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AUA: Urethral Stricture Disease (2023)
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===Post-operative follow-up=== *'''<span style="color:#ff0000">Following dilation, DVIU or urethroplasty for urethral stricture, patients should be monitored to identify symptomatic recurrence''' **'''Successful treatment for urethral stricture (endoscopic or surgical) is most commonly defined as no further need for surgical intervention or instrumentation.''' ***Other descriptions for successful treatment: ****Absence of postoperative or post-procedural patient reported obstructive voiding symptoms ****Patient-reported improvement in LUTS ****Peak uroflow >15m/sec ****PVR urine <100mL ****"Unobstructed" flow curve shape on uroflowmetry ****Absence of UTI ****Ability to pass a urethral catheter **Consider more frequent follow-up intervals in '''males at an increased risk for stricture recurrence (7):''' **#'''Prior failed treatment (multiple endoscopic procedures or previous urethroplasty)''' **#'''Long stricture''' **#'''Repair involving a flap or graft''' **#'''LS-related stricture''' **#'''Hypospadias-related stricture''' **#'''Smoking''' (tobacco use) **#'''Diabetes''' *Urethral Stents **Although stents are not currently recommended for the treatment of urethral stricture, patients treated with a urethral stent after dilation or internal urethrotomy should be monitored for recurrent stricture and complications as these can occur at any time point after stent placement. **Patients with completely obstructed stents may require open urethroplasty and removal of the stent. **'''Stents do not need to be prophylactically removed and should be followed conservatively unless associated with significant urethral or voiding symptoms.'''
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