AI Article Synopsis
- The study aimed to identify factors linked to the recurrence of urethral stricture in patients who underwent internal urethrotomy.
- A systematic review was conducted, analyzing 402 studies but ultimately including 6 clinical trials involving 1,723 patients with urethral stricture.
- The main finding was that the length of urethral stricture was the strongest predictor of recurrence, with additional factors including the cause of the stricture, previous treatments, and low urine flow rates.
Article Abstract
Objective: To estimate the factors associated with urethral stricture recurrence in patients undergoing internal urethrotomy by direct vision.
Methods: A systematic review was performed in MEDLINE (Ovid), EMBASE, LILACS, and central databases. Clinical, quasi-experimental, cohort, case-control, and cross-sectional trials were included.
Results: The search strategy found 402 studies, and 6 were finally included. All of them were clinical trials. A total of 1723 patients diagnosed with urethral stricture undergoing internal urethrotomy were included. The primary associated factor was the association between the length of stricture and recurrence. Other factors described were post-RTU as etiology, previous interventions for urethral stricture management, and previous Qmax on uroflowmetry less than 5 ml/s.
Conclusion: The length of urethral stricture was identified as the leading association with stricture recurrence following internal urethrotomy. Other associated factors were post-URT as etiology, previous interventions for managing stricture, and Qmax less than 5 ml/s. However, studies with better methodology are required.
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| http://dx.doi.org/10.1177/03915603241292191 | DOI Listing |
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