Editing AUA: Urethral Stricture Disease (2023) (section)

===Pre-operative Considerations===

==== Antibiotic Prophylaxis ====
*'''<span style="color:#ff0000">Should be given to all patients before proceeding with surgical management of a urethral stricture to reduce surgical site infections.</span>'''
**'''Different than 2015 CUA Antibiotics Prophylaxis guidelines which recommend considering prophylaxis in patients at high risk of infectious complications'''
*'''[https://www.auanet.org/documents/Guidelines/PDF/Antimicrobial%20Prophylaxis%20Table%20V.pdf 2016 AUA Antibiotic Prophylaxis Guidelines]'''
**'''<span style="color:#ff0000">Antibiotic of choice: cefazolin'''
***'''With endoscopic urethral stricture management, oral fluoroquinolones are more cost effective than intravenous cephalosporins'''
*'''Preoperative urine cultures are recommended to guide antibiotics, and active urinary tract infections must be treated before intervention.'''
*To avoid bacterial resistance, antibiotics should be discontinued after a single dose or within 24 hours. 
**Antibiotics can be extended in the setting of an active UTI or if there is an existing indwelling catheter

==== Deep Venous Thromboembolism Prophylaxis ====
*Use of sequential compression devices is recommended to reduce deep venous thromboembolism and nerve compression injuries.
*Perioperative parenteral deep venous thromboembolism prophylaxis is a consideration in select circumstances for open reconstruction.

==== Positioning ====
*'''When using the lithotomy position, positioning of the extremities should be careful to avoid pressure on (3)'''
*#'''Calf muscles'''
*#'''Peroneal nerve'''
*#'''Ulnar nerve'''