Michael Coburn, MD, FACS, presented “Urethral Strictures Guidelines Update” during the 23rd Annual Innovations in Urologic Practice on September 14, 2018 in Santa Fe, New Mexico.
How to cite: Coburn, Michael. “Urethral Strictures Guidelines Update” September 14, 2018. Accessed [date today]. https://dev.grandroundsinurology.com/urethral-strictures-guidelines-update/
Urethral Strictures Guidelines Update – Summary:
Michael Coburn, MD, FACS, highlights key points from the 2016 American Urological Association (AUA) male urethral stricture guidelines. He also brings attention to certain controversial statements and evidence-based treatment approaches in special circumstances.
Abstract:
The 2016 AUA male urethral stricture guidelines derived evidence from a systematic review of related literature published during 1990-2015. Unfortunately, there are virtually no randomized prospective management studies pertaining to urethral strictures. The majority of the guidelines are based on level “C” evidence, in other words small case series, expert opinion, and clinical principles. This may pose a challenge when making evidence-based treatment decisions.
This presentation highlights the key points of the 2016 AUA guidelines, such as diagnosis and initial management, dilation and internal urethrotomy, urethroplasty, anterior urethral reconstruction, pelvic fracture urethral injury, delayed posterior urethroplasty, bladder neck contracture, vesicourethral stenosis, and postoperative follow-up.
Specifically, this presentation will draw attention to controversial guideline statements. For instance, the guidelines state that patients with penile urethral strictures to undergo urethroplasty before any endoscopic intervention. The discussion covers recommended management decisions in special circumstances, such as patients requiring CIC with difficulty self-catheterizing, cases of lichen sclerosus, and cases of suspected cancer.
About Innovations in Urologic Practice
Innovations in Urologic Practice (IUP) is an annual CME-accredited conference devoted to updating urologists on the rapidly changing healthcare environment. Topics focus on innovative diagnostic and treatment strategies, controversies, new and currently developing technologies, and challenges in today’s urologic practice. Dr. Coburn presented this lecture during the 23rd IUP in 2018. Please visit this page in order to learn more about future IUP meetings.
ABOUT THE AUTHOR
Dr. Coburn received his undergraduate degree from Cornell University in Ithaca, New York, and went on to earn his MD from New York University School of Medicine in New York City. He completed his residency and fellowship training at Baylor College of Medicine in Houston, Texas. From 1990 to 2012, Dr. Coburn was Chief of Urology at Ben Taub Hospital in Houston, Texas. He continues to treat patients in the Houston area. Dr. Coburn is also a member of the Board of Governors of the American College of Surgeons and is on the Executive Committee of the ACS Committee on Trauma. His clinical interests include urologic trauma, genital and urethral reconstructive surgery, and male infertility and reproductive disorders. In his research, he is interested in discovering better techniques for reconstructive surgery of the genitourinary tract. A respected educator, Dr. Coburn currently serves as a Professor and the Russell and Mary Hugh Scott Chair of the Department of Urology at Baylor College of Medicine. He is also the Urology Residency Program Director there. His excellence in education is widely recognized, and the awards he has received include three Fulbright & Jaworski LLP Faculty Excellence Awards, and the Barbara and Corbin J. Robertson, Jr., Presidential Award for Excellence in Education.
