Urethral stricture is a medical condition that mainly affects men. It can restrict urinary flow due to a narrowing of the urethra, and the causes can include trauma or inflammation.
There is a new clinical guideline from the American Urological Association that covers urethral strictures and how to treat them. The guideline provides specific treatment recommendations based on 250 scientific publications and opinions of clinical experts in the field.
Another new publication investigates how acute urinary retention caused by strictures is managed in an emergency department setting.
You will find a summary from these articles in this blog post!
Male Urethral Stricture: American Urological Association Guideline.
http://www.jurology.com/article/S0022-5347(16)30961-2/abstract
Author and Origin
Wessells H, Angermeier KW, Elliott S, Gonzalez CM, Kodama R, Peterson AC, Reston J, Rourke K, Stoffel JT, Vanni AJ, Voelzke BB, Zhao L, Santucci RA. US
Summary
Review and guideline forming a clinical framework for diagnosis and treatment of male urethral stricture.
Conclusions
Specific treatment recommendations based on 250 publications and expert opinions. For example, urethral dilation or direct visual internal urethrotomy are recommended for treatment of short bulbar strictures, with a success rate of 35-70%.
Comments
Clinical guideline from the American Urological Association presenting specific treatment recommendations (such as urethral dilation) for male urethral strictures.
A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture.
https://www.ncbi.nlm.nih.gov/pubmed/27658662
Author and Origin
Granieri MA, Wang HS, Routh JC, Peterson AC. US
Summary
Observational study of emergency department management of 4,794 men with acute urinary retention due to urethral stricture.
Conclusions
A total of 85% received urethral dilation and 15% were managed with a suprapubic indwelling catheter.
Comments
Study showing that urethral dilation is primarily used for men with acute urinary retention due to stricture, but that there is an increasing trend toward suprapubic indwelling catheter use.
This blog post covers the topic Men's Health and is an excerpt of February's Science Alert. To download the entire Science Alert, please click the button below.
This blog post is an extract from the Science Alert from February 2017 (76040-USX-1702)
