SIU/ICUD Consultation on Urethral Strictures: The management of anterior urethral stricture disease using substitution urethroplasty.

摘要: In this systematic review of the literature, a search PubMed database was conducted to identify articles dealing with augmentation/substitution urethral reconstruction anterior stricture. The evidence categorized by stricture site, surgical technique, and type tissue used. committee appointed International Consultation on Urological Disease reviewed data produced consensus statement relating augmentation substitution urethra. article, background pathophysiology is discussed. Most cases disease in urethra are consequent an ischemic spongiofibrosis. choice technique approach discussed along potential pros cons use graft vs flap. There research for engineering. efficacy reviewed. Whenever possible, 1-stage preferable from patient's perspective. some cases, complex penile strictures, 2-stage procedure might be appropriate, there important role perineal urethrostomy where extensive or patient does not wish undergo surgery, medical contraindications make hazardous. It have accurate outcome measures follow-up patients, context, full account needs taken patients' perspectives appropriate patient-reported measures. symptoms flow rate can misleading. well established that normally functioning bladder, diminish until caliber falls below 10F. most means following up patients after surgery endoscopy visualization urethrography. Careful consideration made outcomes reported world bearing mind these aforementioned points. article concludes overview key recommendations provided committee.