Abstract
ABSTRACTObjectives:To evaluate national practice patterns in the treatment of male anterior urethral strictures among Turkish urologists.Materials and Methods:A survey form including 12 questions prepared to determine active Turkish urologists' approach to diagnosis and treatment of the adult urethral stricture (US) were filled out. Based on the survey results, the institutions which 218 urologists work and their years of expertise, methods they used for diagnosis and treatment, whether or not they perform open urethroplasty and timing of open urethroplasty were investigated.Results:Optic internal urethrotomy and dilatation are the most commonly used minimal invasive procedures in treatment of US with the ratios of 93.5% and 63.3% respectively. On the other hand it was seen that urethroplasty was a less commonly used procedure, compared to minimal invasive techniques, with the ratio of 36.7%. Survey results showed us that the number of US cases observed and open urethroplasty procedures performed increases with increasing years of professional experience.Conclusions:As a method demanding special surgical experience and known as a time-consuming and challenging procedure, open urethroplasty will be able to take a greater part in current urological practice with the help of theoretical education and practical courses given by specific centers and experienced authors.
Highlights
Urethral stricture is a well-known and common problem in pathology which, as the result of scar formation, causes stenosis of urethral lumen in the subepithelial tissue [1]
As there is no consensus of the best form of treatment of urethral stricture, urologists seem to have doubts in deciding whether to use the minimally invasive procedure which is an easy method of treatment that has shown to be less effective in the long run, ibju | Practice on urethral stricture or open urethroplasty which is a more complex and time consuming procedure, but has excellent long term results
The results present us with information on whether the participants performed open urethroplasty or not, in which circumstances they tend to use open urethroplasty and the reasons for ruling it out
Summary
Urethral stricture is a well-known and common problem in pathology which, as the result of scar formation, causes stenosis of urethral lumen in the subepithelial tissue [1]. The fact that results, in the long term, have not shown to be satisfactory has made definitive urethroplasty a necessity [3, 4] It is a method which is technically more complicated and needs expertise, open urethroplasty is a method which has been effective over the last century with remarkably high success rates [5]. As there is no consensus of the best form of treatment of urethral stricture, urologists seem to have doubts in deciding whether to use the minimally invasive procedure which is an easy method of treatment that has shown to be less effective in the long run, ibju | Practice on urethral stricture or open urethroplasty which is a more complex and time consuming procedure, but has excellent long term results
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