Male Urethral Stricture

American Urological Association Guideline

Hunter Wessells, Keith W. Angermeier, Sean Elliott, Christopher M. Gonzalez, Ron Kodama, Andrew C. Peterson, James Reston, Keith Rourke, John T. Stoffel, Alex J. Vanni, Bryan B. Voelzke, Lee Zhao, Richard A. Santucci

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Purpose The purpose of this Guideline is to provide a clinical framework for the diagnosis and treatment of male urethral stricture. Materials and Methods A systematic review of the literature using the Pubmed, Embase, and Cochrane databases (search dates 1/1/1990 to 12/1/2015) was conducted to identify peer-reviewed publications relevant to the diagnosis and treatment of urethral stricture. The review yielded an evidence base of 250 articles after application of inclusion/exclusion criteria. These publications were used to create the Guideline statements. Evidence-based statements of Strong, Moderate, or Conditional Recommendation were developed based on benefits and risks/burdens to patients. Additional guidance is provided as Clinical Principles and Expert Opinion when insufficient evidence existed. Results The Panel identified the most common scenarios seen in clinical practice related to the treatment of urethral strictures. Guideline statements were developed to aid the clinician in optimal evaluation, treatment, and follow-up of patients presenting with urethral strictures. Conclusions Successful treatment of male urethral stricture requires selection of the appropriate endoscopic or surgical procedure based on anatomic location, length of stricture, and prior interventions. Routine use of imaging to assess stricture characteristics will be required to apply evidence based recommendations, which must be applied with consideration of patient preferences and personal goals. As scientific knowledge relevant to urethral stricture evolves and improves, the strategies presented here will be amended to remain consistent with the highest standards of clinical care.

Original languageEnglish (US)
Pages (from-to)182-190
Number of pages9
JournalJournal of Urology
Volume197
Issue number1
DOIs
StatePublished - Jan 1 2017

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Urethral Stricture
Guidelines
Publications
Pathologic Constriction
Therapeutics
Patient Preference
Expert Testimony
Standard of Care
PubMed
Endoscopy
Databases

Keywords

  • penis
  • urethra
  • urethral stricture

Cite this

Wessells, H., Angermeier, K. W., Elliott, S., Gonzalez, C. M., Kodama, R., Peterson, A. C., ... Santucci, R. A. (2017). Male Urethral Stricture: American Urological Association Guideline. Journal of Urology, 197(1), 182-190. https://doi.org/10.1016/j.juro.2016.07.087

Male Urethral Stricture : American Urological Association Guideline. / Wessells, Hunter; Angermeier, Keith W.; Elliott, Sean; Gonzalez, Christopher M.; Kodama, Ron; Peterson, Andrew C.; Reston, James; Rourke, Keith; Stoffel, John T.; Vanni, Alex J.; Voelzke, Bryan B.; Zhao, Lee; Santucci, Richard A.

In: Journal of Urology, Vol. 197, No. 1, 01.01.2017, p. 182-190.

Research output: Contribution to journalArticle

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 2017, 'Male Urethral Stricture: American Urological Association Guideline', Journal of Urology, vol. 197, no. 1, pp. 182-190. https://doi.org/10.1016/j.juro.2016.07.087
Wessells H, Angermeier KW, Elliott S, Gonzalez CM, Kodama R, Peterson AC et al. Male Urethral Stricture: American Urological Association Guideline. Journal of Urology. 2017 Jan 1;197(1):182-190. https://doi.org/10.1016/j.juro.2016.07.087
Wessells, Hunter ; Angermeier, Keith W. ; Elliott, Sean ; Gonzalez, Christopher M. ; Kodama, Ron ; Peterson, Andrew C. ; Reston, James ; Rourke, Keith ; Stoffel, John T. ; Vanni, Alex J. ; Voelzke, Bryan B. ; Zhao, Lee ; Santucci, Richard A. / Male Urethral Stricture : American Urological Association Guideline. In: Journal of Urology. 2017 ; Vol. 197, No. 1. pp. 182-190.
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