Male anterior urethral stricture : a paradigm shift! Limit repeated endourethral treatments and suggest urethral reconstruction by urethroplasty
Seance of (L'Académie reçoit l'Association Française d'Urologie - AFU)
DOI number : 10.26299/z074-3h63
Abstract
Introduction : the objective of this article is to provide an update on the management of anterior urethral strictures in men.
Methods : This is an expert opinion expressed following recent guidelines on urethral strictures from the American urological association (AUA) and the European association of urology (EAU).
Results : the long-term success rate of endourethral treatment is weak close to 30%.
The remaining indications for this treatment are short bulbar (<2 cm) and meatus strictures. Intermittent urethral dilations are a palliative approach that complicates the disease management, and should be limited. Urethral strictures require frequently reconstruction surgery because the long-term success rate of urethroplasty is high near 80 %.
Conclusion : Anterior urethral strictures need an open surgical approach and should be treated by urethroplasty in most cases. This statement requires a major paradigm shift in practices.
Methods : This is an expert opinion expressed following recent guidelines on urethral strictures from the American urological association (AUA) and the European association of urology (EAU).
Results : the long-term success rate of endourethral treatment is weak close to 30%.
The remaining indications for this treatment are short bulbar (<2 cm) and meatus strictures. Intermittent urethral dilations are a palliative approach that complicates the disease management, and should be limited. Urethral strictures require frequently reconstruction surgery because the long-term success rate of urethroplasty is high near 80 %.
Conclusion : Anterior urethral strictures need an open surgical approach and should be treated by urethroplasty in most cases. This statement requires a major paradigm shift in practices.