title: Outcome of end-to-end urethroplasty in post-traumatic stricture of posterior urethra.
abstract: OBJECTIVE
  To determine the outcome of delayed end-to-end anastomotic urethroplasty in blind post-traumatic stricture of posterior urethra at our setup.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Department of Urology and Renal Transplantation, Quaid-e-Azam Medical College/Bahawal Victoria Hospital, Bahawalpur, from January 2009 to June 2011.
  
  
  METHODS
  Adult patients with completely obliterated post-traumatic stricture of posterior urethra ≤ 2 cm were included in the study. Patients with post-prostatectomy (TUR-P, TVP) stricture, stricture more than 2 cm in size or patients of stricture with neurogenic bladder and patients with any perineal disease were excluded from the study. Retrograde urethrogram and voiding cysto-urethrogram was done in every patient to assess stricture length and location. Stricture excision and delayed end-to-end anastomosis of urethra with spatulation was performed in every patient. Minimum followup period was 6 months and maximum 18 months.
  
  
  RESULTS
  There were 26 cases with road traffic accident (indirect) and 14 had history of fall/direct trauma to perineum or urethra. Majority of the patients (57.5%) were between 16 to 30 years of age. Twelve (30.0%) patients developed complications postoperatively. Early complications of wound infection occurred in 01 (2.5%) patient. Late complications were seen in 11 (27.5%) patients i.e. stricture recurrence in 7 (17.5%), erectile dysfunction in 2 (5.0%), urethrocutaneous fistula and urinary incontinence in one patient (2.5%) each. Success rate was 70.0% initially and 87.5% overall.
  
  
  CONCLUSIONS
  Delayed end-to-end anastomotic urethroplasty is an effective procedure for traumatic posterior urethral strictures with success rate of about 87.5%.
authors.affiliation: Department of Urology, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur. netygeulis749@hotmail.com
authors.forename: Akbar
authors.initials: A
authors.lastname: Hussain
authors.forename: Mudassar Saeed
authors.initials: MS
authors.lastname: Pansota
authors.forename: Mumtaz
authors.initials: M
authors.lastname: Rasool
authors.forename: Shafqat Ali
authors.initials: SA
authors.lastname: Tabassum
authors.forename: Iftikhar
authors.initials: I
authors.lastname: Ahmad
authors.forename: Muhammad Shahzad
authors.initials: MS
authors.lastname: Saleem
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome; D014521:Urethra / Q000293:injuries*; D014525:Urethral Stricture / Q000503:physiopathology / Q000601:surgery*; D014554:Urination / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000379:methods; D055815:Young Adult