title: [Clinical practice guideline. Traumatic urethral stenosis in males].
abstract: The incidence of urethral stenosis in Mexico had not been documented. At the Centro Médico Nacional La Raza, during the year 2010, 629 patients with urethral stenosis were attended as outpatient consultation: 85 % with previous urethral stenosis and 15 % with urethral treatment complication. Urethral stenosis is a chronic illness, with multiple etiological origins and the handling is controversial. It has a great negative impact for the patients and the recurrence reaches 85 %. The treatment consisted of an invasive approach (urethral dilations, endoscopy procedure) and open surgery (urethroplasty). The World Health Organization and World Alliance take the world challenge about the urinary tract infections associated with the attention of patients, focused on urethral stenosis. The objective of the following clinical guide is to offer to the health professional a clinical tool for making decisions in the handling of the hardship or masculine urethral stenosis, based on the best available evidence, carrying out in systematized form with bibliographical research using validated terms of the MeSH: urethral structures, in the databases Trip database, PubMed, Guideline Clearinghouse, Cochrane Library and Ovid.
authors.affiliation: Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, Mexico. dra.basa06@gmail.com
authors.forename: Eduardo Alonso
authors.initials: EA
authors.lastname: Serrano-Brambila
authors.forename: Othón Martino
authors.initials: OM
authors.lastname: Moreno-Alcázar
authors.forename: Edgar
authors.initials: E
authors.lastname: Neri-Páez
authors.forename: Luis Carlos
authors.initials: LC
authors.lastname: Sánchez-Martínez
authors.forename: Octavio Francisco
authors.initials: OF
authors.lastname: Hernández-Ordóñez
authors.forename: Arturo
authors.initials: A
authors.lastname: Morales-Morales
authors.forename: M Antonia
authors.initials: MA
authors.lastname: Basavilvazo-Rodríguez
authors.forename: Laura del Pilar
authors.initials: Ldel P
authors.lastname: Torres-Arreola
authors.forename: Adriana Abigail
authors.initials: AA
authors.lastname: Valenzuela-Flores
authors.forename: Marcelino
authors.initials: M
authors.lastname: Hernández-Valencia
mesh_terms: D000465:Algorithms; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*
keywords: estrechez uretralpractice guideline; guía de práctica clínica; heridas y traumatismos; urethra; urethral stricture; uretra; wounds and injuries