Stricture urethra: aetiology and management.

ABSTRACT

Seventy-four male cases of stricture urethra, in all age groups up to 70 years were studied with regard to the aetiology of stricture, clinical presentation, investigations and treatment in Medical College Hospitals, Calcutta during June 1984 to May 1986. Depending on the site of affection and the aetiological consideration the treatment consisted of meatal dilatations, meatotomy, urethral dilatation and various methods of urethroplasty. Sixty-seven patients could be rendered asymptomatic. Traumatic strictures specially of the anterior urethra was found to have a better prognosis. Preventive aspects like gentle urethral instrumentation, use of appropriately sized catheters made of non-reactive material and referral of patients with stricture urethra to urological centres were stressed upon.