Management Patterns of Male Urethral Stricture Disease among Urologists: What Do the Guidelines Say? What Do Urologists Do?

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dc.authorid0000-0002-8357-5744
dc.authorid0000-0003-2444-466
dc.authorid0000-0001-9087-290X
dc.authorid0000-0002-8712-7682
dc.authorid0000-0003-1132-8629
dc.contributor.authorDeğer, Mutlu
dc.contributor.authorCebeci, Oğuz Özden
dc.contributor.authorAteş, Tunahan
dc.contributor.authorGeyik, Serdar
dc.contributor.authorGirgin, Reha
dc.contributor.authorBozkurt, Ozan
dc.date.accessioned2024-04-19T07:00:24Z
dc.date.available2024-04-19T07:00:24Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractThe aim of the present study is to evaluate and analyze the daily clinical practice for male urethral stricture disease (MUSD) among urologists. Methods: Considering the latest guidelines on urethral stricture disease, a survey was developed regarding the various treatment options and preferences in different sites of male urethral stricture disease. The survey was sent to urologists via e-mail and phone application. Results: A total of 266 urologists completed the survey and were included in the final analysis. In regard to workplace, 62 (23.3%), 58 (21.8%), 71 (26.7%), and 75 (28.2%) respondents worked in university hospitals, training and research hospitals, state hospitals, and private practice hospitals, respectively. In regard to the diagnostic method used in male urethral strictures, 88.7% of the participants would choose uroflowmetry + postvoiding residual (UF + PVR), and 64.6% would choose retrograde urethrography (RUG). Direct vision internal urethrotomy (DVIU) was the most frequently chosen method in penile urethral strictures (PUS), being chosen by 72.9%. Direct vision anterior internal urethrotomy was the most common method for both ?2 cm and >2 cm strictures, 63.1%, and 30.8%, respectively. The most preferred graft for augmentation urethroplasty was buccal mucosa (75.8%). Endoscopic incision/resection (transurethral resection (TUR)) is the most frequently applied treatment method for posterior urethral/vesicourethral anastomotic strictures (86.4%). Conclusions: The present study clearly shows that most urologists still prefer DVIU and urethral dilatation to urethroplasty in MUSD, which contradicts current guidelines. Urologists should be encouraged to perform urethroplasty and/or refer patients to experienced centres for recurrent MU
dc.identifier.doi10.56434/j.arch.esp.urol.20237607.60
dc.identifier.endpage493en_US
dc.identifier.issn0004-0614
dc.identifier.issue7en_US
dc.identifier.pmid37867333
dc.identifier.scopusqualityQ3
dc.identifier.startpage487en_US
dc.identifier.urihttps:/dx.doi.org10.56434/j.arch.esp.urol.20237607.60
dc.identifier.urihttps://hdl.handle.net/20.500.12451/11653
dc.identifier.volume76en_US
dc.identifier.wosWOS:001094003900001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherIniestares, S.A.
dc.relation.ispartofArchivos Espanoles de Urologia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMale
dc.subjectStricture
dc.subjectSurvey
dc.subjectUrethral
dc.subjectUrologist
dc.titleManagement Patterns of Male Urethral Stricture Disease among Urologists: What Do the Guidelines Say? What Do Urologists Do?
dc.typeArticle

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