ㅤTake-home message from Goulao 2020, published in European Urology):
In men with recurrent bulbar stricture, both urethroplasty and urethrotomy improve voiding symptoms, with observed benefit lasting longer in urethroplasty.
Urethroplasty reduces recurrence and reintervention rate.
ㅤTake-home message from Greenwell 2016, published in Scandinavian Journal of Urology):
There was no significant difference in stricture recurrence rate between patients who performed CISC and those who did not.
ㅤTake-home message from Pansadoro 1996, published in Journal of Urology):
Recurrence rate after 1 urethrotomy 68% overall
58% bulbar
84% penile
89% penile bulbar
Repeated urethrotomies do not improve success rates (regardless of aetiology), therefore recurrence after initial urethrotomy should prompt consideration of alternative treatments.
ㅤTake-home message from Steenkamp 1997, published in Journal of Clinical Urology):
Author conclusions:
no difference in efficacy between dilatation and urethrotomy
Author recommendations:
strictures <2cm should be treated with either dilatation or urethrotomy
Strictures >4cm should be treated with primary urethroplasty
Strictures 2-4cm should be offered a trial of dilatation or urethrotomy.
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Improved prognosis in:
single or primary strictures,
stricture length <10mm,
width caliber >15Fr
ㅤTake-home message from Matthew J Jackson 2014, published in Cochrane Database of Systematic Reviews):
Recurrent urethral stricture is less likely in men who performed intermittent self-dilatation than men who did not perform intermittent self-dilatation; however quality of assessed evidence is low.