Anastomotic urethroplasty; for the treatment of urethral stricture

ABSTRACT

The development in the field of urethroplasty over the past two decades enables the urologist to offer both restoration of efficient voiding and freedom from follow- up instrumentation to most patients. The present study included 13 male patients suffering from obliterative urethral strictures, attending the department of urology, El-Minia University hospital over a period of two years. All cases were subjected to clinical examinations and full investigations to determine the site and length of the urethral strictures. Nine cases had their strictures in the membranous urethra and four cases in the bulbo - membranous urethra. Five patients were operated upon previously [recurrent strictures] transperineal anastomotic urethroplasty was done for ten cases resulting in complete cure in seven patients [70 percent], improvement in two patients [20 percent] as they needed dilatation every 6-9 months and failed operation in one patient due to long obliterated segment. Transpubic anastomotic urethroplasty was performed in three cases, two of them were associated with rectal fistulae and the third case was operated upon by perineal bulbo - prostatic anastomotic urethroplasty previously. All the cases were symptom - free and have improved completely on the follow up period from three to twelve months