Editorial Comment: Proximal Urethrostomy Versus Urethroplasty for Complex Urethral Strictures

Nir J Rahav ¹, Mohamad Udah ², Sarit Cohen ², Tali Bdolah-Abram ³, Boris Chertin ², Ofer Z. Shenfeld ¹

¹ Center for Reconstructive and Functional Urology, Shaare Zedek Medical Center, Jerusalem, Israel; ² Department of Urology, Shaare Zedek Medical Center, Jerusalem, Israel; ³ The Hebrew University Medical School, Jerusalem, Israel

Eur Urol Open Sci. 2024 Mar 6:62:91-98.

DOI: 10.1016/j.euros.2024.02.008 | ACCESS: 38486615

COMMENT

Complex anterior urethral stricture (CUS) are difficult to surgical management. Several options are used to treat this condition. Some options are done in stages and with a significant chance of complications. In present paper Rahav and collegues from Israel (¹) shows a interesting study about the options to treat the complex urethral strictures. The objective of the paper was to compare proximal urethrostomy and urethroplasty for CUS using objective measures and validated questionnaires, and to evaluate trends in subgroups of patients who underwent proximal urethrostomy as the intended defini- tive treatment versus first-stage urethroplasty.

The authors in a retrospective study from 2004 to 2021compared 57 proximal urethrostomy and 75 urethroplasty patients for CUS (strictures >6 cm, recurrent pos- turethroplasty strictures, or CUS due to lichen sclerosus or past hypospadias surgery). The primary outcome was a recurrent stricture at a minimal follow-up of 1 yr. The secondary outcomes included vali- dated questionnaires, uroflowmetry, and residual urine volume. Comparisons of the two groups revealed no significant differences in stricture recurrence, results of validated questionnaires, or objective measures of urination. The authors concluded that proximal urethrostomy is equivalent to urethral reconstruction, and it should be offered as a viable solution for complex urethral stricture. This option is very useful, easy to do and the majority of the patients has a great satisfaction.

REFERENCES

• ¹
  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. 2024 Mar 6;62:91-98. doi: 10.1016/j.euros.2024.02.008.
  » https://doi.org/10.1016/j.euros.2024.02.008

Publication Dates

• Publication in this collection
  02 Aug 2024
• Date of issue
  Jul-Aug 2024

History

• Received
  05 May 2024
• Accepted
  10 May 2024
• Published
  20 May 2024