Department of Urology, Foch Hospital, Suresnes, France; UMR1179 Inserm Faculty of Medecine, Versailles Saint-Quentin University, Paris Saclay, 78180 Montigny-le-Bretonneux, France.
Department of Andrology, Urology and Renal Transplantation, University of Lille, Lille, France.
Fr J Urol. 2024 Nov;34(11):102720. doi: 10.1016/j.fjurol.2024.102720.
Urethral strictures are a common and persistent pathology in urology with significant clinical repercussions. Our aim is to provide an overview of the general aspects of this condition.
A comprehensive review of the literature from PubMed was conducted covering the period from 2020 to 2023. This was complemented by a synthesis of the latest guidelines from the American, European, and French Urological Associations (AUA, EAU, AFU), as well as references from textbooks.
Urethral stricture is defined by a narrowing of less than 16 French. The urethra is divided into posterior and anterior parts. The prevalence of urethral stricture is approximately 0.9%. The most common location for strictures is the anterior urethra, particularly its bulbar portion in males. The main causes are idiopathic, iatrogenic, traumatic, inflammatory, and infectious. A better understanding of urethral anatomy and histopathology provides a key element. Urethral reconstruction is based on prior urethral rest, detailed analysis of the stricture characteristics, and the use of grafts and flaps.
Urethral strictures remain a broad pathology. Their definition and epidemiology have been clarified. They require a thorough understanding of the anatomy, etiologies, and principles of urethral reconstruction to optimize management.
尿道狭窄是泌尿外科中一种常见且持久的病理，具有重要的临床影响。我们旨在对该病症的一般方面进行概述。
对 2020 年至 2023 年期间 PubMed 上的文献进行全面综述，并综合了美国、欧洲和法国泌尿外科协会（AUA、EAU、AFU）的最新指南以及教科书上的参考文献。
尿道狭窄定义为尿道直径小于 16 法国。尿道分为后段和前段。尿道狭窄的患病率约为 0.9%。最常见的狭窄部位是前尿道，尤其是男性的球部。主要病因包括特发性、医源性、创伤性、炎症性和感染性。更好地了解尿道解剖结构和组织病理学是一个关键要素。尿道重建基于先前的尿道保留、对狭窄特征的详细分析以及移植物和皮瓣的使用。
尿道狭窄仍然是一种广泛的病理。其定义和流行病学已经得到明确。需要深入了解尿道解剖结构、病因和尿道重建原则，以优化管理。
