Evaluation and follow-up for urethral strictures treatment

This article aims to summarize the current knowledge on the evaluation and follow-up of urethral stricture (US) treatments through a comprehensive literature review and to propose a detailed follow-up protocol post-treatment. There is no consensus on how to assess US treatments. It must address both anatomical factors (evaluated by the urologist) and functional factors (evaluated by the patient). Anatomical assessment is guided by uroflowmetry, combined with a questionnaire validated in French, the IPSS or the USP, pending validation of a dedicated tool. If the IPSS is used, continence must also be assessed. Suspicion of recurrence on these criteria should lead to reassessment of urethral caliber (endoscopy and/or urethrography). The evaluation of areas other than miction (sexuality, pain, morbidity in the event of buccal harvesting) should not be neglected, particularly after urethroplasty. A follow-up protocol is proposed based on this literature review.