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World Journal of Urology
Erschienen in: World Journal of Urology 3/2021

25.05.2020 | Original Article

Classification systems for anterior urethral stricture disease in men: a systematic review

verfasst von: Athul John, Arman A. Kahokehr

Erschienen in: World Journal of Urology | Ausgabe 3/2021

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Abstract

Objective

To identify and explore the various classification systems that have been proposed for anterior urethral stricture disease (AUSD) and to identify the advantages and disadvantages of each.

Methods

A comprehensive systematic review was conducted in MEDLINE, EMBASE, SCOPUS and COCHRANE databases with a search strategy created appropriately. Titles and abstracts of search results were screened by two authors and selected for full-text review. Studies exploring urethral stricture classification, clinical scoring or staging systems used in men over the age of 18 with benign anterior urethral stricture disease were included.

Results

The search identified 3113 articles, of which 10 were selected for inclusion after scrutiny. Four classification systems were identified. These include ULTRA score, urethral stricture score, cystoscopy-based staging system and Gombe Urethrographic score. These were based on various modalities, including cystoscopy, retrograde urethrogram (RUG) and sonourethrogram (SUG). From the scoring systems identified, the urethral stricture scoring system has multiple external validation studies and is predictive of operative complexity, operative time, recurrence and postoperative complications.

Conclusions

Several classification systems have been proposed for AUSD. Each has its advantages and disadvantages. The urethral stricture score has been externally validated and shown to been predictive of surgical outcomes and recurrence. There are no scores that incorporate patient-related outcome measures (PROMs). Many classification systems have yet to provide sufficient external validation. Further external validation studies are needed before the general adoption of a particular system.
Literatur
1.
Jackson MJ, Sciberras J, Mangera A et al (2011) Defining a patient-reported outcome measure for urethral stricture surgery. Eur Urol 60(1):60–68CrossRef
2.
Popay J, Roberts H, Sowden A et al (2006) Guidance on the conduct of narrative synthesis in systematic reviews. ESRC 1:b92
3.
Wells G, Shea B, O’Connell D et al (2000) The Newcastle-Ottawa scale (NOS) for assessing the quality of non-randomized studies in meta-analysis. Ann Int Med 12(2):1
4.
Chen L, Hou R, Feng C et al (2017) Establishment of the ULTRA measurement rating system for anterior urethral stricture. Int urol nephrol 49(7):1201–1207CrossRef
5.
Mandhani A, Chaudhury H, Kapoor R, Srivastava A, Dubey D, Kumar A (2005) Can outcome of internal urethrotomy for short segment bulbar urethral stricture be predicted? J urol 173(5):1595–1597CrossRef
6.
Belsante MJ, Selph JP, Peterson AC (2015) The contemporary management of urethral strictures in men resulting from lichen sclerosus. Trans Androl Urolo 4(1):22–28
7.
Wiegand LR, Brandes Dr SB (2012) The UREThRAL stricture score: A novel method for describing anterior urethral strictures. J Can Urol Ass 6(4):260–264CrossRef
8.
Mathur R, Patil LA, Khan F (2016) Evaluating efficacy of various operative procedures done in anterior urethral stricture using urethral stricture score. Urol Ann 8(1):42–45CrossRef
9.
Eswara JR, Han J, Raup VT et al (2015) Refinement and validation of the urethral stricture score in categorizing anterior urethral stricture complexity. Urol 85(2):474–477CrossRef
10.
Alwaal A, Sanford TH, Harris CR, Osterberg EC, McAninch JW, Breyer BN (2016) Urethral stricture score is associated with anterior urethroplasty complexity and outcome. J urol 195(6):1817–1821CrossRef
11.
Mitsui Y, Kobayashi H, Hori S, Iwai H, Nakajima K, Nagao K (2018) U-score system for predicting time to recurrence after urethral reconstruction in patients with anterior urethral stricture. Int J Urol Jpn Ass 25(12):1015–1016CrossRef
12.
Purohit RS, Blaivas JG, Weinberger JM, Deibert CM (2014) A new staging system for anterior urethral strictures. Urol Prac 1(1):35–39CrossRef
13.
Purohit RS, Golan R, Copeli F et al (2017) Natural History of low-stage urethral strictures. Urology 108:180–183CrossRef
14.
Ahidjo A, Abdulkadir AY, Gadams IA, Saad ST (2012) Evaluation of radiographic pattern of male urethral strictures in Nigeria: a preliminary report of a proposed new scoring system for developing countries. Iran J Radiol Soc 9(1):60–62CrossRef
15.
Levine LA, Strom KH, Lux MM (2007) Buccal mucosa graft urethroplasty for anterior urethral stricture repair: evaluation of the impact of stricture location and lichen sclerosus on surgical outcome. J Urol 178(5):2011–2015CrossRef
16.
Kinnaird AS, Levine MA, Ambati D, Zorn JD, Rourke KF (2014) Stricture length and etiology as preoperative independent predictors of recurrence after urethroplasty: a multivariate analysis of 604 urethroplasties. J Can Urol Ass 8(5–6):e296–e300CrossRef
17.
Gupta N, Dubey D, Mandhani A, Srivastava A, Kapoor R, Kumar A (2006) Urethral stricture assessment: a prospective study evaluating urethral ultrasonography and conventional radiological studies. BJU Int 98(1):149–153CrossRef
18.
Ravikumar BR, Tejus C, Madappa KM, Prashant D, Dhayanand GS (2015) A comparative study of ascending urethrogram and sono-urethrogram in the evaluation of stricture urethra. Int J Urol Braz Soc Urol 41(2):388–392CrossRef
19.
Horiguchi A, Shinchi M, Masunaga A, Ito K, Asano T, Azuma R (2018) Do transurethral treatments increase the complexity of urethral strictures? J urol 199(2):508–514CrossRef
20.
Harraz AM, El-Assmy A, Mahmoud O et al (2015) Is there a way to predict failure after direct vision internal urethrotomy for single and short bulbar urethral strictures? Arab J Urol 13(4):277–281CrossRef
21.
Tolkach Y, Herrmann T, Merseburger A et al (2016) Development of a clinical algorithm for treating urethral strictures based on a large retrospective single-center cohort. F1000Research 5:23–78CrossRef
22.
Kulkarni SB, Joglekar OV, Alkandari M, Joshi PM (2018) Algorithm for the management of anterior urethral strictures. Turk J urol 44(3):195–197CrossRef
23.
Holzhauer C, Roelofs AW, Kums AC, Weijerman PC, van Balken MR (2018) Is the laser mightier than the sword? A comparative study for the urethrotomy. World J Urol 36(4):663–666CrossRef
24.
Krebs J, Wöllner J, Pannek J (2015) Urethral strictures in men with neurogenic lower urinary tract dysfunction using intermittent catheterization for bladder evacuation. Spinal Cord 53(4):310–313CrossRef
25.
Chaitanya S, Kumar N, Satish B, Manoj B, Reddy K (2018) Codifying Anterior Urethral Strictures with UREThRAL Stricture Score. Int J Contemp Med Res 5
26.
Dinerman BF, Hauser NJ, Hu JC, Purohit RS (2017) Robotic-assisted abdomino-perineal vesicourethral anastomotic reconstruction for 45 centimeter post-prostatectomy stricture. Urol Rep 14:1–2CrossRef
27.
Kalabhavi S, Jayaram S, Nagaraja NH et al (2018) Role of sonourethrogram in evaluation of anterior urethral stricture and its correlation with retrograde urethrogram and intraoperative findings-a prospective study. J Clin Diagn Res 12(8):1–4
28.
Choudhary S, Singh P, Sundar E, Kumar S, Sahai A (2004) A comparison of sonourethrography and retrograde urethrography in evaluation of anterior urethral strictures. Clin Radiol 59(8):736–742CrossRef
29.
Tao W, Bai G, Fu G, Niu X, Wang H, Wang G (2019) MR urethrography versus X-ray urethrography compared with operative findings for the evaluation of urethral strictures. Int Urol Nephrol 51(7):1137–1143CrossRef
30.
El-Ghar MA, Osman Y, Elbaz E, Refiae H, El-Diasty T (2010) MR urethrogram versus combined retrograde urethrogram and sonourethrography in diagnosis of urethral stricture. Eur J Radiol 74(3):e193–198CrossRef
31.
Jackson MJ, Chaudhury I, Mangera A et al (2013) A prospective patient-centred evaluation of urethroplasty for anterior urethral stricture using a validated patient-reported outcome measure. Eur Urol 64(5):777–782CrossRef
32.
Baradaran N, Hampson LA, Edwards TC, Voelzke BB, Breyer BN (2018) Patient-reported outcome measures in urethral reconstruction. Curr urol Rep 19(7):12CrossRef
Metadaten
Titel
Classification systems for anterior urethral stricture disease in men: a systematic review
verfasst von
Athul John
Arman A. Kahokehr
Publikationsdatum
25.05.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
World Journal of Urology / Ausgabe 3/2021
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-020-03250-8

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