Male Urethral Strictures: A National Survey Among Urologists in Italy

Palminteri, Enzo; Maruccia, Serena; Berdondini, Elisa; Pierro, Giovanni Battista Di; Sedigh, O.; Rocco, Francesco

doi:10.1016/j.urology.2013.10.043

Cited by 33 publications

(47 citation statements)

References 6 publications

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“…About one third of respondents claim to perform urethroplasties such as EPA and BMGU. In prior surveys, less than a sixth of respondents performed these operations [13][14][15] . It is arguable that these findings may indicate a change in practice over time or perhaps simply a different practice pattern specific to Germany.…”

Section: Discussionmentioning

confidence: 99%

“…Three fourth stated that one minimal invasive treatment should be applied and in case of failure, urethroplasty should be performed. Prior studies discussed this as a false assumption of a reconstructive ladder [13,15] . From our point of view, in short bulbar strictures, this approach is at least justifiable.…”

Section: Discussionmentioning

confidence: 99%

“…The applied questions were based on prior performed surveys in the United States, the Netherlands and in Italy [13][14][15] . The questionnaire prompted respondent demographics, diagnostic work-up, treatment and follow-up of urethral strictures.…”

Section: Methodsmentioning

confidence: 99%

“…The adherence to these recommendations has been investigated in prior national surveys among urologists from the United States, the Netherlands and Italy [13][14][15] . These surveys revealed little experience with reconstructive surgery and implied unfamiliarity with the current literature and recommended treatment algorithms by expert panels [4,16] .…”

mentioning

confidence: 99%

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Management of Anterior Urethral Strictures in Adults: A Survey of Contemporary Practice in Germany

Rosenbaum

Reiß²,

Borgmann³

et al. 2017

Urol Int

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Introduction: Treatment methods of anterior urethral strictures in adults have undergone considerable changes in the recent past. Our goal was to determine national practice patterns among German urologists and to compare results with the results of prior international surveys. Methods: We conducted a survey on the management of urethral strictures among German urologists. Results: Eight hundred forty-five urologists, representing about 14.6% of German urologists, answered the survey. Most common procedures were direct vision internal urethrotomy (DVIU; 87.2%), blind internal urethrotomy (57.5%), dilatation (56.3%), ventral buccal mucosa graft urethroplasty (31.6%) and excision and primary anastomosis (28.9%). In case of a 3.5-cm bulbar stricture and in the case of a 1-cm bulbar stricture after 2 failed DVIUs, a consecutive urethroplasty was significantly more often favoured compared to transurethral treatment options (44.9 vs. 21.3% and 59.4 vs. 8.3%, both p < 0.001). Conclusion: Open urethral reconstruction reveals to be a more common method in practice nowadays. Adherence to recommended treatment algorithms improved in comparison to prior surveys.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Management of Anterior Urethral Strictures in Adults: A Survey of Contemporary Practice in Germany

Rosenbaum

Reiß²,

Borgmann³

et al. 2017

Urol Int

View full text Add to dashboard Cite

show abstract

“…In general, the following three main types of treatment are applied in patients with urethral stricture disease: urethral dilatation, endoscopic treatment (urethrotomy) and urethroplasty 3 , with urethrotomy being the most frequently applied and mastered by almost all urologists 4, 5 . The reported success rates for endoscopic urethrotomy widely range from 32% to 73.1% with an understudied long-term success rate 2, 6, 7 .…”

Section: Introductionmentioning

confidence: 99%

Development of a clinical algorithm for treating urethral strictures based on a large retrospective single-center cohort

et al. 2017

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Aim: To analyze clinical data from male patients treated with urethrotomy and to develop a clinical decision algorithm. Materials and methods: Two large cohorts of male patients with urethral strictures were included in this retrospective study, historical (1985-1995, n=491) and modern cohorts (1996-2006, n=470). All patients were treated with repeated internal urethrotomies (up to 9 sessions). Clinical outcomes were analyzed and systemized as a clinical decision algorithm. Results: The overall recurrence rates after the first urethrotomy were 32.4% and 23% in the historical and modern cohorts, respectively. In many patients, the second procedure was also effective with the third procedure also feasible in selected patients. The strictures with a length ≤ 2 cm should be treated according to the initial length. In patients with strictures ≤ 1 cm, the second session could be recommended in all patients, but not with penile strictures, strictures related to transurethral operations or for patients who were 31-50 years of age. The third session could be effective in selected cases of idiopathic bulbar strictures. For strictures with a length of 1-2 cm, a second operation is possible for the solitary low-grade bulbar strictures, given that the age is > 50 years and the etiology is not post-transurethral resection of the prostate. For penile strictures that are 1-2 cm, urethrotomy could be attempted in solitary but not in high-grade strictures. Conclusions: We present data on the treatment of urethral strictures with urethrotomy from a single center. Based on the analysis, a clinical decision algorithm was suggested, which could be a reliable basis for everyday clinical practice.

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Predictors of Urethral Stricture Recurrence After Urethroplasty

Kim

Sung

2019

Textbook of Male Genitourethral Reconstruction

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Male Urethral Strictures: A National Survey Among Urologists in Italy

Cited by 33 publications

References 6 publications

Management of Anterior Urethral Strictures in Adults: A Survey of Contemporary Practice in Germany

Management of Anterior Urethral Strictures in Adults: A Survey of Contemporary Practice in Germany

Development of a clinical algorithm for treating urethral strictures based on a large retrospective single-center cohort

Predictors of Urethral Stricture Recurrence After Urethroplasty

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