A Retrospective Analysis of the Etiology and Treatment of Urethral Strictures

Abstract

Urethral stricture refers to a narrowing of the urethra, caused by several factors. It has been a dilemma due to the high incidence of recurrence and the poor outcomes. The purpose of the study was to evaluate the etiology of symptomatic urethral strictures and the treatment applied in a large series of patients presenting for urologic treatment. During the year 2015 a total of 120 patients who underwent treatment for urethral stricture were included in our study.: This study included 120 patients with a mean age of 69,21 years. Etiologically, the most common reason were urological endoscopic surgical procedures (75%) and the most common used treatment was optical internal urethrotomy with urinary catheter, associated in case of patients with additional pathologies with other surgical procedures (TUR p,TUR-v, bladder neck resection or cystolithalopaxy). Internal urethrotomy is a first line treatment method for urethral strictures because it is easily applied, has a low complication rate, and can be applied with local anesthesia in high risk patients who are unable to take general anesthesia. Although recurrence rate is high, repeatability is its greatest advantage and it causes significant relief in patients with urethral strictures, but it must be kept in mind that definitive treatment is urethroplasty.