Endoscopic treatments prior to urethroplasty: trends in management of urethral stricture disease.

BMC Urology
Matthew J MoynihanAlex J Vanni

Abstract

To determine if the number of endoscopic treatments of urethral stricture disease (USD) prior to urethroplasty has changed in the context of new AUA guidelines on management of USD. In addition to an increase in practicing reconstructive urologists and published reconstructive literature, the AUA guidelines regarding the management of male USD were presented in May 2016, advocating consideration of urethroplasty in patients with 1 prior failed endoscopic treatment. A retrospective review of a prospectively maintained, multi-institutional urethral stricture database of high volume, geographically diverse institutions was performed from 2006 to 2017. We performed a review of relevant literature and evaluated pre-urethroplasty endoscopic treatment patterns prior to and after the AUA male stricture guideline. 2964 urethroplasties were reviewed in 10 institutions. There was both a decrease in the number of endoscopic treatments prior to urethroplasty in the pre-May 2016 compared to post-May 2016 cohorts both for overall urethroplasties (2.3 vs 1.6, P = 0.0012) and a gradual decrease in the number of pre-urethroplasty endoscopic treatments over the entire study period. There was a decrease in the number of endoscopic treatments of US...Continue Reading

References

Mar 11, 2005·The Journal of Urology·Keith F Rourke, Gerald H Jordan
Dec 16, 2006·Urology·Matthew D McLaughlinDaniel Bruegger
Apr 18, 2007·The Journal of Urology·Richard A SantucciMatthew Wise
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Apr 17, 2012·The Journal of Urology·Frank N BurksRichard A Santucci
Jul 10, 2012·Current Opinion in Urology·Rajan Veeratterapillay, Rob S Pickard

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Citations

Dec 31, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Kenichiro OjimaRyuichi Azuma

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