Universität zu Köln

Rosenbaum, Clemens M., Reiss, C. Philip, Borgmann, Hendrik ORCID: 0000-0002-3955-564X, Salem, Johannes, Fisch, Margit, Huber, Johannes ORCID: 0000-0001-7243-8958, Schmid, Marianne and Ahyai, Sascha A. (2017). Management of Anterior Urethral Strictures in Adults: A Survey of Contemporary Practice in Germany. Urol.Int., 99 (1). S. 43 - 51. BASEL: KARGER. ISSN 1423-0399

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Abstract

Introduction: Treatment methods of anterior urethral strictures in adults have undergone considerable changes in the recent past. Our goal was to determine national practice patterns among German urologists and to compare results with the results of prior international surveys. Methods: We conducted a survey on the management of urethral strictures among German urologists. Results: Eight hundred forty-five urologists, representing about 14.6% of German urologists, answered the survey. Most common procedures were direct vision internal urethrotomy (DVIU; 87.2%), blind internal urethrotomy (57.5%), dilatation (56.3%), ventral buccal mucosa graft urethroplasty (31.6%) and excision and primary anastomosis (28.9%). In case of a 3.5-cm bulbar stricture and in the case of a 1-cm bulbar stricture after 2 failed DVIUs, a consecutive urethroplasty was significantly more often favoured compared to transurethral treatment options (44.9 vs. 21.3% and 59.4 vs. 8.3%, both p < 0.001). Conclusion: Open urethral reconstruction reveals to be a more common method in practice nowadays. Adherence to recommended treatment algorithms improved in comparison to prior surveys.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Rosenbaum, Clemens M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reiss, C. Philip UNSPECIFIED UNSPECIFIED UNSPECIFIED Borgmann, Hendrik UNSPECIFIED orcid.org/0000-0002-3955-564X UNSPECIFIED Salem, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Fisch, Margit UNSPECIFIED UNSPECIFIED UNSPECIFIED Huber, Johannes UNSPECIFIED orcid.org/0000-0001-7243-8958 UNSPECIFIED Schmid, Marianne UNSPECIFIED UNSPECIFIED UNSPECIFIED Ahyai, Sascha A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-245840
DOI:	10.1159/000471928
Journal or Publication Title:	Urol.Int.
Volume:	99
Number:	1
Page Range:	S. 43 - 51
Date:	2017
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1423-0399
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SIU/ICUD CONSULTATION; INTERNAL URETHROTOMY; URETHROPLASTY; DILATION; DISEASE; TRENDS; UROLOGISTS Multiple languages Urology & Nephrology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/24584