behzad Abbasi1, Nathan M Shaw1,2, Jason L Lui1, Kevin D Li1, Architha Sudhakar1, Patrick Low1, Nizar Hakam1, Behnam Nabavizadeh1, Benjamin N Breyer3,4. 1. Department of Urology, University of California San Francisco, San Francisco, USA. 2. Department of Urology, MedStar Georgetown University Hospital, Washington DC, USA. 3. Department of Urology, University of California San Francisco, San Francisco, USA. Benjamin.Breyer@ucsf.edu. 4. Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, USA. Benjamin.Breyer@ucsf.edu.
Abstract
PURPOSE: We aimed to provide a thorough comparative review of the available guidelines on the diagnosis, management, and follow-up for patients with posterior urethral stenosis by the American Urologic Association (2016), Société Internationale d'Urologie (2010), and European Urologic Association (2022). METHODS: The AUA, SIU, and EAU guidelines were evaluated for recommendations on the diagnosis, evaluation, and treatment of posterior urethral stenosis. We also included the EAU and AUA urologic trauma guidelines for the trauma-related stenosis. The level or strength of recommendations is included in case of disparity between the guidelines. RESULTS: The three guidelines align considerably in recommendations provided for the diagnosis, management, and follow-up of patients with posterior urethral stenosis. SIU and EAU emphasize the role of repeat endoscopic treatment in guidelines compared to AUA. CONCLUSION: The preferred method to repair bulbo-membranous stricture/stenosis following radiation therapy remains an area of active interest, focusing on continence preservation. Additionally, there may be a role for advanced endoscopic treatments with or without adjunct therapies to manage even obliterated stenoses.
PURPOSE: We aimed to provide a thorough comparative review of the available guidelines on the diagnosis, management, and follow-up for patients with posterior urethral stenosis by the American Urologic Association (2016), Société Internationale d'Urologie (2010), and European Urologic Association (2022). METHODS: The AUA, SIU, and EAU guidelines were evaluated for recommendations on the diagnosis, evaluation, and treatment of posterior urethral stenosis. We also included the EAU and AUA urologic trauma guidelines for the trauma-related stenosis. The level or strength of recommendations is included in case of disparity between the guidelines. RESULTS: The three guidelines align considerably in recommendations provided for the diagnosis, management, and follow-up of patients with posterior urethral stenosis. SIU and EAU emphasize the role of repeat endoscopic treatment in guidelines compared to AUA. CONCLUSION: The preferred method to repair bulbo-membranous stricture/stenosis following radiation therapy remains an area of active interest, focusing on continence preservation. Additionally, there may be a role for advanced endoscopic treatments with or without adjunct therapies to manage even obliterated stenoses.
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: Nathan M Shaw; Nizar Hakam; Jason L Lui; Behnam Nabavizadeh; Kevin D Li; Patrick Low; Behzad Abbasi; Benjamin N Breyer Journal: World J Urol Date: 2022-04-26 Impact factor: 4.226
Authors: Jeffrey D Redshaw; Joshua A Broghammer; Thomas G Smith; Bryan B Voelzke; Bradley A Erickson; Christopher D McClung; Sean P Elliott; Nejd F Alsikafi; Angela P Presson; Michael E Aberger; James R Craig; William O Brant; Jeremy B Myers Journal: J Urol Date: 2014-09-06 Impact factor: 7.450
Authors: David B Bayne; Thomas W Gaither; Mohannad A Awad; Gregory P Murphy; E Charles Osterberg; Benjamin N Breyer Journal: Transl Androl Urol Date: 2017-04