Abstract
Introduction and hypothesis
The aim of this manuscript is to review the subject of urethral dilation (UD) in female patients and to conduct a critical appraisal of the available evidence for its use.
Methods
We used an online search of electronic databases.
Results
UD has been cited as a treatment option for various conditions that do not share common etiologies and that affect the lower urinary tract in female patients. Outcome measurement was not consistent, even when performed for the same conditions. A total of six randomized controlled trials failed to prove any benefit for UD in repetitive urinary tract infections (UTI), urethral syndrome, and overactive bladder.
Conclusions
Conflicting results and diverse opinions have characterized the use of UD until present time. Professional societies are urged to attend to this issue, and to identify possible areas where UD could be potentially investigated.
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Abbreviations
- BOO:
-
Bladder-outlet obstruction
- BoNT/A:
-
Botulinum toxin A
- CIC:
-
Clean intermittent catheterization
- DSD:
-
Detrusor sphincter dyssynergia
- EMG:
-
Electromyogram
- LPP:
-
Leak-point pressure
- LUTS:
-
Lower urinary tract symptoms
- MRI:
-
Magnetic resonance imaging
- OAB:
-
Overactive bladder
- PBS/IC:
-
Painful bladder syndrome/interstitial cystitis
- TVT:
-
Tension-free vaginal tape
- UD:
-
Urethral dilation
- SUI:
-
Stress urinary incontinence
- UTI:
-
Urinary tract infections
- VCUG:
-
Voiding cystourethrography
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Bazi, T., Abou-Ghannam, G. & Khauli, R. Female urethral dilation. Int Urogynecol J 24, 1435–1444 (2013). https://doi.org/10.1007/s00192-013-2055-5
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DOI: https://doi.org/10.1007/s00192-013-2055-5