URETHRAL STRICTURE

A PROSPECTIVE STUDY OF 150 CASES DEPARTMENT OF UROLOGY ALLIED HOSPITAL FAISALABAD

Abstract

Objective: To demonstrate various etiological factors of urethral stricture II. To evaluate the various modes of treatment
of stricture urethra. Design: A prospective study of 150 cases. Setting: The study was carried at Urology Department
of Allied Hospital Faisalabad. Period: From 01-01-2001 to 30-06-2002. Patient & Methods: One hundred and fifty
male patients with urethral stricture were included in the study. An analysis was carried out of the etiological factors
responsible for urethral stricture formation and of the various treatment modalities. Results: The age range from 3 to
85 years with a mean age of 43 years. 58% patients presented with urinary retention Trauma caused stricture formation
in 52 (34%) patients. Previous catheterization, pyuria, Trans vesical prostectomy and TURP were responsible for
stricture formation in 35, 25,19 and 16 cases respectively. Anterior urethra was involved in 112 cases and 36 patients
had posterior urethral involvement. Optical internal urethrotomy was treatment of first choice in strictures of <1 cm and
it was successful in (92.7%) patients. Anastomotic urethroplasty was performed in 37 cases with success rate of 94%
while substitution urethroplasty was successful in 80% cases. Conclusions: Anatomical sites and etiological factors
of stricture urethra are comparable with other studies. Optical internal urethrotomy is reliable procedure in short and
simple stricture. For long and complex stricture urethroplasty is the preferred treatment.