Etiology, Epidemiology, Demographic Differences in Urethral Strictures: A Worldwide Perspective

Alhajeri, Faisal; Alwaal, Amjad; Soebadi, Mohammad Ayodhia

doi:10.1007/978-3-030-21447-0_3

Cited by 3 publications

(9 citation statements)

References 25 publications

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“…6.15 Post-infectious stricture: Urethral stricture disease developing as a result of gonococcal and nongonococcal (Ureaplasma urealyticum, Mycoplasma genitalium, schistosomiasis, and tuberculosis) urethritis. 37,76 7.4.3 Instructions in the appropriate use of PDE5i: Instructions that include the fact that sexual stimulation is necessary and that more than one trial with the medication may be required to establish efficacy. It should include information regarding the medications' characteristics with regard to the onset of action, duration of action, and whether food intake limits efficacy.…”

Section: Ipss See 322mentioning

confidence: 99%

“…6.14.5 Straddle Injury : Injury to the bulbar urethra resulting from a blunt trauma which compresses the bulbar urethra against the inferior pubic rami. May be remote, or even not recalled by the patient 76 . (NEW)…”

Section: Section 6: Diagnosesmentioning

confidence: 99%

“…6.15 Post‐infectious stricture : Urethral stricture disease developing as a result of gonococcal and nongonococcal ( Ureaplasma urealyticum, Mycoplasma genitalium , schistosomiasis, and tuberculosis) urethritis 37,76 . (NEW)…”

Section: Section 6: Diagnosesmentioning

confidence: 99%

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International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

Kocjancic

Chung

Garzon

et al. 2022

Neurourology and Urodynamics

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Introduction:The terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction has not been defined and organized into a clinically based consensus terminology report. The aim of this terminology report is to provide a definitional document within this context that will assist clinical practice and research.Methods: This report combines the input of the members of sexual health in men with LUT and PF Dysfunction working group of the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give coding to definitions. An extensive process of 18 rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). The Committee retained evidence-based definitions, identified gaps, and updated or discarded outdated definitions. Expert opinions were used when evidence was insufficient or absent. Results: A terminology report for sexual health in men with LUT and PF dysfunction, encompassing 198 (178 NEW) separate definitions, has been

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Section: Ipss See 322mentioning

confidence: 99%

Section: Section 6: Diagnosesmentioning

confidence: 99%

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International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

Kocjancic

Chung

Garzon

et al. 2022

Neurourology and Urodynamics

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“…The prevalence of USD is difficult to define even in HICs [18], and increases with age in those richer countries [19,20]. Debas et al [21], in their expansive tome on emergency surgery in LMICs, make scant reference to urological problems, despite BOO being responsible for significant morbidity for at least a billion people globally [22].…”

Section: Introductionmentioning

confidence: 99%

“…In the USA, and Europe, idiopathic and iatrogenic causes are the predominant aetiology for USD [19,20,28], whilst strictures due to lichen sclerosis (LS) and following previous hypospadias surgery are significant contributors to the workload of urologists in the UK and Italy [28,29] (Table 1). In LMICs the predominant aetiology of USD are urethral trauma and previous sexually transmitted infection (STI) [18,27,30]. However, the incidence of each aetiology varies between urban and rural communities [31] and in different resource-poor countries [31,32].…”

Section: Introductionmentioning

confidence: 99%

Male urethral stricture disease: why management guidelines are challenging in low‐income countries

et al. 2022

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Urethral stricture disease (USD) is one of the commonest urological pathologies in adult men in low-or low-middleincome countries, providing a significant work burden for the small number of specialist surgeons who are able to provide appropriate treatment. The underlying causes of anterior urethral stricture relate to urethral fibrosis from sexually transmitted infection, with posterior urethral disruption secondary to pelvic trauma being an equally common cause of USD in many countries in sub-Saharan Africa. Anterior urethral strictures are often long, and multifocal, and bulboprostatic disruptions are usually due to relatively low-velocity pelvic trauma. The management options available in resourcepoor settings are often severely limited by the individual's ability to pay for care, the availability of a specialist surgeon and, importantly, a shortage of functioning endoscopic equipment for less-invasive treatments. Consequently, reconstructive surgery is often regarded by the patient, and surgeon, as the most cost-effective and, therefore, primary means of treating a urethral stricture once urethral dilatation has failed. Regional anaesthetic techniques have limited the adoption of free-graft augmentation as an alternative to pedicled flaps of locally available skin for reconstruction, whilst an inability to provide tension-free bulbo-prostatic anastomoses has negatively impacted the outcome from the treatment of pelvic fracture disruption injuries in much of sub-Saharan Africa. However, Urolink has found that local surgeons can be taught sustainable skills required for successful complex urethroplasty when supported by longitudinal mentorship in the management of difficult clinical issues. Evidence-based practice is known to improve the standard of care in specific conditions in high-income countries, including the management of male USD. However, guidelines developed in highincome countries are not necessarily appropriate for stricture management in less well-resourced healthcare environments but could be adapted to help improve the delivery of stricture care for men in low-or low-middle income countries.

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Características epidemiológicas de la estrechez y estenosis uretral masculina en una institución de alta complejidad en Buenos Aires, Argentina

Yepes,

Capiel,

Richards

et al. 2024

RUC

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Etiology, Epidemiology, Demographic Differences in Urethral Strictures: A Worldwide Perspective

Cited by 3 publications

References 25 publications

International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

Male urethral stricture disease: why management guidelines are challenging in low‐income countries

Características epidemiológicas de la estrechez y estenosis uretral masculina en una institución de alta complejidad en Buenos Aires, Argentina

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