The problems of penile urethroplasty with particular reference to 2-stage reconstructions.
OBJECTIVE
We evaluate the anecdotal high revision rate of 2-stage urethroplasty.


METHODS
The short-term revision rates after 1-stage (139 cases) and 2-stage (103) urethroplasties were compared.


RESULTS
There were 4 revisions after 1-stage urethroplasty (4 of 139, 3%) and all involved the penile urethra (20%). The revision rate was 37.8% after stage 1 and 25.3% after stage 2 and of 2-stage urethroplasty 85%, involved the penile urethra.


CONCLUSIONS
Although 2-stage has a significantly lower re-stricture rate than 1-stage urethroplasty for complex strictures in the penile urethra, it does so at the expense of a significantly higher revision rate particularly of the penile urethra.
Andrich
D E
DE
Institute of Urology, London, UK.
Greenwell
T J
TJ
Mundy
A R
AR
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002648:Child; D003251:Constriction, Pathologic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012086:Reoperation; D014521:Urethra / Q000473:pathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects