Avances actualizados de la estrechez uretral en población infantil y adulta
Palabras clave:
Estrechez uretral, uretroplastia, sistema genitourinario, endoscopia urológica, Uretrotomía.Resumen
La estrechez uretral, es un trastorno que afecta directamente el sistema genitourinario con un número establecido de manifestaciones clínicas, que acompañado de una adecuada anamnesis y enfoque permite un acertado diagnóstico. Si bien es cierto, se puede llegar a sospechar de esta patología únicamente con la anamnesis, es necesario la realización de múltiples pruebas paraclínicas para corroborar el diagnóstico, el lugar anatómico afectado y el grado de estenosis.
De esta manera se podrá definir una mejor terapia de tratamiento con base a los hallazgos encontrados (que parte de la uretra se ve afectada, que porcentaje de la luz compromete) y las características propias del paciente (antecedentes quirúrgicos genitourinarios, tolerabilidad de procedimiento quirúrgicos). Se hará particular énfasis en las líneas de tratamiento farmacológico y quirúrgico.
Citas
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):467–79.
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.
Descargas
Publicado
Versiones
- 2025-11-18 (4)
- 2025-11-18 (3)
- 2025-11-18 (2)
- 2024-08-25 (1)
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Scientific and Eduaction Medical JournalAtribución – No comercial – Compartir igual: Esta licencia permite a otros distribuir, remezclar, retocar, y crear a partir de tu obra de modo no comercial, siempre y cuando te den crédito y licencien sus nuevas creaciones bajo las mismas condiciones.
Attribution-NonCommercial-ShareAlike 4.0 International
