Review on Management of Urethral Stricture Disease at Tertiary Care Centre


Affiliations

  • Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Department of Surgery, Nashik, Maharashtra, 422203, India
  • Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Department of Surgery, Nashik, Maharashtra, 422003, India

Abstract

Introduction: Urethral stricture disease remains a common cause of morbidity among men. Many questions about the etiology of urethral stricture disease remain unanswered till now. This study was done in a tertiary care center along with a review of the literature to evaluate the etiology of urethral strictures and to determine the factors that may influence possible preventive or curative strategies. Materials and Methods: Data collected from Patients visiting the OPD &/or admitted in the IPD for urethral stricture during the August 2015 to December 2017 this period at tertiary care centre with the help of relevant history, clinical examination, appropriate investigation including and treatment which includes medical and surgical intervention. Results: In study iatrogenic (40%) was main etiological factor for which H/O catheterization was main contributory factor for about 41% among iatrogenic cause. Direct visual internal urethrotomy was common surgical procedure performed with success rate (58%). Anastomotic urethroplasty was associated with success rate of 87.5%. Conclusion: Avoiding unnecessary urethral catheterization and repeated urethral instrumentation can reduce these iatrogenic strictures. Contrast urethrogram was the most common imaging modalities followed by Urethroscopy. Anastomotic urethroplasty had higher success rate as compared to DVIU and Urethral dilatation.

Keywords

Direct Visual Internal Urethrotomy (DVIU), Urethral Stricture, Urethroplasty

Subject Discipline

Surgery

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