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Urethral strictures in children

George W Kaplan1

  • 1University of California San Diego, School of Medicine, California, USA. gkaplan@rchsd.org

Current Opinion in Urology
|August 25, 2012
PubMed

Insights

Evidence for treating pediatric urethral strictures is limited, often extrapolated from adult data. Further multi-institutional studies are needed for better diagnosis and treatment guidelines.

Area of Science:

  • Pediatric Urology
  • Urethral Stricture Disease

Background:

  • Pediatric urethral strictures are uncommon, with limited high-quality evidence for management.
  • Current treatment strategies are largely based on adult literature and case series.

Purpose of the Study:

  • To review the current literature on pediatric urethral strictures.
  • To provide evidence-based recommendations for diagnosis and treatment in children.

Main Methods:

  • Literature review of pediatric urethral stricture cases.
  • Analysis based on an unpublished consensus committee report from the Societe Internationale d'Urologie.

Main Results:

  • The evidence base for pediatric stricture therapy is low, primarily from single-institution case series.
  • Most available information is extrapolated from adult urology literature.

Conclusions:

  • There is a significant need for prospective, multi-institutional studies on pediatric urethral strictures.
  • Basic research into urethral wound healing is required for improved understanding and treatment.
Abstract

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