title: Management for the anterior combined with posterior urethral stricture: a 9-year single centre experience.
abstract: OBJECTIVE
  Therapy for anterior combined with posterior urethral stricture is difficult and controversial. This study aims to introduce a standard process for managing anterior combined with posterior urethral stricture.
  
  
  METHODS
  19 patients with anterior combined with posterior urethral stricture were treated following our standard process. Average (range) age was 52 (21-72) years old. In this standard process, anterior urethral stricture should be treated first. Endoscopic surgery is applied for anterior urethra stricture as a priority as long as obliteration does not occur, and operation for posterior urethral stricture can be conducted in the same stage. Otherwise, an open reconstructive urethroplasty for anterior urethral is needed; while in this condition, the unobliterated posterior urethra can also be treated with endoscopic surgery in the same stage; however, if posterior urethra obliteration exists, then open reconstructive urethroplasty for posterior urethral stricture should be applied 2-3 months later.
  
  
  RESULTS
  The median (range) follow-up time was 25.8 (3-56) months. All 19 patients were normal in urethrography after 1 month of the surgery. 4 patients (21.1%) recurred urethral stricture during follow-up, and the locations of recurred stricture were bulbomembranous urethra (2 cases), bulbar urethra (1 case) and bladder neck (1 case). 3 of them restored to health through urethral dilation, yet 1 underwent a second operation. 2 patients (10.5%) complaint of dripping urination. No one had painful erection, stress urinary incontinence or other complications.
  
  
  CONCLUSIONS
  The management for anterior combined with posterior urethral stricture following our standard process is effective and safe.
authors.affiliation: Department of Urology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Tuo
authors.initials: T
authors.lastname: Deng
authors.affiliation: Department of Urology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Banghua
authors.initials: B
authors.lastname: Liao
authors.affiliation: Department of Urology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Deyi
authors.initials: D
authors.lastname: Luo
authors.affiliation: Department of Ophthalmology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Bing
authors.initials: B
authors.lastname: Liu
authors.affiliation: Department of Urology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Kunjie
authors.initials: K
authors.lastname: Wang
authors.affiliation: Department of Urology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Jiaming
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Urology, West China Hospital, Sichuan University Chengdu 610041, P.R. China.
authors.forename: Tao
authors.initials: T
authors.lastname: Jin
keywords: Anterior urethral stricture; combined; posterior urethral stricture; standard process; surgical management