title: Evaluation and management of anterior urethral stricture disease.
abstract: Urethral stricture disease affects many men worldwide. Traditionally, the investigation of choice has been urethrography and the management of choice has been urethrotomy/dilatation. In this review, we discuss the evidence behind the use of ultrasonography in stricture assessment. We also discuss the factors a surgeon should consider when deciding the management options with each individual patient. Not all strictures are identical and surgeons should appreciate the poor long-term results of urethrotomy/dilatation for strictures longer than 2 cm, strictures in the penile urethra, recurrent strictures, and strictures secondary to lichen sclerosus. These patients may benefit from primary urethroplasty if they have many adverse features or secondary urethroplasty after the first recurrence.
authors.affiliation: Department of Urology Research, Royal Hallamshire Hospital, Sheffield, UK.
authors.forename: Altaf
authors.initials: A
authors.lastname: Mangera
authors.affiliation: Department of Urology Research, Royal Hallamshire Hospital, Sheffield, UK.
authors.forename: Nadir
authors.initials: N
authors.lastname: Osman
authors.affiliation: Department of Urology Research, Royal Hallamshire Hospital, Sheffield, UK.
authors.forename: Christopher
authors.initials: C
authors.lastname: Chapple
keywords: Urethral stricture disease; dilatation; urethrography; urethrotomy