Summary
Urethral stricture is a common urologic problem, with the highest prevalence in underdeveloped countries. Urethral strictures have a significant economic impact and burden. Economics and resource availability can influence stricture treatment. Detailed here-in is the epidemiology of anterior urethral strictures as to demographics, incidence, and signs and symptoms. Histology and pathology are addressed; in particular, the fibrotic process of spongiofibrosis and the changes in collagen, smooth muscle and extracellular matrix. Various classification schema for staging anterior and posterior urethral strictures are detailed. Etiology of infectious/ inflammatory (attention to the paraurethral glands) and traumatic/ ischemic strictures are also elaborated.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Santucci RA, Joyce GF, Wise M (2007) Male urethral stricture disease. J Urol 177:1667–1674
Scott TM and Foote J (1980) Early events in stricture formation in the guinea pig urethra. Urol Int 35:334–339
Singh M, Blandy JP (1976) The pathology of urethral stricture. J Urol 115:673–676
Baskin LS, Constantinescu SC, Howard PS, Mcaninch JW, Ewalt DE, Duckett JW, Snyder HM, Macarak EJ (1993) Biochemical characterization and quantitation of the collagenous components of urethral stricture tissue. J Urol 150:642–647
Calvacanti AG, Costa WS, Baskin LS, McAninch JA, Sampaio FJ (2007) A morphometric analysis of bulbar urethral strictures BJU Int 100(2):397–402
Bastos AL, Silva EA, Silva Costa W, Sampaio FJ (2004) The concentration of elastic fibers in the male urethra during human fetal development. BJU Int 94(4):620–623
Devine CJ, Devine PD, Felderman TP, Burns CN (1983) Classification and standardization of urethral strictures. J Urol A 325
Jordan GH, Devine PC (1988) Management of urethral stricture disease. Clin Plast Surg 15:493–505
Choiu RK, Anderson JC, Tran T, Patterson RH, Wobig R, Taylor RJ (1996) Evaluation of urethral strictures and associated abnormalities using high resolution and color Doppler ultrasound. Urology 47:102–107
McAninch JW, Laing FC, Jeffrey RJ (1988) Sonourethrography in the evaluation of urethral stricture: A preliminary report. J Urol 139:294–297
Barbagli et al (2004) Lichen sclerosus of the male genitalia and urethral stricture diseases. Urol Int 73(1):1–5
Pansadoro V, Emiliozzi P (1999) Iatrogenic prostatic urethral strictures: classification and endoscopic treatment Urology 53:784–789
Fenton AS, Morey AF, Aviles R, Garcia CR (2005) Anterior urethral strictures: etiology and characteristics. Urology 65(6): 1055–8
Baskin LS and McAninch JW (1993) Childhood urethral injuries: perspectives on outcome and treations. Br J Urol. 81(5):741–4
Ogbonna BC (1998) Managing many patients with a urethral stricture: a cost-benefit analysis of treatment options. Br J Urol. 81(5):741–4
Green well TJ et al (2004) Repeat urethrotomy and dilation for the treatment of urethral stricture are neither clinically effective nor cost-effective. J Urol. 173(4):1206–10
Rourke KF, Jordan GH (2005) Primary urethral reconstruction: the cost minimized approach to the bulbous urethral stricture. J Urol 173(4):1206–10
Wright JL et al (2006) What is the most cost-effective treatment for 1 to 2-cm bulbar urethral strictures: societal approach using decision analysis. Urology 67(5):889–93
Bullock TL, Brandes SB (2007) Adult anterior urethral strictures: a national practice patterns survey of board certified urologists in the United States. J Urol 177:685–690
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Humana Press, a part of Springer Science + Business Media, LLC
About this chapter
Cite this chapter
Brandes, S.B. (2008). Epidemiology, Etiology, Histology, Classification, and Economic Impact of Urethral Stricture Disease. In: Brandes, S.B. (eds) Urethral Reconstructive Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-103-1_6
Download citation
DOI: https://doi.org/10.1007/978-1-59745-103-1_6
Publisher Name: Humana Press
Print ISBN: 978-1-58829-826-3
Online ISBN: 978-1-59745-103-1
eBook Packages: MedicineMedicine (R0)