<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852017000400265</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v77i4.1114</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Origen, evolución y tratamiento de la estenosis uretral en un centro de referencia de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Origin, progression, and treatment of urethral stricture at a Mexican referral center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Hernández]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Salcedo]]></surname>
<given-names><![CDATA[JG.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Silvestre]]></surname>
<given-names><![CDATA[JC.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estrada-Carrasco]]></surname>
<given-names><![CDATA[CE.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza-Álvarez]]></surname>
<given-names><![CDATA[LA.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central Militar  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central Militar  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Central Militar  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>77</volume>
<numero>4</numero>
<fpage>265</fpage>
<lpage>271</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852017000400265&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852017000400265&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852017000400265&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  la estenosis uretral es una alteración provocada por una cicatriz que disminuye el lumen de la uretra. Hasta el momento existe información limitada del tratamiento y evolución de la enfermedad en la población mexicana.  OBJETIVO:  evaluar el origen, tratamiento quirúrgico y evolución de pacientes con estenosis uretral en un centro de concentración mexicano.  MATERIALES Y MÉTODOS:  estudio retrospectivo, del que se obtuvieron los datos de pacientes atendidos en el Hospital Central Militar con diagnóstico de estenosis uretral, intervenidos quirúrgicamente entre febrero de 2012 y junio de 2016.  RESULTADOS:  se identificaron 174 pacientes intervenidos de estenosis uretral con edad promedio de 58.2 años. El 94.2% (164) de los casos se intervino por estenosis de uretra anterior y 5.8% (10) posterior. La uretrotomía interna fue la cirugía más frecuente en 70.1% (115; 78 con láser y 37 con corte en frío) de los pacientes con estenosis de uretra anterior, con tasas de éxito de 68.5% en el primer procedimiento y de 81.3% en uretroplastia con injerto de mucosa oral. La uretroplastia término-terminal fue el principal procedimiento en 60% de los pacientes con uretra posterior, con tasa de éxito de 61.5%. En total se realizaron 41 uretroplastias (35 uretra anterior, 6 uretra posterior), con tasa de éxito de 73.8%.  CONCLUSIONES:  las tasas de éxito de la uretrotomía interna y la uretroplastia son similares a las obtenidas en los centros de referencia mundial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Urethral stricture is an alteration caused by a scar that reduces the urethral lumen. At present, there is little information on the management and progression of this pathology in the Mexican population.  OBJECTIVE:  To evaluate the origin, surgical treatment, and progression of urethral stricture at a Mexican referral center.  MATERIALS AND METHODS:  A retrospective study was conducted utilizing the data of patients treated at the Hospital Central Militar that were diagnosed with urethral stricture and surgically managed within the time frame of February 2012 and June 2016.  RESULTS:  One hundred seventy-four patients underwent surgical treatment for urethral stricture during the study period. The mean age of the patients was 58.29 years. A total of 94.2% (164) of the patients had anterior urethral stricture and 5.8% (10) had strictures of the posterior urethra. Internal urethrotomy was the most common procedure in anterior urethral stricture, with 70.1% cases (115; 78 with laser and 37 with cold knife). The first procedure had a success rate of 68.5% and urethroplasty with a buccal mucosa graft achieved a success rate of 81.3%. The main procedure in the patients with posterior urethra was end-to-end urethroplasty, with 60% of cases, and a success rate of 61.5%. In total, 41 urethroplasties were performed (35 in the anterior urethra and 6 in the posterior urethra), achieving a success rate of 73.8%.  CONCLUSIONS:  The success rates of internal urethrotomy and urethroplasty at our center were similar to those at referral centers, worldwide.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[estenosis uretral]]></kwd>
<kwd lng="es"><![CDATA[uretroplastia]]></kwd>
<kwd lng="es"><![CDATA[uretrotomía interna]]></kwd>
<kwd lng="en"><![CDATA[Urethral stricture]]></kwd>
<kwd lng="en"><![CDATA[Urethroplasty]]></kwd>
<kwd lng="en"><![CDATA[Internal urethrotomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santucci]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Joyce]]></surname>
<given-names><![CDATA[GF]]></given-names>
</name>
<name>
<surname><![CDATA[Wise]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Male urethral stricture disease]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2007</year>
<volume>177</volume>
<page-range>1667-74</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meeks]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Erickson]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Granieri]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stricture recurrence after urethroplasty: a systematic review]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2009</year>
<volume>182</volume>
<page-range>1266-70</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stein]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Thum]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Barbagli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A geographic analysis of male urethral stricture aetiology and location]]></article-title>
<source><![CDATA[BJU Int]]></source>
<year>2013</year>
<volume>112</volume>
<page-range>830-4</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Breyer]]></surname>
<given-names><![CDATA[BN]]></given-names>
</name>
<name>
<surname><![CDATA[McAninch]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Whitson]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multivariate analysis of risk factors for long-term urethroplasty outcome]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2010</year>
<volume>183</volume>
<page-range>613-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blaschko]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[McAninch]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Myers]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
<name>
<surname><![CDATA[Schlomer]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Breyer]]></surname>
<given-names><![CDATA[BN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Repeat urethroplasty after failed urethral reconstruction: outcome analysis of 130 patients]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2012</year>
<volume>188</volume>
<page-range>2260-4</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cisneros-Chávez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Aragón-Castro]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Morales-Ordaz]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estenosis uretral: etiología y tratamiento. Experiencia en el Centro Médico ISSEMYM]]></article-title>
<source><![CDATA[Rev Mex Urol]]></source>
<year>2013</year>
<volume>73</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>229-36</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Serrano-Brambila]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno-Alcázar]]></surname>
<given-names><![CDATA[OM]]></given-names>
</name>
<name>
<surname><![CDATA[Neri-Páez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Martínez]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Ordóñez]]></surname>
<given-names><![CDATA[OF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía de Práctica Clínica. La estenosis de uretra postraumática en el hombre]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seg Soc]]></source>
<year>2013</year>
<volume>51</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>472-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Dong]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk factors and timing of early stricture recurrence after urethroplasty]]></article-title>
<source><![CDATA[Urology]]></source>
<year>2016</year>
<volume>95</volume>
<page-range>202-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Buckley]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Heyns]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gilling]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Carney]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SIU/ICUD Consultation on Urethral Strictures: Dilation, internal urethrotomy, and stenting of male anterior urethral strictures]]></article-title>
<source><![CDATA[Urology]]></source>
<year>2014</year>
<volume>83</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>S18-22</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wessells]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Angermeier]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Elliott]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Kodama]]></surname>
<given-names><![CDATA[TR]]></given-names>
</name>
</person-group>
<source><![CDATA[Male urethral stricture]]></source>
<year>2016</year>
<publisher-name><![CDATA[American Urological Association Guidelines]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jordan]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Chapple]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Heyns]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Urethral strictures. An international consultation on urethral strictures]]></source>
<year>2010</year>
<publisher-name><![CDATA[American Urological Association]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barbagli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Guazzoni]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lazzeri]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[One-stage bulbar urethroplasty: Retrospective analysis of the results in 375 patients]]></article-title>
<source><![CDATA[Eur Urol]]></source>
<year>2008</year>
<volume>53</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>828-33</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eltahawy]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Virasoro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Schlossberg]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Long-term follow-up for excision and primary anastomosis for anterior urethral strictures]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2007</year>
<volume>177</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1803-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bu&#776;rger]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Mu&#776;ller]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[el-Damanhoury]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The buccal mucosal graft for urethral reconstruction: A preliminary report]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>1992</year>
<volume>147</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>662-4</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[III]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current management of urethral stricture disease]]></article-title>
<source><![CDATA[Indian J Urol]]></source>
<year>2016</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>27-33</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
