Outcome of anastomotic urethroplasty for stricture urethra

ABSTRACT

To evaluate the outcome of end-to-end urethroplasty for stricture urethra and need for ancillary procedures. Prospective, study was carried out in Department of Urology Allied Hospital Faisalabad from Oct, 2007 to April, 2010 to see the outcome for anastomotic urethroplasty in 40 patients. Simple perineal urethroplasty was done in 30 patients. Perineal urethroplasty with separation of corporal bodies was done in 06 patients and inferior pubectomy was required in 02 patients according to indication. Age, length of stricture and ancillary techniques required during reconstruction were combined. Success was considered when there was no need for redo anastmosis, IOU or patient was cured by dilatation. Out of 40 patients that underwent end-to-end urethroplasty, 35 [87.5%] were successful. Simple perineal urethroplasty showed a success rate of 93.75%. Perineal urethroplasty with separation of corporal bodies had a success rate of 66.66%. Patients in which inferior pubectomy was required had success rate of 50%. End-to-end urethroplasty is an excellent option for treatment of stricture urethra and majority of failures occurs in children and those having very proximal membranoprostatic urethral strictures