目的：我们旨在对现有的诊断指南进行全面的比较审查，管理,美国泌尿外科协会（2016年）对后尿道狭窄患者进行了随访，国际社会(2010)，和欧洲泌尿外科协会（2022年）。
方法：AUA，SIU,和EAU指南评估了诊断建议，评估，后尿道狭窄的治疗。我们还纳入了EAU和AUA泌尿系创伤相关狭窄的指南。在指南之间存在差异的情况下，包括建议的水平或强度。
结果：这三项指南在为诊断提供的建议中相当一致，管理,并对后尿道狭窄患者进行随访。与AUA相比，SIU和EAU强调了重复内镜治疗在指南中的作用。
结论：放射治疗后修复球膜狭窄/狭窄的首选方法仍然是一个活跃的领域，专注于节制保存。此外,在有或没有辅助治疗的情况下，先进的内窥镜治疗可能会发挥作用，以管理甚至消失的狭窄。
OBJECTIVE: We aimed to provide a thorough comparative review of the available
guidelines on the diagnosis, management, and follow-up for patients with
posterior urethral stenosis by the American Urologic Association (2016), Société Internationale d\'Urologie (2010), and European Urologic Association (2022).
METHODS: The AUA, SIU, and EAU guidelines were evaluated for recommendations on the diagnosis, evaluation, and treatment of
posterior urethral stenosis. We also included the EAU and AUA urologic trauma
guidelines for the trauma-related stenosis. The level or strength of recommendations is included in case of disparity between the guidelines.
RESULTS: The three guidelines align considerably in recommendations provided for the diagnosis, management, and follow-up of patients with
posterior urethral stenosis. SIU and EAU emphasize the role of repeat endoscopic treatment in guidelines compared to AUA.
CONCLUSIONS: The preferred method to repair bulbo-membranous stricture/stenosis following radiation therapy remains an area of active interest, focusing on continence preservation. Additionally, there may be a role for advanced endoscopic treatments with or without adjunct therapies to manage even obliterated stenoses.
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