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AUA: Male Urethral Stricture (2016)
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==Answers== #List risk factors associated with urethral stricture disease #*'''Trauma History Increases Long Pee Time''' ##Trauma ##Hypospadia ##Idiopathic ## LS ##Prostate cancer treatment ##Transurethral surgery # What is the most common cause of urethral stricture disease in the developed vs. developing world? ##Developed: idiopathic ## Developing: trauma #What are the initial investigations recommended in patients with suspected urethral stricture disease? ## History and physical exam ##Urinalysis #What are different methods to characterize a urethral stricture pre-operatively? ##Cystourethrscopy ##Retrograde urethrography ##Voiding cystourethrography ##Ultrasound urethography #As per the 2016 AUA Guidelines, what is the management of urethral stricture disease involving the fossa navicularis? Penile urethra? Bulbar urethra? #*Fossa navicularis: dilation, if fails urethroplasty #*Penile urethra: urethroplasty #*Bulbar urethra: #**Stricture <2cm: endoscopic or urethroplasty #**Stricture >2cm: urethroplasty #Following DVIU, when should the foley catheter be removed?#*Within 72 hours #Which are indications for a perineal urethrostomy? ##Recurrent or primary complex anterior stricture ##Numerous failed attempts at urethroplasty ##Extensive LS ##Advanced age ##Medical co-morbidities precluding extended operative time ##Patient choice #What is the preferred site to harvest a graft for use during anterior urethroplasty? #*Oral mucosa (inner cheek, undersurface of tongue, inner lower lip) #What is the risk of new onset erectile dysfunction following anterior urethroplasty? #*1% #*
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