4.4 Review

Current Management of Membranous Urethral Strictures Due to Radiation

Journal

FRONTIERS IN SURGERY
Volume 8, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fsurg.2021.635060

Keywords

urethal stricture; radiotherapy; membranous urethral stricture; radiation-induced; urethroplasty

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Radiotherapy is commonly used to treat prostate cancer, but can also result in urethral strictures in some patients. Managing these strictures is challenging due to poor vascularized tissue for reconstruction and the proximity of the sphincter, which may affect functional outcomes.
Radiotherapy is a frequently used treatment for prostate cancer. It does not only causes the intended damage to cancer cells, but also affects healthy surrounding tissue. As a result radiation-induced urethral strictures occur in 2.2% of prostate cancer patients. Management of urethral strictures is challenging due to the presence of poor vascularized tissue for reconstruction and the proximity of the sphincter, which can impair the functional outcome. This review provides a literature overview of risk factors, diagnostics and management of radiation-induced urethral strictures.

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