Avances actualizados de la estrechez uretral en población infantil y adulta

Authors

  • Álvaro Contreras Caparroso Pontificia Universidad Javeriana
  • Sebastián Ospina Muñoz Universidad de los Andes
  • Raul Felipe Henao Estrada Universidad de Antioquia
  • Luisa Fernanda Salazar Marín Universidad Surcolombiana
  • María Alejandra Arango Cortés Universidad de Ciencias Aplicadas y Ambientales
  • Martha Lucía Tulcán Realpe Universidad Cooperativa de Colombia - Pasto
  • Leidy Daniela Correa Argüello Fundación Universitaria Sanitas

Keywords:

Urethral stricture, urethroplasty, genitourinary system, urological endoscopy, Urethrotomy.

Abstract

Urethral stricture is a disorder that directly affects the genitourinary system with an established number of clinical manifestations, which accompanied by an adequate history and approach allows an accurate diagnosis. Although it is true that this pathology could be suspected only with the anamnesis, it is necessary to perform multiple clinical tests to corroborate the diagnosis, the anatomical site affected and the degree of stenosis. In this way, a better treatment therapy can be defined based on the findings (which part of the urethra is affected, what percentage of the lumen is compromised) and the patient’s own characteristics (genitourinary surgical history, tolerability of surgical procedures). Emphasis will be placed on pharmacological and surgical treatment lines.

References

Pang KH, Chapple CR, Chatters R, Downey AP, Harding CK, Hind D, et al. A systematic review and meta-analysis of adjuncts to minimally invasive treatment of urethral stricture in men. Eur Urol [Internet]. 2021;80(4):467.

Tritschler S, Roosen A, Füllhase C, Stief CG, Rübben H. Urethral Stricture. Dtsch Arztebl Int [Internet]. 2013.

Chen C, Qin J, Wang C, Huang H, Li H, Wen Z, et al. Comparison of laser versus cold knife visual internal urethrotomy in the treatment of urethral stricture (stricture length <2 cm): A systematic review and meta-analysis. Medicine (Baltimore) [Internet]. 2023;103(18):e37524.

Soliman C, Pan HYC, Mulholland CJ, Furrer MA, Agarwal DK, Lawrentschuk N, et al. Effect of local steroids on urethral strictures: A systematic review and meta-analysis. Investig Clin Urol [Internet]. 2022;63(3):273.

Cheng X, Ding M, Peng M, Zhou L, Li Y, Peng S, et al. The changing trend in clinical characteristics and outcomes of male patients with urethral stricture over the past 10 years in China. Front Public Health [Internet]. 2021;9.

Sarin I, Narain TA, Panwar VK, Bhadoria AS, Goldman HB, Mittal A. Deciphering the enigma of female urethral strictures: A systematic review and meta‐analysis of management modalities. Neurourol Urodyn [Internet]. 2021;40(1):65–79.

Aldaqadossi HA, Shaker H, Kotb Y, Youssof H, Elgamal S. Penile fasciocutaneous flap urethroplasty for the reconstruction of pediatric long anterior urethral stricture. J Pediatr Urol [Internet]. 2018;14(6):555.

An Wu Y, Huang CH, Liu JH. Transurethral resection in children with urethral stricture and occlusion. J Endourol [Internet]. 1994;8(1):69–71.

Kaplan GW, Brock WA.Urethral strictures in children. J Urol [Internet].1983;129(6):1200. Barbagli G, Balò S, Montorsi F, Sansalone S, Lazzeri M. History and evolution of the use of oral mucosa for urethral reconstruction. Asian J Urol [Internet]. 2017;4(2):96–101.

Monfort G, Bretheau D, Di Benedetto V, Bankole R. Urethral stricture in children: Treatment by urethroplasty with bladder mucosa graft. J Urol [Internet]. 1992;148(5 Part 1):1504–6.

Harshman MW, Cromie WJ, Wein AJ, Duckett JW. Urethral stricture disease in children. J Urol [Internet]. 1981;126(5):650–4.

Wiegand LR,Tran TQ,Heinsimer K,Shah B.Safety of xiaflex® (collagenase Clostridium histolyticum) treatment for adult anterior urethral stricture disease.Cureus [Internet].2023.

Zhang X, Wang W, Zhang H, Zhang L, Yang C, Zhang H. Lower partial pubicectomy for postoperative complicated posterior urethral stricture. Int Urol Nephrol [Internet]. 2023;56(3):1109–15.

Ungerer G, Kemble J, Sischka M, Balzano FL, Warner JN. Endoscopic urethroplasty using buccal graft for male membranous urethral stricture. Urology [Internet]. 2023;181:200–3.

Deger M, Cebeci OO, Ates T, Geyik S, Girgin R, Bozkurt O. Management patterns of male urethral stricture disease among urologists: What do the guidelines say? What do urologists do? Arch Esp Urol [Internet]. 2023;76(7):487.

Santos JVQV dos, Görgen ARH, Bortolini T, Silva GVM da, Santos EB dos, Tavares PM, et al. Outcomes of urethral meatal preservation ventral urethroplasty for female urethral stricture: a series of cases. Rev Bras Ginecol Obstet [Internet]. 2023;46.

Li X, Xu C, Ji X, Zhu Z, Cai T, Guo Z, et al. Balloon dilation for the treatment of male urethral strictures: a systematic review and meta-analysis. BMJ Open [Internet]. 2023;14(2):e071923.

Cho MC, Lee J, Kim SW. Staged urethroplasty with groin full-thickness skin graft for managing complex anterior urethral strictures: surgical outcomes and predictive factors. World J Urol [Internet]. 2023;42(1).

Mann RA, Virasoro R, DeLong JM, Estrella RE, Pichardo M, Rodríguez Lay R, et al. A drug-coated balloon treatment for urethral stricture disease: Two-year results from the ROBUST I study. Can Urol Assoc J [Internet]. 2020;15(2).

Klein R, Vasan R, Guercio C, Rusilko P. Minimally invasive management of posterior urethral stricture/stenosis with DVIU and mitomycin C injection. Urology [Internet]. 2023;183.

Rahav NJ, Udah M, Cohen S, Bdolah-Abram T, Chertin B, Shenfeld OZ. Proximal urethrostomy versus urethroplasty for complex Urethral strictures. Eur Urol Open Sci [Internet]. 2023;62:91–8.

Jin Y, Zhao W, Yang M, Fang W, Gao G, Wang Y, et al. Cell-based therapy for urethral regeneration: A narrative review and future perspectives. Biomedicines [Internet]. 2023;11(9):2366.

Bouchard B,Campeau L.Surgery for female urethral stricture.Neurourol Urodyn;2023.

Akyuz M, Ozsoy E, Tokuc E, Artuk I, Kayar R, Bastug Y, et al. Management and outcomes of urethral stricture: single centre experience over 13 years. Aktuelle Urol [Internet]. 2023;54(06):482–6.

Gomez RG, Pfeifer J. Update on female urethral reconstruction. Curr Opin Urol [Internet]. 2021;31(5):486–92.

Heidari F, Abbaszadeh S, Ghadian A, Tehrani Kia F. On demand urethral dilatation versus intermittent urethral dilatation: Results and complications in women with urethral stricture. Nephrourol Mon [Internet]. 2014;6(2).

Keegan KA, Nanigian DK, Stone AR. Fémale Urethral Stricture disease. Curr Urol Rep. [Internet]. 2008;9(5):419–23.

Blaivas JG, Santos JA, Tsui JF, Deibert CM, Rutman MP, Purohit RS, et al. Management of Urethral Stricture in women. J Urol [Internet]. 2012;188(5):1778–82

Gülpınar Ö, Zumrutbas AE, Sancı A, Bütün S, Gokce Mİ, Aybek Z. The outcomes of three buccal mucosal graft urethroplasty techniques in women with urethral stricture disease. Neurourol Urodyn [Internet]. 2021;40(8):1921–8.

Osman NI, Chapple CR. Contemporary surgical management of female urethral stricture disease. Curr Opin Urol [Internet]. 2015;25(4):341.

Alvarez de Toledo I, DeLong J. Female urethral reconstruction. Urol Clin North Am [Internet]. 2022;49(3):393–402.

Kühnke L, Fisch M, Vetterlein MW. Harnröhrenstrikturen der Frau: Aktuelles Zu Diagnostik und Therapie. Aktuelle Urol [Internet]. 2021;52(03):260–7.

Pickard R, Goulao B, Carnell S, Shen J, MacLennan G, Norrie J, et al. Open urethroplasty versus endoscopic urethrotomy for recurrent urethral stricture in men: the OPEN RCT. Health Technol Assess [Internet]. 2020;24(61):1–110.

Robine E, Rigaud J, Luyckx F, Le Clerc Q-C, Madec F-X, Bouchot O, et al. Analyse des taux de succès des urétroplasties pour sténoses de l’urètre bulbaire chez l’homme adulte : revue systématique de la littérature. Prog Urol [Internet]. 2017;27(2):49–57.

Published

2024-08-25 — Updated on 2025-11-18

Versions

How to Cite

Contreras Caparroso, Álvaro, Ospina Muñoz, S., Henao Estrada, R. F., Salazar Marín, L. F., Arango Cortés, M. A., Tulcán Realpe, M. L., & Correa Argüello, L. D. (2025). Avances actualizados de la estrechez uretral en población infantil y adulta. Scientific and Educational Medical Journal, 4(2), 33 - 46. Retrieved from https://www.medicaljournal.com.co/index.php/mj/article/view/126 (Original work published August 25, 2024)

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