Research ExplorerPublicationsUpdate on managing anterior urethral strictures

Update on managing anterior urethral strictures

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Update on managing anterior urethral strictures. / Fühner, Constantin; Dahlem, Roland; Fisch, Margit; Vetterlein, Malte W.

In: INDIAN J UROL, Vol. 35, No. 2, 20.04.2019, p. 94-100.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Fühner, C, Dahlem, R, Fisch, M & Vetterlein, MW 2019, 'Update on managing anterior urethral strictures', INDIAN J UROL, vol. 35, no. 2, pp. 94-100. https://doi.org/10.4103/iju.IJU_52_19

APA

Fühner, C., Dahlem, R., Fisch, M., & Vetterlein, M. W. (2019). Update on managing anterior urethral strictures. INDIAN J UROL, 35(2), 94-100. https://doi.org/10.4103/iju.IJU_52_19

Vancouver

Fühner C, Dahlem R, Fisch M, Vetterlein MW. Update on managing anterior urethral strictures. INDIAN J UROL. 2019 Apr 20;35(2):94-100. https://doi.org/10.4103/iju.IJU_52_19

Bibtex

@article{f882aa7228ac4f8aa45c5bc8158d6be1,
title = "Update on managing anterior urethral strictures",
abstract = "A number of techniques have been described for managing anterior urethral strictures in men. In this review, we aimed to summarize contemporary considerations regarding the holistic management of such strictures. The efficacy of reported outcomes is compared to provide evidence-based treatment recommendations. For anterior urethral strictures, durable long-term success rates of >90% may be achieved if the procedure is performed in capable hands at a high-volume referral center, even in recurrent strictures after previous open reconstruction. A one-stage urethroplasty is preferable to avoid a protracted treatment course with multiple interventions after dilation and direct vision internal urethrotomy. Staged urethroplasties are useful in complex anterior strictures providing durable success rates. In addition, perineal urethrostomy represents a valid last resort option with sufficient objective and subjective results. A follow-up evaluation should incorporate objective assessments such as radiographic and functional diagnostics as well as subjective, validated, and disease-specific patient-reported outcome measurement tools to allow for a better comparability and to improve individual risk prediction.",
keywords = "Journal Article, Review",
author = "Constantin F{\"u}hner and Roland Dahlem and Margit Fisch and Vetterlein, {Malte W}",
year = "2019",
month = apr,
day = "20",
doi = "10.4103/iju.IJU_52_19",
language = "English",
volume = "35",
pages = "94--100",
journal = "INDIAN J UROL",
issn = "0970-1591",
publisher = "Wolters Kluwer Medknow Publications",
number = "2",

}

RIS

TY - JOUR

T1 - Update on managing anterior urethral strictures

AU - Fühner, Constantin

AU - Dahlem, Roland

AU - Fisch, Margit

AU - Vetterlein, Malte W

PY - 2019/4/20

Y1 - 2019/4/20

N2 - A number of techniques have been described for managing anterior urethral strictures in men. In this review, we aimed to summarize contemporary considerations regarding the holistic management of such strictures. The efficacy of reported outcomes is compared to provide evidence-based treatment recommendations. For anterior urethral strictures, durable long-term success rates of >90% may be achieved if the procedure is performed in capable hands at a high-volume referral center, even in recurrent strictures after previous open reconstruction. A one-stage urethroplasty is preferable to avoid a protracted treatment course with multiple interventions after dilation and direct vision internal urethrotomy. Staged urethroplasties are useful in complex anterior strictures providing durable success rates. In addition, perineal urethrostomy represents a valid last resort option with sufficient objective and subjective results. A follow-up evaluation should incorporate objective assessments such as radiographic and functional diagnostics as well as subjective, validated, and disease-specific patient-reported outcome measurement tools to allow for a better comparability and to improve individual risk prediction.

AB - A number of techniques have been described for managing anterior urethral strictures in men. In this review, we aimed to summarize contemporary considerations regarding the holistic management of such strictures. The efficacy of reported outcomes is compared to provide evidence-based treatment recommendations. For anterior urethral strictures, durable long-term success rates of >90% may be achieved if the procedure is performed in capable hands at a high-volume referral center, even in recurrent strictures after previous open reconstruction. A one-stage urethroplasty is preferable to avoid a protracted treatment course with multiple interventions after dilation and direct vision internal urethrotomy. Staged urethroplasties are useful in complex anterior strictures providing durable success rates. In addition, perineal urethrostomy represents a valid last resort option with sufficient objective and subjective results. A follow-up evaluation should incorporate objective assessments such as radiographic and functional diagnostics as well as subjective, validated, and disease-specific patient-reported outcome measurement tools to allow for a better comparability and to improve individual risk prediction.

KW - Journal Article

KW - Review

U2 - 10.4103/iju.IJU_52_19

DO - 10.4103/iju.IJU_52_19

M3 - SCORING: Review article

C2 - 31000913

VL - 35

SP - 94

EP - 100

JO - INDIAN J UROL

JF - INDIAN J UROL

SN - 0970-1591

IS - 2

ER -