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01-12-2016 | Neurogenic Bladder (C Powell, Section Editor)

Urethral Stricture in the Spinal Cord Injured Patient—What Are the Unique Considerations?

Authors: Amanda S. Chung, Oscar A. Suarez, Kurt A. McCammon

Published in: Current Bladder Dysfunction Reports | Issue 4/2016

Abstract

Urethral stricture disease in spinal cord injured (SCI) patients presents a challenging clinical scenario. Determining the appropriate course of management requires consideration of the unique issues of these patients, and unfortunately there is sparse published literature. The goals of treatment should be determined before the treatment modality is chosen. Endoscopic management options such as direct visual internal urethrotomy (DVIU), although less invasive, have a very high recurrence rate compared to urethral reconstruction or urinary diversion. Catheterization, whether clean intermittent catheterization (CIC), suprapubic catheter (SPC), or indwelling catheter (IDC), is often problematic. Urethral strictures in SCI patients are usually best treated with urethral reconstruction or urinary diversion. However, urethral reconstruction is associated with a significant rate of reoperation and subsequent necessity for urinary diversion; therefore, urinary diversion may be most appropriate in many patients. Detailed discussion and consideration of unique patient factors as well as patient preferences are important components of preoperative counseling.

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Title: Urethral Stricture in the Spinal Cord Injured Patient—What Are the Unique Considerations?
Authors: Amanda S. Chung
Oscar A. Suarez
Kurt A. McCammon
Publication date: 01-12-2016
Publisher: Springer US
Published in: Current Bladder Dysfunction Reports / Issue 4/2016
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-016-0385-0

At a glance: The STEP trials

Springer Medicine

Urethral Stricture in the Spinal Cord Injured Patient—What Are the Unique Considerations?

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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