Long-term results of anterior and posterior urethroplasty with actuarial evaluation of the success rates.
OBJECTIVE
We analyzed the long-term results of different urethroplasty techniques.


METHODS
We performed a retrospective review of 98 patients who underwent different procedures for anterior (78) and posterior (20) urethral strictures. Mean followup was 53 months. A total of 20 patients underwent end-to-end anastomosis (group 1), 30 underwent 1-stage procedures (group 2), 28 underwent 2-stage procedures (group 3), and 20 underwent bulboprostatic anastomosis (group 4). The results were analyzed using Kaplan-Meier curves and log rank test.


RESULTS
The success rate was 95% for group 1, 93.4% for group 2, 78.6% for group 3, and 70% for group 4. Statistical evaluation of the actuarial success rates failed to show significant differences among the 4 groups.


CONCLUSIONS
The stricture recurrences were uniformly distributed over time. Urethroplasty patients must be followed for the rest of their lives.
Barbagli
G
G
Department of Urology, University of Florence, Italy.
Palminteri
E
E
Bartoletti
R
R
Selli
C
C
Rizzo
M
M
D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D013997:Time Factors; D014525:Urethral Stricture / Q000601:surgery*