| Minimally invasive methods for bulbar urethral strictures: a survey of members of the American Urological Association. | |
| | |
MedLine Citation:
|
PMID: 21762965 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine current practice patterns, we mailed a questionnaire regarding urethral stricture evaluation, treatment, and follow-up to members of the American Urological Association (AUA). The minimally invasive methods used for treating and evaluating anterior urethral strictures vary widely among clinicians. METHODS: A nationwide survey of practicing members of the AUA was performed by mailed questionnaires. Surveys were mailed to 1262 Urologists, randomly selected from all 50 states. Four-hundred thirty-one urologists (34%) completed the questionnaire and formed the basis for our analysis. RESULTS: Most urologists (63%) treat 6-20 urethral strictures per year. The most common minimally invasive procedures used for managing anterior urethral strictures were dilation (92.8%), cold-knife optical internal urethrotomy (85.6%), endourethral stent (23.4%), laser urethrotomy (19%), and periurethral steroid injection after urethrotomy (7.9%). Most urologists will perform urethrotomy on bulbar strictures up to 2 cm (68.7%) and leave a Foley catheter in place for 1 week or less (86.5%). Technical method of urethrotomy is commonly 1 cut at 12 o'clock (86.3%) or radial cuts (12.1%). Recommended follow-up diagnostic tests after urethrotomy included flow rate (62.9%) and, to a lesser degree (with roughly one-third each), cystoscopy, urethral calibration, and the International Prostate Symptom Score (IPSS). Other tests, such as ultrasonography or urethrography were rarely used. CONCLUSION: Our survey provides information regarding current minimally invasive management and follow-up practice strategies recommended by members of the AUA for anterior urethral strictures. Many common practices in the treatment of anterior urethral stricture disease are not supported in the literature. |
| | |
Authors:
|
Genoa G Ferguson; Travis L Bullock; Ryan E Anderson; Ryan E Blalock; Steven B Brandes |
Related Documents
:
|
6680225 - Current status of the field: contrasting perspectives. the future of behavioral interve... 21141285 - Tracking down the first recorded sickle cell patient in western medicine. 16777205 - Behavioral estrous signs can predict the time of ovulation in mithun (bos frontalis). 15814365 - The nature of relative subjectivity: a reflexive mode of thought. 21248425 - The management of hepatocellular carcinoma in asia: a guideline combining quantitative ... 7973105 - Prescription of bronchodilator drugs by primary health care physicians in asthma. |
Publication Detail:
|
Type: Journal Article Date: 2011-07-18 |
Journal Detail:
|
Title: Urology Volume: 78 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-09-02 Completed Date: 2011-11-08 Revised Date: 2012-05-17 |
Medline Journal Info:
|
Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
|
Languages: eng Pagination: 701-6 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011. Published by Elsevier Inc. |
Affiliation:
|
Division of Urologic Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Data Collection Humans Male Middle Aged Surgical Procedures, Minimally Invasive Urethra / surgery Urethral Stricture / surgery* Urologic Surgical Procedures / methods |
| Comments/Corrections | |
Comment In:
|
J Urol. 2012 May;187(5):1713-4
[PMID:
22494725
]
Urology. 2011 Sep;78(3):706; author reply 706-7 [PMID: 21884918 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Placement of Ureteral Stent After Uncomplicated Ureteroscopy: Do We Really Need It?
Next Document: Testicular catch up growth: the impact of orchiopexy age.