Curr Urol Rep. 2018 Feb 26;19(3):19. doi: 10.1007/s11934-018-0771-6.
Endoscopic Management of Urethral Stricture: Review and Practice Algorithm for Management of Male Urethral Stricture Disease.
- 1 Department of Urology, Georgetown University Hospital, 3800 Reservoir Rd NW, PHC 1, Washington, DC, 20037, USA.
- 2 Department of Urology, Medstar Washington Hospital Center, 110 Irving St NW, Suite 3B-19, Washington, DC, 20010, USA. firstname.lastname@example.org.
PURPOSE OF REVIEW:
Male urethral stricture disease is characterized by the formation of scar tissue within the urethra resulting in lower urinary tract symptoms, infection, and potentially kidney dysfunction. There is significant variability in clinical practice for the treatment of urethral stricture. We sought to summarize the known data on endoscopic management of urethral stricture disease as part of this larger edition on urethral stricture management.
Older studies quoted high rates of success with endoscopic management of urethral stricture, including repeated DVIU. There is now evidence to support a limited role of endoscopic intervention in the management of urethral stricture, and especially strong evidence that repeated endoscopic procedures are not effective. There is poor evidence to support the long-term efficacy of endoscopic urethral stricture management. Furthermore, novel advances in adjunctive therapies have not yet demonstrated durable patency. We discuss the limited role of endoscopic management and suggest an algorithm for its use in stricture management.