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Erschienen in:

22.03.2022 | Invited Review

Comparative review of the guidelines for anterior urethral stricture

verfasst von: Behzad Abbasi, Nathan M. Shaw, Jason L. Lui, Kevin D. Li, Patrick Low, Nizar Hakam, Behnam Nabavizadeh, Benjamin N. Breyer

Erschienen in: World Journal of Urology | Ausgabe 8/2022

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Abstract

Purpose

We aimed to provide a detailed comparison between the American Urologic Association (AUA), Société Internationale d’Urologie (SIU), and the European Association of Urology (EAU) guidelines on the evaluation, management, and follow-up of the patients with anterior urethral stricture disease (USD).

Methods

The urethral stricture guidelines from SUI, AUA, and EAU were collected and evaluated regarding the recommendations on diagnosis, evaluation, and treatment of anterior USD. The strength of evidence for each statement was included and discussed when guidelines differed.

Results

While the guidelines remarkably align in terms of the diagnostic workup and follow-up, there is discordance in the management of anterior urethral strictures, specifically for the use of endoscopic treatment and stenting. Further, the EAU offers more comprehensive recommendations regarding urethroplasty techniques and patient follow-up. The EAU guidelines are the most recent and first to offer guidance for USD in transgender people and women.

Conclusion

Reconstructive urology is a rapidly adapting field, and best practices change accordingly. Guideline statements have become more inclusive and expansive but will require further research to improve the level of evidence and continue to provide patients and providers with the best treatment plans.

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Titel: Comparative review of the guidelines for anterior urethral stricture
verfasst von: Behzad Abbasi
Nathan M. Shaw
Jason L. Lui
Kevin D. Li
Patrick Low
Nizar Hakam
Behnam Nabavizadeh
Benjamin N. Breyer
Publikationsdatum: 22.03.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 8/2022
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-022-03988-3

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Comparative review of the guidelines for anterior urethral stricture