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Prevention of stricture recurrence following urethral internal urethrotomy: routine repeated dilations or active surveillance?

Strictures of the urethra are the most common cause of obstructed micturition in younger men and there is frequent recurrence after initial treatment. Currently, routine repeated dilations, including intermittent self-catheterisation (ISC) are prescribed by urologists to prevent urethral stricture r... Full description

Journal Title: Urology journal 25 August 2016, Vol.13(4), pp.2794-6
Main Author: Tian, Ye
Other Authors: Wazir, Romel , Wang, Jianzhong , Wang, Kunjie , Li, Hong
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1735-546X ; PMID: 27576888 Version:1
Link: http://pubmed.gov/27576888
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recordid: medline27576888
title: Prevention of stricture recurrence following urethral internal urethrotomy: routine repeated dilations or active surveillance?
format: Article
creator:
  • Tian, Ye
  • Wazir, Romel
  • Wang, Jianzhong
  • Wang, Kunjie
  • Li, Hong
subjects:
  • Postoperative Complications -- Prevention & Control
  • Urethra -- Surgery
  • Urethral Stricture -- Prevention & Control
ispartof: Urology journal, 25 August 2016, Vol.13(4), pp.2794-6
description: Strictures of the urethra are the most common cause of obstructed micturition in younger men and there is frequent recurrence after initial treatment. Currently, routine repeated dilations, including intermittent self-catheterisation (ISC) are prescribed by urologists to prevent urethral stricture recurrence. There is, however, no high level evidence available supporting the effectiveness of practicing these painful techniques. Balancing efficacy, adverse effects and costs, we hypothesize that active surveillance is a better option for preventing stricture recurrence as compared with routine repeated dilations. However, well designed, adequately powered multi-center trials with comprehensive evaluation are urgently needed to confirm our hypothesis. .
language: eng
source:
identifier: E-ISSN: 1735-546X ; PMID: 27576888 Version:1
fulltext: fulltext
issn:
  • 1735546X
  • 1735-546X
url: Link


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titlePrevention of stricture recurrence following urethral internal urethrotomy: routine repeated dilations or active surveillance?
creatorTian, Ye ; Wazir, Romel ; Wang, Jianzhong ; Wang, Kunjie ; Li, Hong
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subjectPostoperative Complications -- Prevention & Control ; Urethra -- Surgery ; Urethral Stricture -- Prevention & Control
descriptionStrictures of the urethra are the most common cause of obstructed micturition in younger men and there is frequent recurrence after initial treatment. Currently, routine repeated dilations, including intermittent self-catheterisation (ISC) are prescribed by urologists to prevent urethral stricture recurrence. There is, however, no high level evidence available supporting the effectiveness of practicing these painful techniques. Balancing efficacy, adverse effects and costs, we hypothesize that active surveillance is a better option for preventing stricture recurrence as compared with routine repeated dilations. However, well designed, adequately powered multi-center trials with comprehensive evaluation are urgently needed to confirm our hypothesis. .
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titlePrevention of stricture recurrence following urethral internal urethrotomy: routine repeated dilations or active surveillance?
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abstractStrictures of the urethra are the most common cause of obstructed micturition in younger men and there is frequent recurrence after initial treatment. Currently, routine repeated dilations, including intermittent self-catheterisation (ISC) are prescribed by urologists to prevent urethral stricture recurrence. There is, however, no high level evidence available supporting the effectiveness of practicing these painful techniques. Balancing efficacy, adverse effects and costs, we hypothesize that active surveillance is a better option for preventing stricture recurrence as compared with routine repeated dilations. However, well designed, adequately powered multi-center trials with comprehensive evaluation are urgently needed to confirm our hypothesis. .
pmid27576888
doi10.22037/uj.v13i4.3371
date2016-08-25