{"id":1165,"date":"2024-01-26T13:16:01","date_gmt":"2024-01-26T13:16:01","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=1165"},"modified":"2024-01-26T13:16:01","modified_gmt":"2024-01-26T13:16:01","slug":"manejo-actual-de-estenosis-bulbar-resumen","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=1165","title":{"rendered":"MANEJO ACTUAL DE ESTENOSIS BULBAR. RESUMEN"},"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=\"Reviews in urology\" aria-controls=\"full-view-journal\" aria-expanded=\"false\" aria-label=\"Toggle dropdown menu for journal Reviews in urology\" data-pinger-ignore=\"\">Rev Urol<\/button><\/div>\n<p><span class=\"period\">. <\/span><span class=\"cit\">2020;22(4):139-151.<\/span><\/div>\n<\/div>\n<h1 class=\"heading-title\">Contemporary Management of Bulbar Urethral Strictures<\/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=Liao+RS&amp;cauthor_id=33927571\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Ross S Liao\">Ross S Liao<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33927571\/#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=Stern+E&amp;cauthor_id=33927571\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Erica Stern\">Erica Stern<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33927571\/#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=Wright+JE&amp;cauthor_id=33927571\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"James E Wright\">James E Wright<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33927571\/#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=Cohen+AJ&amp;cauthor_id=33927571\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Andrew J Cohen\">Andrew J Cohen<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33927571\/#full-view-affiliation-1\">1<\/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=\"\/33927571\/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\">33927571<\/strong><\/span><\/li>\n<li><span class=\"identifier pmc\"><span class=\"id-label\">PMCID: <\/span><a class=\"id-link\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/pmc8058922\/\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"PMCID\">PMC8058922<\/a><\/span><\/li>\n<\/ul>\n<p><span class=\"free-label\">Free PMC article<\/span><\/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>Urethral stricture disease (USD) is a progressive scar-forming disease commonly encountered by urologists and is challenging to manage. USD most frequently occurs in the bulbar urethra. Patients typically present with chronic obstructive voiding symptoms but may develop recurrent urinary tract infections, detrusor failure, or renal disease. The authors review the pathophysiology, diagnostic workup, and evidence-based management of bulbar urethral strictures (BUS). There are multiple surgical options to treat BUS. Endoscopic techniques (eg, dilation and urethrotomy) are suitable for the initial management of short strictures but new evidence-based guidelines recommend against repeated endoscopic treatment. Urethroplasty is the gold standard treatment for BUS of all lengths, with anastomotic techniques appropriate for strictures &lt;2 cm and tissue substitution performed for longer strictures. New techniques, such as non-transecting urethroplasty, lack long-term data but may represent a paradigm shift in the field. Future treatments may utilize tissue-engineered grafts and agents that inhibit inflammation and scar formation.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords: <\/strong>Buccal graft, non-transecting; Bulbar urethral stricture; Urethral dilation; Urethroplasty; Urethrotomy.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Rev Urol . 2020;22(4):139-151. Contemporary Management of Bulbar Urethral Strictures Ross S Liao\u00a01,\u00a0Erica Stern\u00a01,\u00a0James E Wright\u00a01,\u00a0Andrew J Cohen\u00a01 Affiliations expand PMID: 33927571 PMCID: PMC8058922 Free PMC article Abstract Urethral stricture disease (USD) is a progressive scar-forming disease commonly encountered by &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=1165\"> <span class=\"screen-reader-text\">MANEJO ACTUAL DE ESTENOSIS BULBAR. RESUMEN<\/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-1165","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\/1165","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=1165"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1165\/revisions"}],"predecessor-version":[{"id":1166,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1165\/revisions\/1166"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}