Elsevier

Urology

Volume 83, Issue 3, Supplement, March 2014, Pages S71-S73
Urology

ICUD on Urethral Strictures
SIU/ICUD Consultation on Urethral Strictures: Urethral Strictures in Children

https://doi.org/10.1016/j.urology.2013.09.010Get rights and content

A literature search was made through PubMed from 1990 to the present for articles on strictures in children. There were 32 articles that provided the data for this review. The studies were rated according to the level of evidence and the grade of recommendation using the International Consultations in Urologic Disease standards.

Section snippets

Methods

A literature search was performed through PubMed for articles published from 1990 to 2010 on strictures in children. Thus, 508 articles were identified that were screened to select those that contained at least 10 patients ≤18 years of age. A total of 447 articles were eliminated because they were duplicate listings, review articles, expert opinion, or series of both adults and children. This left 32 articles, which provided the data for this review. The data included etiology of the stricture,

Meatal Strictures

There were between 18 and 100 patients in each of the 5 series that reported meatal strictures. The level of evidence of each of these articles was 3. Patient ages ranged from 20 months to 15 years. The etiology of the strictures was thought to primarily be diaper dermatitis in circumcised boys. A few were thought to be secondary to hypospadias repair or lichen sclerosus (LS). The presenting symptoms were decreased stream, prolonged voiding time, and deflected stream.

The treatments used

Comment

It is apparent from this review that the quality of the existing evidence to guide the management of urethral strictures in children is low, with the evidence consisting almost entirely of retrospective case series. Nevertheless, certain opinions have emerged from this review. Importantly, certain terms, specifically “success” and “stricture recurrence,” should be defined so that there can be uniformity of interpretation of results. A distinction should be made between an unsuccessful outcome

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Financial Disclosure: The authors declare that they have no relevant financial interests.

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