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Urethral dilation in women: a questionnaire-based analysis of practice patterns
G E Lemack1, B Foster, P E Zimmern
1Department of Urology, University of Texas Southwestern Medical Center, Dallas 75235-9110, USA.
Urology
|July 22, 1999
Summary
Urethral dilation use and perceived success in women differ significantly between recently trained and experienced urologists. Newer practitioners use dilation less and view it as less effective for urethral syndrome.
Area of Science:
- Urology
- Female Urology
Background:
- Urethral dilation has been a long-standing treatment for various female urologic conditions.
- Recent changes in Medicare reimbursement have renewed interest in urethral dilation practices.
Purpose of the Study:
- To evaluate current practice patterns of urethral dilation among urologists.
- To determine urologists' perceived efficacy of urethral dilation in treating female patients.
Main Methods:
- A 15-item questionnaire was distributed to 642 practicing urologists in Texas.
- The survey assessed indications, techniques, outcomes, and demographic information of respondents.
Main Results:
- 30% of urologists responded, with varied usage rates of urethral dilation.
- Urethral syndrome (61.1%) and stricture (29%) were primary indications.
- Urologists trained recently used dilation less for urethral syndrome and perceived it as less successful compared to older practitioners.
Conclusions:
- The clinical utility of urethral dilation in women is debated.
- Significant differences in usage and perceived efficacy exist based on urologist training period.
- Further scrutiny of the clinical merit of urethral dilation is warranted.