title: Relationship between development of urethral stricture after transurethral resection of prostate and glycemic control.
abstract: OBJECTIVE
  The purpose of this study is to investigate the association of glycemic control prior to TUR-P and postoperative urethral stricture development.
  
  
  METHODS
  Of the 168 patients with a diagnosis of urethral stricture, who underwent internal urethrotomy in our hospital were retrospectively analyzed for this study. 98 patients who underwent monopolar TUR-P in our hospital previously and were developed urethral stricture were divided into two groups as diabetic and nondiabetic. Based on their HbA1c concentrations, diabetics were allocated to two groups with good (HbA1c ≤6.5%) or poor (HbA1c > 6,5%) glycemic control. Time to internal urethrotomy and the other operative parameters were compared among groups.
  
  
  RESULTS
  Time to internal urethrotomy after TUR-P was significantly shorter in diabetic patients with poor glycemic control than Group 1 and Group 2 (P = 0,02, P = 0,012) but no significant difference was found between Group 1 and Group 2 (P = 0,368). There was no significant difference in the mean diagnosed and resected prostate wight among groups There was no significant difference in the mean resection time and the mean time to urethral catheter removal among groups.
  
  
  CONCLUSIONS
  Especially in poor glycemic control patients, urethral stricture development was seen in the early period after TUR-P. For this reason, in the elective TUR-P scheduled poor glycemic controlled patients the operation should be done after glycemic control.
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Sükrü
authors.initials: S
authors.lastname: Kumsar
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Hasan Salih
authors.initials: HS
authors.lastname: Sağlam
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Köse
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Salih
authors.initials: S
authors.lastname: Budak
authors.affiliation: Department of Urology, Sakarya University Training and Research Hospital, Sakarya, Turkey.
authors.forename: Oztuğ
authors.initials: O
authors.lastname: Adsan
keywords: Glycemic control; transurethral resection of prostate; urethral stricture