Serrano-Brambila Eduardo Alonso, Moreno-Alcázar Othón Martino, Neri-Páez Edgar, Sánchez-Martínez Luis Carlos, Hernández-Ordóñez Octavio Francisco, Morales-Morales Arturo, Basavilvazo-Rodríguez M Antonia, Torres-Arreola Laura del Pilar, Valenzuela-Flores Adriana Abigail, Hernández-Valencia Marcelino
Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, Mexico.
Rev Med Inst Mex Seguro Soc. 2013 Jul-Aug;51(4):472-9.
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.
墨西哥尿道狭窄的发病率此前尚无文献记载。在国家拉扎医疗中心，2010年有629例尿道狭窄患者接受了门诊咨询：85%为既往有尿道狭窄，15%为尿道治疗并发症。尿道狭窄是一种慢性病，病因多样，治疗存在争议。它对患者有很大的负面影响，复发率达85%。治疗方法包括侵入性手段（尿道扩张、内窥镜手术）和开放手术（尿道成形术）。世界卫生组织和世界联盟应对与患者护理相关的尿路感染这一全球性挑战，重点关注尿道狭窄。本临床指南的目的是基于现有最佳证据，以系统的形式通过使用医学主题词表（MeSH）中经过验证的术语“尿道结构”在Trip数据库、PubMed、指南清除中心、考科蓝图书馆和Ovid数据库中进行文献研究，为医疗专业人员提供一种临床工具，以便在处理男性尿道狭窄这一难题时做出决策。
