Service d'Urologie, Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France; Université Claude-Bernard Lyon 1, Lyon, France.
Service d'Urologie, Hôpital Lyon Sud, Hospices Civils de Lyon, Lyon, France.
Fr J Urol. 2024 Nov;34(11):102713. doi: 10.1016/j.fjurol.2024.102713.
This article aims to summarize the current knowledge on the evaluation and follow-up of urethral stricture (US) treatments through a comprehensive literature review and to propose a detailed follow-up protocol post-treatment. There is no consensus on how to assess US treatments. It must address both anatomical factors (evaluated by the urologist) and functional factors (evaluated by the patient). Anatomical assessment is guided by uroflowmetry, combined with a questionnaire validated in French, the IPSS or the USP, pending validation of a dedicated tool. If the IPSS is used, continence must also be assessed. Suspicion of recurrence on these criteria should lead to reassessment of urethral caliber (endoscopy and/or urethrography). The evaluation of areas other than miction (sexuality, pain, morbidity in the event of buccal harvesting) should not be neglected, particularly after urethroplasty. A follow-up protocol is proposed based on this literature review.
本文旨在通过全面的文献回顾，总结尿道狭窄（US）治疗的评估和随访的现有知识，并提出治疗后的详细随访方案。目前对于如何评估 US 治疗方法尚未达成共识。它必须同时解决解剖学因素（由泌尿科医生评估）和功能因素（由患者评估）。解剖学评估由尿流率指导，并结合法国验证的问卷，即 IPSS 或 USP，等待专用工具的验证。如果使用 IPSS，则还必须评估尿失禁。如果这些标准提示复发的怀疑，应重新评估尿道口径（内窥镜检查和/或尿道造影）。不应忽视除排尿外的其他领域（性行为、疼痛、口腔采集后的发病率）的评估，尤其是在尿道成形术后。根据这篇文献回顾，提出了一个随访方案。
