Urethroplasty in the treatment of urethral strictures.
The treatment of urethral strictures has been revolutionised since urethroplasty was described three decades ago. Although majority of strictures respond to the age old procedure of bouginage, a small number, however, need surgical intervention because of associated complications. Over the past six years, thirty-four patients were treated by some form of urethroplasty. Eighteen had meatoplasty for meatal stenosis, two of which recurred and were converted to two stage anterior urethroplasty. Three patients, with long anterior stricture, were subjected to two staged operation as a primary procedure. The posterior urethra was affected in eight patients and two of them also had fistulae. All these patients were subjected to urethroplasty which was modified according to the extent of stricture. Two patients with prostato-membranous strictures were dealt with transpubically in one stage. In five patients the entire urethra distal to the membranous part was affected by a long standing stricture, three of whom were also complicated by fistulae. They were similarly dealt by a full length two stage urethroplasty. Satisfactory results were achieved in all except three patients whose stricture recurred and needed a surgical reconstruction. Only one patient in this series developed impotence and true incontinence.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012008:Recurrence; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000601:surgery*