OUTCOME OF URETHROPLASTY IN THE MANAGEMENT OF TRAUMATIC URETHRAL STRICTURES
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Abstract
Objective: To assess the outcome of end to end urethroplasty for traumatic urethral strictures.
Material and Method: This study was conducted at Urology Department, Lady Reading Hospital, Peshawar for January 2009 to December 2011. Study design was descriptive case series. Patients having blind traumatic strictures were included. All patients had antegrade and retrograde urethrogram done. Surgery was performed in lithotomy position. Patients were followed for one year. Success was defined as good fair and poor at the end of one year depending upon symptoms relief, radiographic and urodynamic evaluation.
Results: Forty patients were included in the study. Majority of patients 32 (80%) were in 2nd to 4th decade of life. Mean age was 35 years. Urban population 30(75%) was predominently affected. Road traffic accident 22 patients (55%), Fall astride 12 patients (30%) were the common etiological factors. Mean operation time was 2.5 hours and mean hospital stay was 14 days. Catheter was removed after three weeks and immediate antegrade uretherogram was performed. Patients were followed for one year at three months Interval. 4(10%) Patients developed minor wound infection 2 patients (5%) had epididymo orchitis, two patients (5%) had erectile dysfunction managed conservatively. 20 patients (50%) needed no further treatment, 14 patients (35%) needed single internal optical Urethrotomy and 4(10%) were planned for redo uethroplasty as they required multiple endourological procedures.
Conclusion: Urethroplasty offers good results to patients with blind traumatic stricture dis
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