Outcome of Anastomotic Urethroplasty for Bulbar Urethral Stricture Our Experience

Authors

  • Md Shahidul Islam Associate Professor, Department of Urology, Rangpur Medical College, Rangpur, Bangladesh
  • Md Mostafiger Rahman Assistant Professor, department of Urology, Prime Medical College, Rangpur, Bangladesh
  • Md Fazal Naser Associate Professor, Department of Urology, Shaheed Shahrawardy Medical College, Dhaka, Bangladesh
  • Wahida Akhtar Chowdhury Anesthesiologist, Department of Anesthesiology, Rangpur Medical College Hospital, Rangpur, Bangladesh
  • Md Abdul Baten Assistant Professor, Department of Urology, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh

DOI:

https://doi.org/10.3329/bju.v23i1.50291

Keywords:

Surgical anastomosis, Treatment outcome, Urethral stricture

Abstract

Objective: For evaluation of patients who underwent bulbar end-to-end anastomosis to assess surgical outcome.

Materials and Methods: We reviewed 53 patients with an average age of 44 years who underwent bulbar end-to-end anastomosis from January 2013 to July 2018. A total of 9 patients (16.98%) underwent urethrotomy, dilation, or multiple treatments before referral to our center. Stricture length d”2cm, free from infection and completed at least 6 months of follow up were included. Patients were evaluated post operatively by uroflowmetry at 3, 6, 12 months of follow up and yearly thereafter. Clinical outcome was considered a treatment failure when any postoperative instrumentation was needed.

Results: Mean age 44 (SD±7.6, range 33 to 54 years). Stricture etiology was blunt perineal trauma 32 (60.37%), infection 12(22.64%), idiopathic 06(11.32%) and iatrogenic 03(05.67%). Mean operation time was 95 minutes (range, 50 to 140 minutes) and mean excised stricture length was 1.4 cm (range, 0.5 to 2 cm). 44 patients (83.02%) were symptom-free and required no further procedure. Strictures recurred in 9 patients (16.98%) within 2 to 5 months after surgery. Of 9 recurrences, 3 patient was managed successfully by urethrotomy, whereas the remaining 6 did not respond to urethrotomy or dilation and required additional urethroplasty.

Conclusions: Excision and end-to-end anastomosis urethroplasty is an excellent procedure for short segment bulbar urethral stricture.

Bangladesh Journal of Urology, Vol. 23, No. 1, January 2020 p.56-61

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Published

2020-11-15

How to Cite

Islam, M. S., Rahman, M. M., Naser, M. F., Chowdhury, W. A., & Baten, M. A. (2020). Outcome of Anastomotic Urethroplasty for Bulbar Urethral Stricture Our Experience. Bangladesh Journal of Urology, 23(1), 56–61. https://doi.org/10.3329/bju.v23i1.50291

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Original Articles