{"id":1146,"date":"2024-01-22T19:32:33","date_gmt":"2024-01-22T19:32:33","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=1146"},"modified":"2024-01-22T19:32:33","modified_gmt":"2024-01-22T19:32:33","slug":"revision-sistematica-de-uretroplatia","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=1146","title":{"rendered":"Revisi\u00f3n sistem\u00e1tica de uretroplatia"},"content":{"rendered":"<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n<div class=\"article-citation\">\n<div class=\"article-source\">\n<div class=\"journal-actions dropdown-block\"><button id=\"full-view-journal-trigger\" class=\"journal-actions-trigger trigger\" tabindex=\"0\" title=\"Urology\" aria-controls=\"full-view-journal\" aria-expanded=\"false\" aria-label=\"Toggle dropdown menu for journal Urology\" data-pinger-ignore=\"\">Urology<\/button><\/div>\n<p><span class=\"period\">. <\/span><span class=\"cit\">2022 Jan:159:222-234.<\/span><\/div>\n<p><span class=\"citation-doi\">doi: 10.1016\/j.urology.2021.09.003.<\/span> <span class=\"secondary-date\">Epub 2021 Sep 16.<\/span><\/div>\n<h1 class=\"heading-title\">Anterior Urethroplasty for the Management of Urethral Strictures in Males: A Systematic Review<\/h1>\n<div class=\"inline-authors\">\n<div class=\"authors\">\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Jasionowska+S&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Sara Jasionowska\">Sara Jasionowska<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Consultant Urological Surgeon &amp; Andrologist, King's College Hospital, London; Senior Clinical Lecturer, King's College London, MRC Centre for Transplantation, Guys Hospital Campus, London, UK.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Bochinski+A&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Antoni Bochinski\">Antoni Bochinski<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Consultant Urological Surgeon &amp; Andrologist, King's College Hospital, London; Senior Clinical Lecturer, King's College London, MRC Centre for Transplantation, Guys Hospital Campus, London, UK.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Shiatis+V&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Vishal Shiatis\">Vishal Shiatis<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Consultant Urological Surgeon &amp; Andrologist, King's College Hospital, London; Senior Clinical Lecturer, King's College London, MRC Centre for Transplantation, Guys Hospital Campus, London, UK.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Singh+S&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Sobha Singh\">Sobha Singh<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Consultant Urological Surgeon &amp; Andrologist, King's College Hospital, London.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-2\">2<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Brunckhorst+O&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Oliver Brunckhorst\">Oliver Brunckhorst<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Senior Clinical Lecturer, King's College London, MRC Centre for Transplantation, Guys Hospital Campus, London, UK.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-3\">3<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Rees+RW&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Rowland W Rees\">Rowland W Rees<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, Sheikh Khalifa Medical City, Abu Dhabi, UAE.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-4\">4<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Ahmed+K&amp;cauthor_id=34537198\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Kamran Ahmed\">Kamran Ahmed<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Consultant Urological Surgeon &amp; Andrologist, King's College Hospital, London; Department of Urology, King's College Hospital, London, United Kingdom. Electronic address: Kamran.ahmed@kcl.ac.uk.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34537198\/#full-view-affiliation-5\">5<\/a><\/sup><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\" data-fetch-url=\"\/34537198\/long-authors\/\" data-id-prefix=\"\"><span class=\"title\">expand<\/span><\/button><\/div>\n<ul id=\"full-view-identifiers\" class=\"identifiers\">\n<li><span class=\"identifier pubmed\"><span class=\"id-label\">PMID: <\/span><strong class=\"current-id\" title=\"PubMed ID\">34537198<\/strong><\/span><\/li>\n<li><span class=\"identifier doi\"><span class=\"id-label\">DOI: <\/span><a class=\"id-link\" href=\"https:\/\/doi.org\/10.1016\/j.urology.2021.09.003\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"DOI\">10.1016\/j.urology.2021.09.003<\/a><\/span><\/li>\n<\/ul>\n<\/div>\n<\/header>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Objective: <\/strong>To identify the currently utilised techniques of anterior urethroplasty described in literature for treatment of urethral strictures, assess the effectiveness of the identified techniques based on re-stricture and complication rates, evaluate, and suggest treatment options based on current evidence for urethral strictures at different locations and of different lengths.<\/p>\n<p><strong class=\"sub-title\">Methods: <\/strong>A systematic review of the MEDLINE, EMBASE, Scopus and Cochrane Library databases from conception up to September 2020 was performed. Primary outcomes included success rates measured via re-stricture rates and the post-operative maximum urinary flow rate (Qmax). Secondary outcomes included patient reported complication rates.<\/p>\n<p><strong class=\"sub-title\">Results: <\/strong>A total of 52 papers, including 7 RCTs, met the inclusion criteria. Forty studies described the use of free graft urethroplasty with a median success rate of 86.5% (IQR = 8.1). The best outcomes were found in dorsal onlay buccal mucosa grafting in the penile urethra (86.6%). Twelve described the use of pedicled flap urethroplasty with a median success rate of 76% (IQR = 14.4). Excision and Primary Anastomosis results were reported in 5 studies and showed an overall highest success rate of 89.7% (IQR = 7.0) but involved the shortest strictures of median lengths of 2.1 cm (IQR = 0.48).<\/p>\n<p><strong class=\"sub-title\">Conclusion: <\/strong>Graft urethroplasty showed optimal outcomes when utilised in penile and bulbar strictures, with dorsal onlay buccal mucosa grafting presenting with the largest evidence base and best outcomes overall. Flap urethroplasty had the highest success rates in panurethral and bulbar strictures, while anastomotic urethroplasty had the greatest success in bulbar and penobulbar strictures.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Urology . 2022 Jan:159:222-234. doi: 10.1016\/j.urology.2021.09.003. Epub 2021 Sep 16. Anterior Urethroplasty for the Management of Urethral Strictures in Males: A Systematic Review Sara Jasionowska\u00a01,\u00a0Antoni Bochinski\u00a01,\u00a0Vishal Shiatis\u00a01,\u00a0Sobha Singh\u00a02,\u00a0Oliver Brunckhorst\u00a03,\u00a0Rowland W Rees\u00a04,\u00a0Kamran Ahmed\u00a05 Affiliations expand PMID: 34537198 DOI: 10.1016\/j.urology.2021.09.003 Abstract Objective: &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=1146\"> <span class=\"screen-reader-text\">Revisi\u00f3n sistem\u00e1tica de uretroplatia<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1146","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1146"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1146\/revisions"}],"predecessor-version":[{"id":1147,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1146\/revisions\/1147"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}