Management of anterior urethral stricture
نویسنده
چکیده
Background: The conventional method of repair of anterior urethral stricture with dilatation and Visual Internal Urethrotomy (VIU) resulted in high recurrence. Hence buccal mucosa is used for long term stricture free interval and is an effective measure of preventing stricture recurrence. Objectives: 1) To determine the presentation, aetiology, age distribution and associated symptoms of anterior urethral stricture. 2) To assess and compare the outcome of various modalities of management of anterior urethral stricture. 3) To find out the impact of buccal mucosal urethroplasty on long term symptom free interval and stricture recurrence. Materials and Methods: A prospective interventional study was carried out on 30 male patients, with anterior urethral stricture of varied aetiology, who were admitted in the Departments of Surgery and Urology, Kempegowda Institute of Medical Sciences and Research Centre, Bangalore, between June 2004 and June 2006. Procedure was carried for each patient depending on the site, nature and length of stricture. Results: The study showed that patients undergoing buccal mucosal urethroplasty had long term symptom free interval and no post operative complications nor recurrence during the study period. Conclusion: Though dilatation and VIU are used for palliative symptomatic relief in selected cases of anterior urethral stricture, buccal mucosal urethroplasty is the definitive treatment for anterior urethral stricture.
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