title: [The treatment of severe and complicated urethral strictures].
abstract: Stricture of the urethra is produced by a cicatrix causing narrowing of the urethral lumen subsequent to trauma or inflammation. The strictures are considered as serious whenever the meatus is involved, and total--in the event of obliteration of the urethra (H. Sachse, 1978). The complications are associated with perineal, scrotal or suprapubic fistulae (C. Devine, P. Devine 1989). This is a report on 37 men presenting severe complicated strictures of the urethra, treated over the period 1981-1995 in the Clinical Center of Urology. According to underlying cause the strictures are divided in: postoperative--7 cases, iatrogenic--6, inflammatory--1, traumatic--23, and patients with scrotal fistulae--3. The patients are operated using a combined method through open and endoscopic manipulation; in 3 cases plastic repair of the urethra with a preputial flap is done. The overall results are estimated as good.
authors.forename: P
authors.initials: P
authors.lastname: Panchev
authors.forename: Kh
authors.initials: Kh
authors.lastname: Kumanov
authors.forename: Ch
authors.initials: Ch
authors.lastname: Slavov
authors.forename: S
authors.initials: S
authors.lastname: Kirilov
authors.forename: I
authors.initials: I
authors.lastname: Ormanov
authors.forename: A
authors.initials: A
authors.lastname: Filev
authors.forename: K
authors.initials: K
authors.lastname: Neĭkov
authors.forename: K
authors.initials: K
authors.lastname: Ianev
authors.forename: M
authors.initials: M
authors.lastname: Georgiev
mesh_terms: D000208:Acute Disease; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D013524:Surgical Flaps; D014521:Urethra / Q000293:injuries / Q000601:surgery; D014525:Urethral Stricture / Q000150:complications* / Q000209:etiology / Q000601:surgery*