Clinical practice guideline. Traumatic urethral stenosis in males
Main Article Content
Keywords
Urethral stricture, Urethra, Wounds and injuries, Practice guideline
Abstract
The incidence of urethral stenosis in Mexico had not been documented. At the Centro Médico Nacional La Raza, along the year 2010, 629 patients with urethral stenosis were attended as out patient consultation: 85 % with previous urethral stenosis and 15 % with urethral treatment complication. Urethral stenosis is a chronic illness, with multiple etiological origin and the handling is controversial. It has a great negative impact for the patients and the recurrence reach 85 %. The treatment consisted over invasive approach (urethral dilations, endoscopy procedure) and open surgery (urethroplasty). The World Health Organization and World Alliance take the world challenge about the urinary tract infections associated to the attention of patients, focused on urethral stenosis. The objective of the following clinical guide is to offer to the professional of the health a clinical tool for taking decisions in the handling of the hardship or masculine urethral stenosis, based on the best available evidence, carrying out in systematized form with bibliographical research using validated terms of the MeSh: urethral structures, in the databases Trip database, PubMed, Guideline Clearinghouse, Cochrane Library and Ovid.
References
Moreno-Sierra J, Prieto-Nogal S, Galante-Romo I, et al. Utilidad del láser en el tratamiento de las estenosis uretrales. Arch Esp Urol. 2008;61(9):978-84. Texto libre en http://scielo.isciii.es/pdf/urol/v61n9/06.pdf
Gómez R, Marchetti P, Castillo OA. Manejo racional y selectivo de los pacientes con estenosis de uretra anterior. Actas Urol Esp. 2011;35(3):159-66. Texto libre en http://scielo.isciii.es/pdf/aue/v35n3/revision1.pdf
Santucci RA, McAninch JW. Urethral reconstruction of strictures resulting from treatment of benign prostatic hypertrophy and prostate cancer. Urol Clin North Am. 2002;29(2):417-27, viii.
Shekelle PG, Woolf SH, Eccles M, et al. Clinical guidelines: developing guidelines BMJ. 1999;318 (7183):593-6. Texto libre en http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1115034/pdf/593.pdf
Rijal A, Little B, McPhee S, et al. Intermittent self dilatation —still a viable option for treatment of urethral stricture disease. Nepal Med Coll J. 2008;10(3):155-9.
Wein AJ, Kavoussi LR, Novick AC, editores. Campbell-Walsh urology. Ninth edition. Philadelphia, PA: Saunders; 2007.
Estenosis de uréter. [Internet]. p. 28-31. Texto libre en http://www.hgm.salud.gob.mx/descargas/pdf/area_ medica/urolo/2estenosis_uretra.pdf
Anger JT, Buckley JC, Santucci RA, et al.; Urologic Diseases in America Project. Trends in stricture management among male medicare beneficiaries: underuse of urethroplasty? Urology. 2011;77(2):481-5. Texto libre en http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3320109/pdf/nihms350357.pdf
Martínez-Piñeiro L, Djakovic N, Plas E, et al. EAU guidelines on urethral trauma. Eur Urol. 2010;57(5): 791-803.
Gómez-Cusnir P, Valero-Cely F, Guzmán-Bastidas C, et al. Guía de práctica clínica hiperplasia prostática benigna: diagnóstico y tratamiento. [Internet]. Sociedad Colombiana de Urología. Guías de práctica clínica (GPC). [Citado el 15 de abril de 2013]. Disponible en http://www.urologiacolombiana.com/guias/004.pdf
Jackson M J, Sciberras J, Mangera A, et al. Defining a patient-reported outcome measure for urethral stricture surgery. Eur Urol. 2011;60(1):60-8.
Mundy AR, Andrich DE. Urethral strictures. BJU Int. 2011;107(1):6-26.
Jin T, Hong LI, Jiang LH, et al. Safety and efficacy of laser and cold knife urethrotomy for urethral stricture. Chin Med J. 2010;123(12):1589-95. Texto libre en http://www.cmj.org/Periodical/PDF/200481484418060.pdf
Barragán-Arteaga IA, Barriga-Angulo G, Calderón-Ferro F, et al. 1er. consenso nacional sobre manejo antimicrobiano de infecciones de vías urinarias (IVUs) en el adulto. Bol Col Mex Urol. 2005;XX(2):46-57. Texto libre en http://www.medigraphic.com/pdfs/buro/bu-2005/bu052d.pdf
Barbagli G, Palminteri E, Lazzeri M, et al. Anterior urethral strictures. BJU Int. 2003;92(5):497-505.
Steffens JA, Anheuser P, Treiyer AE, et al. Plastic meatotomy for pure meatal stenosis in patients with lichen sclerosus. BJU Int. 2010;105(4):568-72.
Saavedra-Briones DV, Merayo-Chalico CE, Sánchez-Turati G, et al. Recurrencia de estenosis uretral posterior a uretrotomía interna. Rev Mex Urol. 2009;69(4):153-8. Texto libre en http://www.elsevier.es/sites/default/files/elsevier/pdf/302/302v69n04a13149552pdf001.pdf
Lozano-Ortega JL, Pertusa-Peña C. Cirugía de la estenosis de uretra. Actualización. Arch Esp Urol. 2007;60(6):633-7. (Citado el 22 de marzo de 2013). Disponible en http://scielo.isciii.es/pdf/urol/v60n6/original3.pdf