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Clinical practice guidelines on the management of male urethral stricture disease are provided, with recommendations based on a standardised approach by an expert panel using a systematic literature search, level of evidence evaluation, benefit to harm assessment, and patient preferences.
Surgeons should repair ureteral injuries located distal to the iliac vessels with ureteral reimplantation or primary repair over a ureteral stent, when possible. (Recommendation; Evidence Strength: Grade C)
Delayed urethroplasty (surgery deferred until coexisting orthopaedic injuries have healed, usually after 3 mo) is the procedure of choice and the gold standard for treating posterior urethral distraction defects in males.
1 sty 2021 · The authors of this guideline reviewed the urologic trauma literature to guide clinicians in the appropriate methods of evaluation and management of genitourinary injuries.
This guideline provides evidence-based guidance to clinicians and patients regarding how to recognize symptoms and signs of a urethral stricture/stenosis, carry out appropriate testing to determine the location and severity of the stricture, and recommend the best options for treatment.
The evaluation and postoperative follow-up of patients with urethral strictures should include an assessment of both symptoms and objective parameters. Herein, we describe recommendations for diagnostic evaluation and follow-up, as well as a classification system for urethral strictures.
The European Association of Urology (EAU) Urethral Strictures Guidelines aim to provide a comprehensive overview of urethral strictures in male, female, and transgender patients. The Panel is aware of the geographical variations in healthcare provision.
