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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | ASTOLFI, R. H. | |
dc.contributor.author | LEBANI, B. R. | |
dc.contributor.author | KREBS, R. K. | |
dc.contributor.author | DIAS-FILHO, A. C. | |
dc.contributor.author | BISSOLI, J. | |
dc.contributor.author | CAVALCANTI, A. G. | |
dc.contributor.author | XIMENES, S. F. | |
dc.contributor.author | BERTOLLA, R. P. | |
dc.contributor.author | GEMINIANI, Julio J. | |
dc.date.accessioned | 2019-05-30T13:45:14Z | |
dc.date.available | 2019-05-30T13:45:14Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | WORLD JOURNAL OF UROLOGY, v.37, n.4, p.661-666, 2019 | |
dc.identifier.issn | 0724-4983 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/31897 | |
dc.description.abstract | PurposeEvaluate the main etiologies and clinical characteristics of male urethral stricture disease (USD) in Brazil.MethodsThis multicentric study was performed using retrospective data collected from six Brazilian referral centers of urethral reconstruction. The database comprised data from 899 patients with USD who had undergone surgical treatment from 2008 to 2018. Age, stricture site and primary stricture etiology were identified for each patient.ResultsThe mean age was 52.1316.9years. The most common etiology was iatrogenic (43.4%), followed by idiopathic (21.7%), trauma (21.5%) and inflammatory (13.7%). Of the iatrogenic causes, 59% were secondary to urethral instrumentation (60% by urethral catheterization and 40% by transurethral procedures), 24.8% by other procedures (prostatectomy, radiotherapy, postectomy) and 16.2% by failed hypospadia repairs. Pelvic fracture urethral distraction injuries were responsible for most of the trauma-related strictures (62.7%). When stratified by age, the most common stricture etiology was trauma in the 0-39years old group (42.8%), idiopathic in the 40-59years old group (32.4%) and iatrogenic in patients over 60years old (68%). In regard to the stricture site, 80% presented with an anterior urethral stricture and 20% with a posterior stenosis. In the anterior stenosis group, the most common stricture site was bulbar (39.5%).Conclusion p id=Par4 In Brazil, as in many developed countries, the most common cause of urethral stricture diseases is iatrogenic, especially urethral catheterization. These findings emphasize the need of a careful urethral manipulation and a better training of healthcare professionals. Trauma is still responsible for a great proportion of strictures and inflammatory etiologies are now less frequently observed. | eng |
dc.description.sponsorship | Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior [001] | |
dc.language.iso | eng | |
dc.publisher | SPRINGER | eng |
dc.relation.ispartof | World Journal of Urology | |
dc.rights | restrictedAccess | eng |
dc.subject | Urethral stricure | eng |
dc.subject | Ethiology | eng |
dc.subject | Iatrogenic disease | eng |
dc.subject | Urinary catheterization | eng |
dc.subject | Lichen sclerosus | eng |
dc.subject | Urethritis | eng |
dc.subject.other | etiology | eng |
dc.subject.other | experience | eng |
dc.subject.other | management | eng |
dc.subject.other | catheters | eng |
dc.title | Specific characteristics of urethral strictures in a developing country (Brazil) | eng |
dc.type | article | eng |
dc.rights.holder | Copyright SPRINGER | eng |
dc.identifier.doi | 10.1007/s00345-019-02696-9 | |
dc.identifier.pmid | 30810832 | |
dc.subject.wos | Urology & Nephrology | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | ASTOLFI, R. H.:Sao Paulo Fed Univ UNIFESP, Div Urol, Dept Surg, Sao Paulo, Brazil | |
hcfmusp.author.external | LEBANI, B. R.:Sao Paulo Fed Univ UNIFESP, Div Urol, Dept Surg, Sao Paulo, Brazil | |
hcfmusp.author.external | KREBS, R. K.:Parana Fed Univ UFPR, Div Urol, Curitiba, Parana, Brazil | |
hcfmusp.author.external | DIAS-FILHO, A. C.:Fed Dist Base Hosp, Div Urol, Brasilia, DF, Brazil | |
hcfmusp.author.external | CAVALCANTI, A. G.:Rio de Janeiro State Univ UERJ, Urogenital Res Unit, Rio De Janeiro, Brazil | |
hcfmusp.author.external | XIMENES, S. F.:Sao Paulo Fed Univ UNIFESP, Div Urol, Dept Surg, Sao Paulo, Brazil; Oswaldo Ramos Fdn, Sao Paulo, Brazil | |
hcfmusp.author.external | BERTOLLA, R. P.:Sao Paulo Fed Univ UNIFESP, Div Urol, Dept Surg, Sao Paulo, Brazil | |
hcfmusp.author.external | GEMINIANI, Julio J.:Sao Paulo Fed Univ UNIFESP, Div Urol, Dept Surg, Sao Paulo, Brazil | |
hcfmusp.description.beginpage | 661 | |
hcfmusp.description.endpage | 666 | |
hcfmusp.description.issue | 4 | |
hcfmusp.description.volume | 37 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000464903600012 | |
hcfmusp.origem.id | 2-s2.0-85064551490 | |
hcfmusp.publisher.city | NEW YORK | eng |
hcfmusp.publisher.country | USA | eng |
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dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1433-8726 | |
hcfmusp.citation.scopus | 5 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/55 Artigos e Materiais de Revistas Científicas - ODS/03 |
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