Urethral Stricture is Now an Open Surgical Disease

Morey, Allen F.

doi:10.1016/j.juro.2008.12.034

Cited by 29 publications

(9 citation statements)

References 9 publications

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“…4 Some have now claimed that urethral stricture is an open surgical disease. The purpose of dilating a urethral stricture in the setting of DUC is to be able to drain the bladder as a temporizing measure before definitive surgical repair of the stricture.…”

Section: Introductionmentioning

confidence: 99%

Silicone Catheters May Be Superior to Latex Catheters in Difficult Urethral Catheterization After Urethral Dilation

Villanueva

Hossain

Nelson

2011

Journal of Endourology

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Section: Introductionmentioning

confidence: 99%

Silicone Catheters May Be Superior to Latex Catheters in Difficult Urethral Catheterization After Urethral Dilation

Villanueva

Hossain

Nelson

2011

Journal of Endourology

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“…14 Currently, complex urethral stricture is regarded as an open surgical disease, because of the unacceptably high failure rate that is associated with repeated urethrotomies or dilations. 15 By contrast, the primary success of urethroplasty for anterior urethral strictures (i.e., no need for an additional procedure) is as high as 80e90%, according to different reports. 16 In our series, the success rate of bulbar urethroplasties was comparable with reports from reconstruction centers.…”

Section: Discussionmentioning

confidence: 99%

Management of complex urethral stricture disease: Algorithm and experience from a single institute

Shau

Kao

et al. 2015

Urological Science

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a b s t r a c tObjective: There are currently no practical guidelines regarding recurrent or complex urethral strictures in Taiwan. Furthermore a specific urological reconstruction center focusing on urethroplasties in this area is currently unavailable. In this study we aim to share the experience of our institute according to an algorithm for this disease entity. Methods: From December 2007 to October 2013, adult males with complex urethral strictures were enrolled. Six different surgical techniques were used for treatment. Clinical features and outcomes were analyzed through a retrospective chart review. Results: The mean age was 39 years, with a mean follow-up period of 42 months (range, 5e76 months). An average of three sessions of previous treatments was noted. The overall primary success, requiring no further intervention, was 46%. Permanent failure occurred in one patient (2.6%). The primary success for urethroplasty in distal, penile, bulbar, posterior urethra, and in stricture with hypospadias was 100%, 40%, 83%, 29%, and 60%, respectively. From the perspective of procedure type, anterior anastomotic urethroplasty (80%) and skin-based flaps (75%) resulted in the highest success rate. Following anterior or posterior buccal mucosal graft-augmented urethroplasties, 40% of patients received additional shortterm dilatations or urethrotomies. Conclusion: Complex urethral strictures can be managed by a variety of surgical techniques according to specific stricture locations. However, a careful postoperative follow-up for recurrences is mandatory, since~40% of patients undergoing buccal mucosal graft-augmented urethroplasties were expected to have additional procedures after the index urethroplasty.

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“…For the anterior urethra using cox hazards regression analysis, failed internal urethrotomy has been found to conform increased risk of failure for consequent urethroplasty [43]. Morey concluded that carful preoperative evaluation should be undertaken prior to internal urethrotomy and a patient should not need to have failed minimally invasive therapy prior to being considered for urethroplasty [44]. The current evidence suggests that the success is dependent upon stricture position, cause and length with success decline as the length of the stricture increases as clearly demonstrated by heyns et al [41].…”

Section: Endoscopic Managementmentioning

confidence: 99%