Abstract：
OBJECTIVE: We aimed to provide a detailed comparison between the American Urologic Association (AUA), Société Internationale d\'Urologie (SIU), and the European Association of Urology (EAU) guidelines on the evaluation, management, and follow-up of the patients with anterior urethral stricture disease (USD).
METHODS: The urethral stricture guidelines from SUI, AUA, and EAU were collected and evaluated regarding the recommendations on diagnosis, evaluation, and treatment of anterior USD. The strength of evidence for each statement was included and discussed when guidelines differed.
RESULTS: While the guidelines remarkably align in terms of the diagnostic workup and follow-up, there is discordance in the management of anterior urethral strictures, specifically for the use of endoscopic treatment and stenting. Further, the EAU offers more comprehensive recommendations regarding urethroplasty techniques and patient follow-up. The EAU guidelines are the most recent and first to offer guidance for USD in transgender people and women.
CONCLUSIONS: Reconstructive urology is a rapidly adapting field, and best practices change accordingly. Guideline statements have become more inclusive and expansive but will require further research to improve the level of evidence and continue to provide patients and providers with the best treatment plans.
METHODS: The urethral stricture guidelines from SUI, AUA, and EAU were collected and evaluated regarding the recommendations on diagnosis, evaluation, and treatment of anterior USD. The strength of evidence for each statement was included and discussed when guidelines differed.
RESULTS: While the guidelines remarkably align in terms of the diagnostic workup and follow-up, there is discordance in the management of anterior urethral strictures, specifically for the use of endoscopic treatment and stenting. Further, the EAU offers more comprehensive recommendations regarding urethroplasty techniques and patient follow-up. The EAU guidelines are the most recent and first to offer guidance for USD in transgender people and women.
CONCLUSIONS: Reconstructive urology is a rapidly adapting field, and best practices change accordingly. Guideline statements have become more inclusive and expansive but will require further research to improve the level of evidence and continue to provide patients and providers with the best treatment plans.
摘要：
目的：我们旨在提供美国泌尿外科协会（AUA）之间的详细比较，国际社会（SIU），和欧洲泌尿外科协会（EAU）的评估指南，管理,前尿道狭窄患者的随访（美元）。
方法：来自SUI的尿道狭窄指南，AUA,和EAU被收集和评估关于诊断的建议，评估，和治疗前美元。在指南不同的情况下，包括并讨论了每个陈述的证据强度。
结果：虽然指南在诊断检查和随访方面非常一致，前尿道狭窄的处理存在不一致，专门用于内窥镜治疗和支架置入术。Further,EAU为尿道成形术技术和患者随访提供了更全面的建议.EAU指南是最新的，也是第一个为跨性别者和妇女提供美元指导的指南。
结论：重建泌尿外科是一个快速适应的领域，和最佳实践相应地改变。指南声明已变得更具包容性和扩张性，但需要进一步研究以提高证据水平，并继续为患者和提供者提供最佳治疗计划。
方法：来自SUI的尿道狭窄指南，AUA,和EAU被收集和评估关于诊断的建议，评估，和治疗前美元。在指南不同的情况下，包括并讨论了每个陈述的证据强度。
结果：虽然指南在诊断检查和随访方面非常一致，前尿道狭窄的处理存在不一致，专门用于内窥镜治疗和支架置入术。Further,EAU为尿道成形术技术和患者随访提供了更全面的建议.EAU指南是最新的，也是第一个为跨性别者和妇女提供美元指导的指南。
结论：重建泌尿外科是一个快速适应的领域，和最佳实践相应地改变。指南声明已变得更具包容性和扩张性，但需要进一步研究以提高证据水平，并继续为患者和提供者提供最佳治疗计划。
