Stricture Recurrence After Urethroplasty: A Systematic Review

Abstract

The methods used to determine stricture recurrence after urethroplasty remain widely variable. The use of a standardized surveillance protocol to define stricture recurrence after urethral reconstruction may allow more effective comparison of urethroplasty outcomes across institutions.

Comparison of Heineke Mikulicz Stricturoplasty and End to End Anastomotic Urethroplasty Techniques for Short Bulbar Urethral Strictures

“…18,19 Fakat son zamanlarda, üretranın transeksiyonunun üretral kan dolaşımını olumsuz etkileyebileceği ve üretra iskemisine ve cinsel yan etkilere neden olacağına dair artan endişeler mevcuttur. 9,[20][21][22][23] Bu yüzden transeksiyonsuz yaklaşımlar tanımlan-mıştır. Transeksiyonsuz yaklaşımla dorsal striktüro-tominin geliştirilmesinde kilit nokta, proksimal bulbar üretranın dorsal yüzünde korpus spongiozumun bulunmamasıdır.…”

Urethroplasty; Wide Range of Therapeutic Indications and Surgical Techniques

“…It has comparable results with the combined RUG and SUG in diagnosing the anterior and posterior urethral strictures as regard the site and extension and degree of spongiofibrosis but MR is superior in diagnosis of associated pathologies with stricture as it can provide extra-guidance for treatment planning that cannot be obtained with RUG [31,32]. In one of the most large systematic review for the diagnosis for recurrence stricture recurrence after urethroplasty conducted by Meeks et al [33] in their analysis of urethroplasty publication since 2000 found urethroplasty outcomes was determined by up to eight different diagnostics tests. The most common were uroflowmetry 56%,and retrograde urethrography 51%.…”

The UREThRAL stricture score: A novel method for describing

“…While there is no universally agreed upon measure of recurrence, 17 the USS should help to stratify patients into complexity groups that will make future studies easier to perform by allowing easy comparison of urethral strictures. Also, as urethral reconstruction is a quality of life procedure, the development of patient-reported outcome measures 4 will need to be correlated to an objective measure of the severity of the stricture disease.…”